A Simulation-Based Communication Skills Training in Treating First-Episode Psychosis for Psychiatry Residents

BackgroundThe families of patients with first-episode psychosis often play a major role in care and often experience lack of support.AimsTo determine the effect of integrated treatment v. standard treatment on subjective burden of illness, expressed emotion (EE), knowledge of illness and satisfaction with treatment in key relatives of patients with a first episode of schizophrenia-spectrum disorder.MethodPatients with ICD-10 schizophrenia-spectrum disorders (first episode) were randomly assigned to integrated treatment or to standard treatment. Integrated treatment consisted of assertive community treatment, psychoeducational multi-family groups and social skills training. Key relatives were assessed with the Social Behaviour Assessment Schedule (SBAS, burden of illness), the 5-min speech sample (EE), and a multiple choice questionnaire at entry and after 1 year.ResultsRelatives in integrated treatment felt less burdened and were significantly more satisfied with treatment than relatives in standard treatment. There were no significant effects of intervention groups on knowledge of illness and EE.ConclusionsThe integrated treatment reduced family burden of illness and improved satisfaction with treatment.

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Teaching Communication Skills in Breast Imaging

Journal of Breast Imaging ◽

10.1093/jbi/wbz008 ◽

2019 ◽

Vol 1 (2) ◽

pp. 139-142 ◽

Cited By ~ 3

Author(s):

Carolynn M DeBenedectis

Keyword(s):

Communication Skills ◽

Breast Imaging ◽

Image Interpretation ◽

Effective Communication ◽

Skills Training ◽

Good News ◽

Communication Skills Training ◽

Procedural Skills ◽

Simulation Based

Abstract Breast radiologists communicate life-changing results to patients every day. It is critical for breast radiologists to be effective communicators and to deliver difficult and good news effectively and empathetically. Communication skills can be just as important as image interpretation and procedural skills in breast imaging. Breast radiologists can learn effective communication through practice. In addition, simulation-based communication skills training can help our trainees practice their communication skills in a low-stakes environment and become more comfortable with communicating difficult results. This manuscript sets out to familiarize breast radiologists with what effective communication skills are, as well as how to learn and teach them.

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Simulation-Based Communication Skills Training for Experienced Clinicians to Improve Family Conversations About Organ and Tissue Donation

Progress in Transplantation ◽

10.1177/1526924817731881 ◽

2017 ◽

Vol 27 (4) ◽

pp. 339-345 ◽

Cited By ~ 5

Author(s):

Julie Elizabeth Potter ◽

Jonathan J. Gatward ◽

Michelle A. Kelly ◽

Leigh McKay ◽

Ellie McCann ◽

...

Keyword(s):

Communication Skills ◽

Skills Training ◽

Communication Training ◽

Tissue Donation ◽

Clinical Settings ◽

Communication Skills Training ◽

Balanced Approach ◽

Simulation Based ◽

Deceased Organ Donation ◽

Descriptive Statistical Analysis

Introduction: The approach, communication skills, and confidence of clinicians responsible for raising deceased organ donation may influence families’ donation decisions. The aim of this study was to increase the preparedness and confidence of intensive care clinicians allocated to work in a “designated requester” role. Design: We conducted a posttest evaluation of an innovative simulation-based training program. Simulation-based training enabled clinicians to rehearse the “balanced approach” to family donation conversations (FDCs) in the designated requester role. Professional actors played family members in simulated clinical settings using authentic scenarios, with video-assisted reflective debriefing. Participants completed an evaluation after the workshop. Simple descriptive statistical analysis and content analysis were performed. Results: Between January 2013 and July 2015, 25 workshops were undertaken with 86 participants; 82 (95.3%) returned evaluations. Respondents were registered practicing clinicians; over half (44/82; 53.7%) were intensivists. Most attended a single workshop. Evaluations were overwhelmingly positive with the majority rating workshops as outstanding (64/80; 80%). Scenario fidelity, competence of the actors, opportunity to practice and receive feedback on performance, and feedback from actors, both in and out of character, were particularly valued. Most (76/78; 97.4%) reported feeling more confident about their designated requester role. Discussion: Simulation-based communication training for the designated requester role in FDCs increased the knowledge and confidence of clinicians to raise the topic of donation.

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