title: Teaching communication skills using the integrated procedural performance instrument (IPPI): a randomized controlled trial.
abstract: BACKGROUND
  The Integrated Procedural Performance Instrument (IPPI) uses various bench-top models positioned to standardized patients (SP) to recreate realistic clinical encounters. This study assessed the effectiveness of using an IPPI format as a teaching tool for communication skills.
  
  
  METHODS
  Thirty-two participants underwent 2 videotaped IPPI scenarios before randomization into 2 groups--experimental (SP-led feedback) or control (no feedback). Participants then completed 2 further IPPI format scenarios. Videotapes were scored by 2 blinded independent raters using validated assessment scales (communication and technical).
  
  
  RESULTS
  The experimental group performed significantly better on the communication scores following feedback compared with the control group (mean 77% vs 66%, P < .05). No difference in scores for technical skills post-intervention were demonstrated (checklist: experimental mean = 64% vs control = 59%, P = .40; global ratings: experimental mean = 66% vs no control = 62%, P = .37).
  
  
  CONCLUSIONS
  The IPPI is an effective tool for teaching communication skills in residents and medical students and should be considered for incorporation into undergraduate and surgical curricula.
authors.affiliation: Wilson Centre, Faculty of Medicine, University of Toronto, Ontario, Canada. Carol-anne.Moulton@uhn.on.ca
authors.forename: Carol-anne
authors.initials: CA
authors.lastname: Moulton
authors.forename: Diana
authors.initials: D
authors.lastname: Tabak
authors.forename: Roger
authors.initials: R
authors.lastname: Kneebone
authors.forename: Debra
authors.initials: D
authors.lastname: Nestel
authors.forename: Helen
authors.initials: H
authors.lastname: MacRae
authors.forename: Vicki R
authors.initials: VR
authors.lastname: LeBlanc
mesh_terms: D002983:Clinical Competence; D003142:Communication; D004504:Education, Medical, Undergraduate / Q000379:methods*; D013502:General Surgery / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000379:methods*