title: The effects of self-assessment and supervisor feedback on residents' patient-education competency using videoed outpatient consultations.
abstract: OBJECTIVE
  To determine the effects of residents' communication self-assessment and supervisor feedback on residents' communication-competency awareness, on their patient-education competency, and on their patients' opinion.
  
  
  METHODS
  The program consisted of the implementation of a communication self-assessment and feedback process using videoed outpatient consultations (video-CAF). Residents wrote down communication learning objectives during the instruction and after each video-CAF session. Residents' patient-education competency was assessed by trained raters, using the CELI instrument. Participating patients completed a questionnaire about the contact with their physician.
  
  
  RESULTS
  Forty-four residents and 21 supervisors participated in 87 video-CAF sessions. After their first video-CAF session, residents wrote down more learning objectives addressing their control and rapport skills and their listening skills. Video-CAF participation improved residents' patient-education competency, but only in their control and rapport skills. Video-CAF participation had no effect on patients' opinion.
  
  
  CONCLUSIONS
  Video-CAF appears to be a feasible procedure and might be effective in improving residents' patient-education competency in clinical practice.
  
  
  CONCLUSIONS
  Video-CAF could fill the existing deficiency of communication training in residency programs.
authors.affiliation: University of Groningen, University Medical Center Groningen, The Netherlands. Electronic address: j.c.wouda@umcg.nl.
authors.forename: Jan C
authors.initials: JC
authors.lastname: Wouda
authors.affiliation: University of Groningen, University Medical Center Groningen, The Netherlands.
authors.forename: Harry B M
authors.initials: HB
authors.lastname: van de Wiel
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003142:Communication; D004503:Education, Medical, Graduate / Q000379:methods; D004521:Educational Measurement / Q000379:methods*; D005246:Feedback; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D009426:Netherlands; D010353:Patient Education as Topic / Q000379:methods*; D010817:Physician-Patient Relations; D012017:Referral and Consultation; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D014743:Videotape Recording
keywords: Clinical communication; Feedback on videoed consultations; Residents; Supervisors; Workplace-based assessment