Evidence map›Paper›PMID 29880404›Full record

ArticlePatient education and counseling2018

A rigorous evaluation of an institutionally-based communication skills program for post-graduate oncology trainees.

Carma L Bylund, Smita C Banerjee, Philip A Bialer, Ruth Manna, Tomer T Levin, Patricia A Parker, Elizabeth Schofield, Yuelin Li, Abraham Bartell, Alexander Chou and 3 more

Abstract read
In one paragraph

Article in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Doing the hard work of learning: oncologists' enduring impressions of a year-long communication skills training program.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  18. Acute Cancer Cognitive Therapy Online Training Program: Feasibility and Impact on Clinician Knowledge Uptake.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Carma L BylundDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, United States. Electronic address: carma.bylund@ufl.edu.
Smita C BanerjeeDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, United States.
Philip A BialerDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, United States.
Ruth MannaDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, United States.
Tomer T LevinDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, United States.
Patricia A ParkerDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, United States.
Elizabeth SchofieldDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, United States.
Yuelin LiDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, United States.
Abraham BartellDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, United States.
Alexander ChouDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, United States.
Shira A HichenbergDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, United States.
Maura DicklerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, 1275 York Avenue New York, NY 10065, United States.
David W KissaneDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 641 Lexington Avenue, New York, NY 10022, United States.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Communication Skills Education Program for OncologyR25CA134252 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI BIALER, PHILIP A · 2010 to 2014
$1.5M
NCI NIH HHS P30 CA008748NCI NIH HHS R25 CA134252
6 · The paper itself

Abstract

objectiveIntegrating education about physician-patient communication into oncology specialists' education is important to improve quality of care. Our aim was to rigorously evaluate a 4-year institutionally-based patient communication skills program for oncology post-graduate trainees.

methodsTrainees from 10 specialties in the U.S. participated in patient communication skills modules tailored to sub-specialties. The program was evaluated by comparing pre-post scores on hierarchical outcomes: course evaluation, self-confidence, skills uptake in standardized and real patient encounters, and patient evaluations of satisfaction with communication. We examined breadth of skill usage as key outcome. Generalized estimating equations were used in data analysis.

resultsTwo hundred and sixty-two trainees' data were analyzed, resulting in 984 standardized and 753 real patient encounters. Participants reported high satisfaction and demonstrated significant skill growth with standardized patients, but transfer of these skills into real patient encounters was incomplete. Participants with lower baseline scores had larger improvements with both standardized and real patients.

conclusionThe program was well received and increased participant skills in the simulated setting without effective transfer to real patient encounters. PRACTICE IMPLICATIONS: Future work should allocate proportionally greater resources to trainees with lower baseline scores and measure breadth of participant skill usage as an outcome.

Indexed as

Clinical CompetenceCommunicationPhysician-Patient RelationsAdultEducational MeasurementEducation, Medical, GraduateHumansInternship and ResidencyMedical OncologyMiddle AgedPatient SimulationProblem-Based LearningProgram EvaluationCancer communicationCommunication skills trainingExperiential learningGraduate medical educationPatient simulationPhysician-patient relationship

Identifiers

PMID29880404
PMCPMC6755908

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.