The Effectiveness of the Geritalk Communication Skills Course: A Real-Time Assessment of Skill Acquisition and Deliberate Practice

被引：34

作者：

Gelfman, Laura P. ^{[1
]}

Lindenberger, Elizabeth ^{[1
]}

Fernandez, Helen ^{[1
]}

Goldberg, Gabrielle R. ^{[1
]}

Lim, Betty B. ^{[1
]}

Litrivis, Evgenia ^{[1
]}

O'Neill, Lynn ^{[2
]}

Smith, Cardinale B. ^{[3
]}

Kelley, Amy S. ^{[1
]}

机构：

[1] Icahn Sch Med Mt Sinai, Brookdale Dept Geriatr & Palliat Med, New York, NY 10029 USA

[2] Duke Univ, Sch Med, Dept Med, Div Geriatr, Durham, NC 27706 USA

[3] Icahn Sch Med Mt Sinai, Dept Med, Div Hematol Oncol, New York, NY 10029 USA

来源：

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT | 2014年 / 48卷 / 04期

关键词：

Communication skills; assessment tool; deliberate practice; family meeting; graduate medical education; CLINICAL-EVALUATION EXERCISE; PALLIATIVE CARE; ASSOCIATIONS; CANCER; HEALTH; CEX;

D O I：

10.1016/j.jpainsymman.2013.12.231

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background. Communication skills are critical in Geriatrics and Palliative Medicine because these patients confront complex clinical scenarios. We evaluated the effectiveness of the Geritalk communication skills course by comparing pre- and post-course real-time assessment of the participants leading family meetings. We also evaluated the participants' sustained skills practice. Measures. We compare the participants' skill acquisition before and after Geritalk using a direct observation Family Meeting Communication Assessment Tool and assess their deliberate practice at follow-up. Intervention. First-year Geriatrics or Palliative Medicine fellows at Mount Sinai Medical Center and the James J. Peters Bronx VA Medical Center participated in Geritalk. Outcomes. Pre- and post-course family meeting assessments were compared. An average net gain of 6.8 skills represented a greater than 20% improvement in use of applicable skills. At two month follow-up, most participants reported deliberate practice of fundamental and advanced skills. Conclusions/Lessons Learned. This intensive training and family meeting assessment offers evidence-based communication skills training. Published by Elsevier Inc. on behalf of American Academy of Hospice and Palliative Medicine.

引用

页码：738 / U456

页数：13

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