Council on Medical Student Education in Pediatrics

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COMSEP Meeting in Ottawa, ON

Poster Presentation:


Umm, can you see my patient: Moving student consult calls towards clear communication

Authors:
Elizabeth Seelbach,University of Kentucky College of Medicine,Lexington,KY,John Ragsdale,University of Kentucky,Lexington,KY,Michelle Lineberry,University of Kentucky,Lexington ,KY,Helen Graces,University of Kentucky,Lexington,KY,Chris Feddock,University of Kentucky,Lexington,KY


Background:

Physician communication skills are implicated in the majority of patient safety errors. Although most of the current communication literature has focused on hand-offs, another essential element of physician-to-physician communication is the calling of consults. Both the AAMC and ACGME have entrustable professional activities or milestones related to physician-to-physician communication, and this skill is commonly entrusted to interns upon entrance into residency, yet medical students receive little formalized training.



Objectives:

To create a calling consults curriculum to improve the skills of 4th year students prior to entering residency.



Results:

Sixty-six students completed both the pre-curriculum audio-recording and post-curriculum OSCE. Mean student scores (pre= 13.34, post=18.94) on the 20-item checklist were 5.59 points higher after participating in the curriculum (t(130) = 11.67, p < 0.001).

Discussion:

The routine clinical experiences during medical school only partially prepare students to call consults; however, the communication skills required can be easily achieved with a self-directed on-line module and an interactive small group session. Although the module is easy to implement, the small group practice session and OSCE does require dedicated faculty and actors, so may be more challenging at other institutions. The module and cases used during the sessions will be submitted to MedEd Portal for further dissemination. This training can be used as part of an acting internship or preparing for residency course.