Practicing Communication Skills For Responding to Emotionally Charged Questions

J Palliat Care. 2018 Oct;33(4):209-214. doi: 10.1177/0825859718777319. Epub 2018 May 29.

Abstract

Objective: To assess the impact of a 1-hour communication skills workshop highlighting the "ask more and summarize technique" (AMST) to teach residents an effective way to respond to emotionally charged questions.

Methods: From December 2015 to January 2017, residents on an inpatient oncology or palliative medicine rotation attended a mandatory 1-hour workshop on AMST involving a short introduction to the technique followed by skills practice. A survey (S1) was administered to the residents during the first session to assess their self-reported attitudes and practices. A follow-up survey (S2) was e-mailed at the end of the rotation to assess the usefulness of AMST.

Results: Twenty-one participants completed S1, and 12 participants completed S2. A total of 62% (13/21) reported the workshop was "very useful." There was a reported increased frequency of "summarizing back" between surveys ( P = .01). Addressing fear and anxiety (75%, 9/12) and responding to patients who were angry/upset (67%, 8/12) were the situations where AMST was found to be the most useful. Fifty-four percent of respondents (7/12) felt they could have used AMST more.

Conclusion: A 1-hour communication skills workshop targeting residents on an inpatient oncology or palliative rotation increased the use of summary statements in challenging situations.

Practice implications: A short skills practice workshop can be incorporated into a busy clinical curriculum to achieve changes in trainee behaviors and attitudes.

Keywords: communication skills; communication skills training; resident education.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Communication*
  • Curriculum
  • Education, Medical, Undergraduate / organization & administration*
  • Female
  • Humans
  • Internship and Residency / organization & administration
  • Male
  • Neoplasms / psychology*
  • Palliative Care / psychology*
  • Stress, Psychological / prevention & control*
  • Students, Medical / psychology*
  • Surveys and Questionnaires