Training faculty to facilitate communication skills training: development and evaluation of a workshop.

OBJECTIVE To develop a workshop for training faculty to facilitate small group role play sessions for a communication skills training program and assess the impact of that workshop on the trainees' self-efficacy about facilitation skills. METHODS A multi-specialty group of 33 attending physicians at a Comprehensive Cancer Center were trained in a Facilitating Communication Skills Training workshop in order to prepare them to facilitate small group role play with fellows and residents. The workshop curriculum was based on theory and literature on teaching communication skills. RESULTS The workshop had a significant effect on participants' self-efficacy in facilitating communication skills training. At least 75% of participants reported feeling comfortable facilitating communication skills training small groups. CONCLUSION This facilitation workshop was successful in providing participants with confidence to successfully facilitate small group role play sessions in communication skills training. PRACTICE IMPLICATIONS In order to evaluate the effectiveness of communication skills training programs, it is important to have trained facilitators who adhere to a set of facilitation guidelines. Workshops on facilitation skills provide the background and practice time necessary as a first step in the training process.

[1]  Greg Burns The Secrets of Team Facilitation. , 1995 .

[2]  D. Cegala,et al.  Physician communication skills training: a review of theoretical backgrounds, objectives and skills , 2002, Medical education.

[3]  D. Razavi,et al.  How to optimize physicians' communication skills in cancer care: results of a randomized study assessing the usefulness of posttraining consolidation workshops. , 2003, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[4]  Clara C. Pratt,et al.  Measuring Program Outcomes: Using Retrospective Pretest Methodology , 2000 .

[5]  Lesley Fallowfield,et al.  Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial , 2002, The Lancet.

[6]  S. Downing,et al.  Prior experiences associated with residents' scores on a communication and interpersonal skill OSCE. , 2006, Patient education and counseling.

[7]  K. Holli,et al.  A short communication course for physicians improves the quality of patient information in a clinical trial , 2007, Acta oncologica.

[8]  Y T Wun,et al.  Communication skill of general practitioners: any room for improvement? how much can it be improved? , 2003, Medical education.

[9]  Laura G. Hill,et al.  Revisiting the Retrospective Pretest , 2005 .

[10]  Anthony L Back,et al.  Efficacy of communication skills training for giving bad news and discussing transitions to palliative care. , 2007, Archives of internal medicine.

[11]  Barbara Resnick,et al.  A new tool to assess treatment fidelity and evaluation of treatment fidelity across 10 years of health behavior research. , 2005, Journal of consulting and clinical psychology.

[12]  Anthony L Back,et al.  Teaching communication skills to medical oncology fellows. , 2003, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[13]  P. Kofoed,et al.  The effect of training in communication skills on medical doctors' and nurses' self-efficacy. A randomized controlled trial. , 2007, Patient education and counseling.

[14]  K. Miller Communication Theories: Perspectives, Processes, and Contexts , 2001 .

[15]  A. Muijtjens,et al.  Effective improvement of doctor-patient communication: a randomised controlled trial. , 2006, The British journal of general practice : the journal of the Royal College of General Practitioners.

[16]  M. Knowles The adult learner : a neglected species , 1979 .

[17]  D. Razavi,et al.  Factors that influence cancer patients' anxiety following a medical consultation: impact of a communication skills training programme for physicians. , 2006, Annals of oncology : official journal of the European Society for Medical Oncology.

[18]  S. K. Rockwell,et al.  Post-then-pre evaluation: measuring behavior change more accurately , 1989 .

[19]  P. Butow,et al.  Seeking informed consent to cancer clinical trials; evaluating the efficacy of doctor communication skills training , 2007, Psycho-oncology.

[20]  T. Akechi,et al.  Communication skills training for Japanese oncologists on how to break bad news. , 2003, Journal of cancer education : the official journal of the American Association for Cancer Education.

[21]  T. Thompson Handbook of health communication , 2008 .

[22]  A. Muijtjens,et al.  Effective improvement of doctor-patient communication: , 2006 .

[23]  M. Stewart,et al.  Outcomes of patient-provider interaction. , 2003 .

[24]  D. Razavi,et al.  Does training increase the use of more emotionally laden words by nurses when talking with cancer patients? A randomised study , 2002, British Journal of Cancer.

[25]  S. Bax The Social and Cultural Dimensions of Trainer Training , 2002 .

[26]  L. Fallowfield,et al.  Enduring impact of communication skills training: results of a 12-month follow-up , 2003, British Journal of Cancer.

[27]  Lesley Fallowfield,et al.  Can communication skills training alter physicians' beliefs and behavior in clinics? , 2002, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[28]  R. Shaffer,et al.  Evaluation of a sexually transmitted disease/human immunodeficiency virus prevention train-the-trainer program. , 2001, Military medicine.

[29]  A. Finset,et al.  Long term benefits of communication skills training for cancer doctors , 2003, Psycho-oncology.

[30]  L. Pangaro,et al.  The impact of the stanford faculty development program on ambulatory teaching behavior , 2006, Journal of General Internal Medicine.

[31]  Christine Hughes Mcsp BPhil Teaching and Learning Communication Skills in Medicine , 1999 .

[32]  J. Tulsky,et al.  Reflective Teaching Practices: An Approach to Teaching Communication Skills in a Small-Group Setting , 2006, Academic medicine : journal of the Association of American Medical Colleges.

[33]  D. Razavi,et al.  Physicians are different when they learn communication skills: influence of the locus of control , 2007, Psycho-oncology.

[34]  P. Ellis,et al.  Impact of an evidence-based medicine curriculum based on adult learning theory , 1997, Journal of general internal medicine.

[35]  Lesley Fallowfield,et al.  Factors affecting patient and clinician satisfaction with the clinical consultation: Can communication skills training for clinicians improve satisfaction? , 2003, Psycho-oncology.

[36]  C. Bylund,et al.  Communication Skills Training: Describing a New Conceptual Model , 2008, Academic medicine : journal of the Association of American Medical Colleges.

[37]  Klaus Schmidt Train the Trainer: A Program To Support the Efficient Transfer of Knowledge from Network Engineers to Local Area Network Managers. Case Study of the University Of Missouri-Columbia. , 2000 .

[38]  W. S. Sahakian,et al.  Introduction to the psychology of learning , 1976 .

[39]  Michael Argyle,et al.  Social Skills and Mental Health , 1978 .

[40]  Christian Melot,et al.  Physicians' communication with a cancer patient and a relative , 2005, Cancer.

[41]  J. Voelkl,et al.  Providing Dementia Outreach Education to Rural Communities: Lessons Learned From a Train-the-Trainer Program , 2002 .

[42]  Stephen Rollnick,et al.  The use of simulated patients and role-play in communication skills training: a review of the literature to August 2005. , 2007, Patient education and counseling.