title: Effect of repetitive feedback on residents' communication skills improvement.
abstract: To evaluate the effect of frequent feedback on residents' communication skills as measured by a standardized checklist. Five medical students were recruited in order to assess twelve emergency medicine residents' communication skills during a one-year period. Students employed a modified checklist based on Calgary-Cambridge observation guide. The checklist was designed by faculty members of Tehran University of Medical Science, used for assessment of students' communication skills. 24 items from 71 items of observational guide were selected, considering study setting and objects. Every two months an expert faculty, based on descriptive results of observation, gave structured feedback to each resident during a 15-minute private session. Total mean score for baseline observation standing at 20.58 was increased significantly to 28.75 after feedbacks. Results markedly improved on "gathering information" (T1=5.5, T6=8.33, P=0.001), "building relationship" (T1=1.5, T6=4.25, P<0.001) and "closing the session" (T1=0.75, T6=2.5, P=0.001) and it mildly dropped on "understanding patients view" (T1=3, T6=2.33, P=0.007) and "providing structure" (T1=4.17, T6=4.00, P=0.034). Changes in result of "initiating the session" and "explanation and planning" dimensions are not statically significant (P=0.159, P=0.415 respectively). Frequent feedback provided by faculty member can improve residents' communication skills. Feedback can affect communication skills educational programs, and it can be more effective if it is combined with other educational methods.
authors.affiliation: Department of Emergency Medicine, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran. alabaf@tums.ac.ir.
authors.forename: Ali
authors.initials: A
authors.lastname: Labaf
authors.affiliation: Department of Emergency Medicine, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran. jamali.kazem@yahoo.com.
authors.forename: Kazem
authors.initials: K
authors.lastname: Jamali
authors.affiliation: Department of Emergency Medicine, Center for Educational Research in Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran. mjalili@tums.ac.ir.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Jalili
authors.affiliation: Center for Educational Research in Medical Sciences, Iran University of Medical Sciences, Tehran, Iran. hrbaradaran@tums.ac.ir.
authors.forename: Hamid R
authors.initials: HR
authors.lastname: Baradaran
authors.affiliation: Department of Emergency Medicine, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran. p_eizadi@yahoo.com.
authors.forename: Parisa
authors.initials: P
authors.lastname: Eizadi
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003142:Communication; D004521:Educational Measurement / Q000379:methods*; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D007492:Iran; D008297:Male; D013337:Students, Medical