title: Learning clinical communication skills: outcomes of a program for professional practitioners.
abstract: OBJECTIVE
  To assess the effects of a communication skills program on professional practitioners' performance and self-confidence in clinical interviewing.
  
  
  METHODS
  Twenty-five health professionals took 3 months of basic communication skills followed by 3 months of advanced communication skills. An additional quarter dealt with self-awareness and communication in special situations. Participants' performances were evaluated in clinical interviews with standardized patients before, during and after the program by external observers and standardized patients, using standardized instruments. Participants assessed their own confidence in their communication skills before and after the program. Data were analysed using GLM repeated-measures procedures in SPSS.
  
  
  RESULTS
  Basic communication skills and self-confidence improved throughout the 6 months; competencies declined but self-confidence continued to increase 4 months later. Compared with taking no course, differences were statistically significant after the 6 months (external observers only) and 4 months later (external observers and participants).
  
  
  CONCLUSIONS
  The program effectively improved communication skills, although significantly only when assessed by external observers. Four months later, effects were significant in communication skills (external observers), despite the decline and in self-confidence.
  
  
  CONCLUSIONS
  While periodical enrollment in programs for the practice of communication skills may help maintain performance, more knowledge on communication and self-awareness may enhance self-confidence.
authors.affiliation: Department of Medical Psychology at the School of Medicine, University of Porto, Porto, Portugal. irenec@med.up.pt
authors.forename: Irene P
authors.initials: IP
authors.lastname: Carvalho
authors.forename: Vanessa G
authors.initials: VG
authors.lastname: Pais
authors.forename: Susana S
authors.initials: SS
authors.lastname: Almeida
authors.forename: Raquel
authors.initials: R
authors.lastname: Ribeiro-Silva
authors.forename: Margarida
authors.initials: M
authors.lastname: Figueiredo-Braga
authors.forename: Ana
authors.initials: A
authors.lastname: Teles
authors.forename: Ivone
authors.initials: I
authors.lastname: Castro-Vale
authors.forename: Rui
authors.initials: R
authors.lastname: Mota-Cardoso
mesh_terms: D002983:Clinical Competence; D003142:Communication; D004521:Educational Measurement; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007407:Interviews as Topic; D007858:Learning; D016544:Patient Simulation; D011369:Professional-Patient Relations; D015397:Program Evaluation; D020377:Self Efficacy