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Communication in medical education. T. Pottecher, T. Pelaccia, B. Ludes, J. Sibilia Ped. Res. Lab. University of Medicine Strasbourg. Communication in medical practice. Paramount importance on a daily basis With patients and relatives Within the medical team Mandatory for medical teachers
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Communication in medical education T. Pottecher, T. Pelaccia, B. Ludes, J. Sibilia Ped. Res. Lab. University of Medicine Strasbourg
Communication in medical practice • Paramount importance on a daily basis • With patients and relatives • Within the medical team • Mandatory for medical teachers • At the bedside • To give a lecture • No formal teaching in medical curriculum
State of practice in medical universities • Tools for communication’s assessments • Results
Survey of «old » residents in anesthesia • Training in communication : 21% • 1/3 : simulated patient • ½ : « osmosis » with senior • 1/6 : lectures • Needing additional training : 88 % Prochilo C. SFAR 2O11
State of practice in medical faculties • Tools for communication’s assessments • Results
Communication skills checklist (partial) OSCE : Objective structured clinical examination
Feedback Giving feedback : core element in medical education But : thin evidence base to guide medical educators Algorithm for giving feedback ? self-feeling mini-cex Thomas JD.Giving feedback. J. Palliat Med 2011 Feb;14(2):233-9
State of practice in medical faculties • Tools for communication’s assessments • Results
Survey of «old » residents in anesthesia • Training in communication : 21percent • 1/3 : simulated patient • ½ : « osmosis » with senior • 1/6 : lectures • Needing complementary training : 88 percent • Comfortable for communication • 81% if previous training • 60 % without previous training Prochilo C. SFAR 2O11
Results OSCE improves also time management
Do you teach medical communication…. • If yes : How? • If no : Why?