title: The effect of improving communication competency on the certifying examination of the American Board of Surgery.
abstract: BACKGROUND
  Since 1991 the authors have offered a course that identifies content deficits, but only provides instruction directed at improving verbal and nonverbal behaviors. We report the outcome of this 10-year effort as success on the certifying examination of the American Board of Surgery between 1991 and 2001.
  
  
  METHODS
  Sixteen 5-day courses were scheduled over 10 years. Participants included those who had not taken the oral examination or had failed at least once and invited senior faculty (n = 26). Sites were chosen to replicate the actual examination setting.
  
  
  RESULTS
  There were 122 participants, with follow-up data available on 88. Success in the certifying examination after completing the course is 96 percent.
  
  
  CONCLUSIONS
  Evaluation of communication deficits and training to improve them is strongly associated with success. Clearly, this course is effective at identifying communication behaviors that are interfering with success on the certifying examination of the American Board of Surgery.
authors.affiliation: Dartmouth-Hitchcock Medical Center, One Medical Center Dr., Lebanon, NH 03756, USA. pamela.rowland@dartmouth.edu
authors.forename: Pamela A
authors.initials: PA
authors.lastname: Rowland-Morin
authors.forename: Nicholas P
authors.initials: NP
authors.lastname: Coe
authors.forename: A Gerson
authors.initials: AG
authors.lastname: Greenburg
authors.forename: Richard K
authors.initials: RK
authors.lastname: Spence
authors.forename: William P
authors.initials: WP
authors.lastname: Reed
authors.forename: Nicholas P
authors.initials: NP
authors.lastname: Lang
authors.forename: Parvis J
authors.initials: PJ
authors.lastname: Sadighi
authors.forename: Kenneth W
authors.initials: KW
authors.lastname: Burchard
mesh_terms: D000328:Adult; D002568:Certification; D003142:Communication; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D010820:Physicians / Q000592:standards*; D011361:Professional Competence; D016730:Program Development; D015397:Program Evaluation; D013043:Specialties, Surgical / Q000592:standards*; D013044:Specialty Boards