Attending | PGY | Intern | APP | Other | Total | |
---|---|---|---|---|---|---|
Item (%) | (n = 5) | (n = 16) | (n = 7) | (n = 3) | (n = 2) | (n = 33) |
Preferred method of course delivery | ||||||
Online | 80 | 50 | 71 | 67 | 0 | 58 |
Didactic lectures | 0 | 6 | 0 | 33 | 0 | 6 |
Small-group discussion | 0 | 25 | 29 | 0 | 50 | 21 |
Self-reflection | 0 | 6 | 0 | 0 | 0 | 3 |
Role play | 0 | 0 | 0 | 0 | 0 | 0 |
Simulated and real-life experiences | 20 | 6 | 0 | 0 | 50 | 9 |
Mix of online and in person | 0 | 0 | 0 | 0 | 0 | 0 |
Current communication needs | ||||||
I want to improve my communication skills | 80 | 69 | 100 | 67 | 100 | 79 |
I want to help others improve their communication skills | 60 | 50 | 29 | 0 | 50 | 43 |
I need to improve my patients’ experience | 80 | 44 | 43 | 67 | 50 | 52 |
Familiarity with RCC | ||||||
I am not at all familiar | 20 | 56 | 29 | 33 | 100 | 45 |
I am somewhat familiar | 60 | 38 | 71 | 67 | 0 | 49 |
I practice RCC | 20 | 0 | 0 | 0 | 0 | 3 |
Communication skills you want to improve | ||||||
Creating rapport | 40 | 31 | 14 | 33 | 0 | 27 |
Eliciting all concerns | 100 | 38 | 57 | 67 | 100 | 58 |
Negotiating the agenda | 20 | 44 | 43 | 100 | 0 | 43 |
Opening the conversation | 20 | 13 | 0 | 0 | 0 | 9 |
Exploring perspectives and naming emotions | 20 | 19 | 14 | 0 | 50 | 18 |
Responding with compassion | 40 | 19 | 0 | 0 | 0 | 15 |
Sharing information | 20 | 38 | 57 | 0 | 100 | 40 |
Assessing understanding | 20 | 38 | 71 | 33 | 100 | 46 |
Summarizing and clarifying | 0 | 25 | 43 | 33 | 0 | 24 |
Conflict management | 60 | 63 | 71 | 67 | 100 | 67 |
Clinician-clinician communication | 60 | 44 | 71 | 33 | 0 | 48 |
Handoffs with team members | 20 | 44 | 86 | 33 | 0 | 46 |
I quickly establish rapport | ||||||
Almost always/usually | 100 | 75 | 86 | 100 | 100 | 85 |
occasionally/rarely | 0 | 25 | 14 | 0 | 0 | 15 |
I consistently elicit patients’ concerns | ||||||
Almost always/usually | 40 | 38 | 43 | 33 | 0 | 37 |
Occasionally/rarely | 60 | 62 | 57 | 67 | 100 | 63 |
I negotiate with patients to establish the agenda | ||||||
Almost always/usually | 20 | 50 | 29 | 67 | 50 | 43 |
Occasionally/rarely | 80 | 50 | 71 | 33 | 50 | 57 |
I use open-ended questions to explore patients’ perspectives | ||||||
Almost always/usually | 60 | 50 | 71 | 67 | 50 | 58 |
Occasionally/rarely | 40 | 50 | 29 | 33 | 50 | 42 |
I offer opportunities for patients to express emotions | ||||||
Almost always/usually | 60 | 69 | 71 | 67 | 50 | 67 |
Occasionally/rarely | 40 | 31 | 29 | 33 | 50 | 33 |
I acknowledge patients’ emotions with empathic responses | ||||||
Almost always/usually | 60 | 81 | 86 | 100 | 100 | 82 |
Occasionally/rarely | 40 | 19 | 14 | 0 | 0 | 18 |
I share information in small “chunks" | ||||||
Almost always/usually | 60 | 86 | 57 | 100 | 50 | 75 |
Occasionally/rarely | 40 | 14 | 43 | 0 | 50 | 25 |
I consistently check my patients’ understanding | ||||||
Almost always/usually | 60 | 69 | 57 | 100 | 50 | 67 |
Occasionally/rarely | 40 | 31 | 43 | 0 | 50 | 33 |
I encourage my patients to summarize what we discussed | ||||||
Almost always/usually | 40 | 31 | 14 | 33 | 50 | 30 |
Occasionally/rarely | 60 | 69 | 86 | 67 | 50 | 70 |
I regard communication training as being relevant | ||||||
Almost always/usually | 100 | 94 | 100 | 100 | 50 | 94 |
Occasionally/rarely | 0 | 6 | 0 | 0 | 50 | 6 |
Quantity of work on rounds promotes communication | ||||||
Agree/strongly agree | 0 | 6 | 0 | 33 | 0 | 6 |
Disagree/strongly disagree | 80 | 94 | 100 | 67 | 100 | 91 |
Morning rounds are calm/easeful | ||||||
Agree/strongly agree | 0 | 6 | 14 | 67 | 0 | 12 |
Disagree/strongly disagree | 80 | 94 | 86 | 33 | 100 | 85 |
I often feel rushed on morning rounds | ||||||
Agree/strongly agree | 80 | 94 | 71 | 67 | 100 | 85 |
Disagree/strongly disagree | 0 | 6 | 29 | 33 | 0 | 12 |
There is sufficient time to address patients’ concerns | ||||||
Agree/strongly agree | 20 | 12 | 14 | 0 | 0 | 12 |
Disagree/strongly disagree | 60 | 88 | 86 | 100 | 100 | 85 |
There are multiple interruptions most days | ||||||
Agree/strongly agree | 60 | 81 | 71 | 67 | 50 | 73 |
Disagree/strongly disagree | 40 | 19 | 29 | 33 | 50 | 27 |
There is adequate time to obtain a treatment plan | ||||||
Agree/strongly agree | 40 | 31 | 29 | 33 | 100 | 36 |
Disagree/strongly disagree | 40 | 69 | 71 | 67 | 0 | 61 |
EMR documentation allows for optimal communication | ||||||
Agree/strongly agree | 0 | 6 | 0 | 33 | 50 | 9 |
Disagree/strongly disagree | 80 | 94 | 100 | 67 | 50 | 88 |
Having bedside nurses makes rounds more efficient | ||||||
Agree/strongly agree | 80 | 56 | 57 | 100 | 0 | 60 |
Disagree/strongly disagree | 0 | 44 | 43 | 0 | 100 | 37 |
Non-English speaking patients are easily accommodated | ||||||
Agree/strongly agree | 20 | 0 | 14 | 33 | 0 | 9 |
Disagree/strongly disagree | 60 | 100 | 86 | 67 | 100 | 88 |
Trauma service is one of the busiest services | ||||||
Agree/strongly agree | 60 | 88 | 71 | 67 | 50 | 76 |
Disagree/strongly disagree | 20 | 12 | 29 | 33 | 50 | 21 |
My main goal on rounds is to gather necessary information | ||||||
Agree/strongly agree | 20 | 50 | 54 | 0 | 0 | 39 |
Disagree/strongly disagree | 60 | 50 | 46 | 100 | 100 | 58 |
We treat our trauma patients with courtesy and respect | ||||||
Agree/strongly agree | 60 | 88 | 43 | 100 | 100 | 76 |
Disagree/strongly disagree | 20 | 12 | 57 | 0 | 0 | 21 |
Trauma service does a great job of listening to patients | ||||||
Agree/strongly agree | 20 | 25 | 29 | 100 | 50 | 33 |
Disagree/strongly disagree | 60 | 75 | 71 | 0 | 50 | 64 |
We give explanations understandable to patients | ||||||
Agree/strongly agree | 40 | 50 | 14 | 100 | 50 | 45 |
Disagree/strongly disagree | 40 | 50 | 86 | 0 | 50 | 52 |
We explain new medications and side effects every time | ||||||
Agree/strongly agree | 0 | 6 | 0 | 33 | 0 | 6 |
Disagree/strongly disagree | 80 | 94 | 100 | 67 | 100 | 91 |
We explain new tests/imaging every time | ||||||
Agree/strongly agree | 20 | 44 | 29 | 67 | 0 | 37 |
Disagree/strongly disagree | 60 | 56 | 71 | 33 | 100 | 60 |