title: House staff communication training and patient experience scores.
abstract: OBJECTIVE
  To assess whether communication training for housestaff via role-playing exercises (1) is well-received and (2) improves patient experience scores in housestaff clinics.
  
  
  METHODS
  We conducted a pre-post study in which the housestaff for 3 adult hospital departments participated in communication trainingled by trained faculty in small groups . Sessions centered on a published 5-step strategy for opening patient-centered interviews using department-specific role-playing exercises. Housestaff completed post-training questionnaires. For one month prior to and one month following the training, patients in the housestaff clinics completed surveys with CG-CAHPS questions regarding physician communication, immediately following clinic visits. Pre-and post -intervention results for top-box scores were compared.
  
  
  RESULTS
  Forty -four of a possible 45 housestaff (97.8%) participated, with 31 (70.5%) indicating that the role-playing exercise increased their perception of the 5-step strategy. No differences on patient responses to CG-CAHPS questions were seen when comparing 63 pre-intervention patients surveys to 77 post-intervention surveys.
  
  
  CONCLUSIONS
  Demonstrating an improvement in standard patient experience surveys in resident clinics may require ongoing communication coaching and investigation of the "hidden curriculum" of training.
authors.affiliation: Yale School of Public Health, New Haven CT 06520, USA.
authors.forename: Oladoyin A
authors.initials: OA
authors.lastname: Oladeru
authors.affiliation: Yale School of Public Health, New Haven CT 06520, USA.
authors.forename: Musleehat
authors.initials: M
authors.lastname: Hamadu
authors.affiliation: Yale School of Public Health, New Haven CT 06520, USA.
authors.forename: Paul D
authors.initials: PD
authors.lastname: Cleary
authors.affiliation: Department of Urology, Yale School of Medicine, New Haven, CT 06520, USA; Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USA.
authors.forename: Adam B
authors.initials: AB
authors.lastname: Hittelman
authors.affiliation: Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USA; Department of Neurosurgery, Yale School of Medicine, New Haven, CT 06520, USA.
authors.forename: Ketan R
authors.initials: KR
authors.lastname: Bulsara
authors.affiliation: Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USA; Department of Neurosurgery, Yale School of Medicine, New Haven, CT 06520, USA.
authors.forename: Maxwell Sh
authors.initials: MS
authors.lastname: Laurans
authors.affiliation: Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USA; Department of Neurology, Yale School of Medicine, New Haven, CT 06520, USA.
authors.forename: Daniel B
authors.initials: DB
authors.lastname: DiCapua
authors.affiliation: Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USA; Department of Neurology, Yale School of Medicine, New Haven, CT 06520, USA.
authors.forename: Evie G
authors.initials: EG
authors.lastname: Marcolini
authors.affiliation: Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USA; Department of Neurology, Yale School of Medicine, New Haven, CT 06520, USA.
authors.forename: Jeremy J
authors.initials: JJ
authors.lastname: Moeller
authors.affiliation: Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USA; Department of Neurology, Yale School of Medicine, New Haven, CT 06520, USA.
authors.forename: Babar
authors.initials: B
authors.lastname: Khokhar
authors.affiliation: Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USA.
authors.forename: Jeannette W
authors.initials: JW
authors.lastname: Hodge
authors.affiliation: Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USA; Department of Internal Medicine, Yale School of Medicine, CT 06520, USA.
authors.forename: Auguste H
authors.initials: AH
authors.lastname: Fortin
authors.affiliation: Teaching and Learning Center, Yale School of Medicine, New Haven, CT 06520, USA.
authors.forename: Janet P
authors.initials: JP
authors.lastname: Hafler
authors.affiliation: Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USA; Department of Internal Medicine, Yale School of Medicine, CT 06520, USA.
authors.forename: Michael C
authors.initials: MC
authors.lastname: Bennick
authors.affiliation: Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510, USA; Department of Neurology, Yale School of Medicine, New Haven, CT 06520, USA.
authors.forename: David Y
authors.initials: DY
authors.lastname: Hwang
keywords: Communication; education; medical residencies; patient satisfaction