Nicholle Y W Sim, George A Chalkiadis, Andrew J Davidson, Greta M Palmer
A systematic review of the prevalence of chronic postsurgical pain in children
Paediatric anaesthesia
studies assessed efficacy communication skills training postgraduate physician trainees level behaviors designed residential communication skills workshop oncotalk medical oncology fellows intervention design built existing successful models teaching specific communication tasks linked patients trajectory illness study evaluated efficacy oncotalk changing observable communication behaviorsoncotalk 4day residential workshop emphasizing skills practice small groups preintervention postintervention cohort study involved 115 medical oncology fellows 62 different institutions 3year study primary outcomes observable participant communication skills measured standardized patient encounters workshop giving bad news discussing transitions palliative care standardized patient encounters audiorecorded assessed blinded coders using validated coding system beforeafter comparisons made using participant controlcompared preworkshop standardized patient encounters postworkshop encounters showed participants acquired mean 54 bad news skills p001 mean 44 transitions skills p001 changes individual skills substantial example bad news encounter 16 participants used word cancer giving bad news workshop 54 used workshop p001 also bad news encounter blinded coders able identify whether standardized patient encounter occurred workshop 91 audiorecordingsoncotalk represents successful teaching model improving communication skills postgraduate medical trainees