Fig. 1

I-RCCC Study Design. Schematic Diagram illustrating our study design that comprises of 4 steps. Step 1 is a needs assessment analysis that included both observed needs (by communication experts) and assessed needs using an electronic survey. Step 2 is developing the I-RCCC conceptual framework from the data collected in Step 1. The intervention (step 3) is the implementation of the I-RCCC. Evaluation is carried out before and after the course. The last step (step 4) is assessing program impact through both observations as well as patient satisfaction surveys to assess the strengths and limitations of the I-RCCC. Our study uses an evidence-based model for program improvement. It relies on the constant refinement of our curriculum from trainee and patient feedback