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Resources Relevant to the Implementation
of Core ACGME-Required Competencies
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Resources Relevant to the Implementation
of Core ACGME-Required Competencies
Module I Interpersonal & communication skills Resources |
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| Communication & patient education skills |
This section contains materials that may be useful in building communication and patient education skills. The materials cover a wide spectrum of topics and learner abilities, providing TPDs with a range of options, depending on program strengths and needs. TPDs may choose to incorporate specific materials as a regular part of the curriculum or they may choose targeted materials based on the needs of individual fellows or groups. In either case, resources presented here are designed to build skills that are targeted by the assessment tools. |
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| American Academy on Physician & Patient (AAPP) |
The American Academy on Physician & Patient (AAPP) focuses on physician-patient communication, addressing issues of research, education, and professional standards. The organization’s newsletter, Medical Encounter, is published quarterly and has recently contained articles on such topics as, "The Culturally Sensitive Medical Encounter," "Working with Interpreters", and "Patient Communication Training Skills." Such articles are useful for reading and discussion. The AAPP site provides a number of features that can be useful for teaching and practicing communication skills. The Monthly interview vignette allows for one to test one’s skills. The AAPP’s Patient experiences provide perspectives on communication from the patient point of view. For example, Patient S’s Story is about a patient with advanced lung disease. These patient experiences can be used as a trigger for discussion. Several publications and videos focusing specifically on communication skills, are available. * All materials on this site are accessed from the home page using the yellow bars on the left.* |
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| Bayer Institute for Health Care Communication |
The Bayer Institute focuses on improving communication between practitioners and patients through education, research, and advocacy. The Institute provides a list of books, videos, and patient education materials for general use as well as offering a variety of courses and workshops for those seeking in-depth information. The following resources, in particular, are recommended: Field Guide to the Difficult Patient Interview is a small handbook that deals with topics in a concise way. Each brief chapter defines the problem, then provides bulleted principles, procedures, and pitfalls. The book is useful as a resource for specific situations or for general discussion. Teaching and Learning Communication Skills in Medicine is an excellent resource for faculty and fellows interested in a practical approach to communication skills teaching and learning. Covering such topics as, "analysis and feedback in experiential teaching sessions," and, "phrasing feedback," this book provides specific information often missing from more general educational texts. A downloadable patient medication record that physicians can provide to help patients communicate about and understand their medications is a useful tool. |
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| Health Canada | This Canadian federal health information site is designed for both patients and practitioners. It contains downloadable information that can be used for training about communication skills and for enhancing physician-patient interactions. This planning sheet is a useful tool for facilitating physician-patient communication. Physicians can provide this sheet for their patients to help them focus the issues they want to be addressed during the visit. Health Canada’s Talking Tools II course booklet and resource booklet provide information and materials to run two interactive courses on communication skills. Designed in conjunction with the Canadian Breast Cancer Initiative for internal medicine residents, the skills taught are generalizable across specialties and diagnostic conditions. Given the size of many A/I training programs and the intensity required to run one or two courses on communication skills, this resource may be best used in collaboration with other residency or fellowship programs. |
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| Improving Chronic Illness Care (ICIC) |
Improving Chronic Illness Care is a National Program Office supported by The Robert Wood Johnson Foundation and based in Group Health Cooperative's MacColl Institute for Healthcare Innovation. The goal of ICIC is to foster improvement in chronic illness care by supporting health care providers with guidelines, expertise, and systems. The organization’s site contains a number of useful materials that may be downloaded for reference use by care providers or for actively involving patients in their own care. ICIC provides a comprehensive bibliography on asthma. Of particular interest is the section on asthma-specific patient self-management. Each citation links to the article’s abstract on PubMed. These articles are useful for discussion. The ICIC bibliography also provides general information on patient self-management. These articles are useful for discussion and to provide grounding for implementation of self-management tools and practices. The ICIC provides self-management tools that health care providers can use to facilitate communication about care with patients. The Red-Yellow-Green tool for patients with asthma uses a stoplight analogy (stop, caution, go) to involve patients in monitoring and managing their asthma. The parameters contained herein could be customized as desired (with permission from the copyright holder). The ICIC provides a self-management support tool designed to help patients with chronic illness take a more active role in their own care by setting goals and developing a plan for their achievement. Sharing such a tool with patients facilitates communication about care. |
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| American College of Physicians, American Society of Internal Medicine (ACP-ASIM) |
The ACP-ASIM offers a Clinical Skills Teaching Module and a videotape on the topic, "Counseling for Behavior Change". While designed initially for primary care providers, the skills taught are generalizable across specialties. Given the size of many A/I training programs and the intensity required to utilize a teaching module on communication skills, this resource may be best used in collaboration with other residency or fellowship programs. The videotape would be appropriate for individual or program use. |
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| Ottawa Health Decision Centre |
Shared decision making is an important component of effective physician-patient communication. The Ottawa Health Decision Centre provides materials that can be used to facilitate communication with patients around medical or health care decisions. The booklet Making Choices helps patients understand the process of decision making and presents some steps that can be considered in making a decision. Physicians can provide this booklet to patients as a way of facilitating communication about medical decisions. The Decision Making Worksheet is a tool that helps patients work through the process of medical or health care decision making in a structured way. Physicians can provide this worksheet to patients as a way of facilitating communication about medical decisions. The Ottawa Patient Decision Aids is an article describing the use of decision aids. Updates and additions to the decision making materials will appear on the Ottawa Health Decision Centre website as they are available. |
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| Ethics in Medicine | The University of Washington’s Ethics in Medicine site was developed to promote, expand, and integrate bioethics education in medical education. It provides extensive resources about a number of issues, including the physician-patient relationship. While these materials were written primarily for use in undergraduate medical education, they may be useful for fellows needing remedial work on this competency. |
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| National Council on Patient Information and Education (NCPIE) |
NCPIE is a coalition of 150 organizations whose mission is improving the effectiveness of medication use through communication. This site provides information both for consumers and practitioners. This set of recommendations to improve compliance is directed at all individuals and entities involved in medication use. The section addressing physicians and medical schools focuses heavily on communication and documentation skills, and is useful for discussion. The brochure Prescription Medicines and You: A Consumer Guide, published by the NCPIE and the Agency for Healthcare Research and Quality, provides useful information that helps patients communicate with their physicians. It is available in six languages. Physicians can provide this brochure to patients as a way of facilitating communication about medications. |
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| Teaching & Learning in Medicine |
There is little information available about the skills specialty residents need to develop effective consultant-referring physician relationships. In the Winter, 2002, issue of Teaching & Learning in Medicine, researchers from the Departments of Urology and Medical Education at Rouen University Hospital and the University of Montreal present their findings from a qualitative study. This information can be useful in teaching and learning about referral relationships. The study is located at: Sibert, L., Lachkar, A., Grise, P., Charlin, B., Lechevallier, J., & Weber, J. (2002). Communication between consultants and referring physicians: A qualitative study to define learning and assessment objectives in a specialty residency program. Teaching & Learning in Medicine, 14(1), 15-19. |
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| Return to Table of Contents | ||
| Return to Interpersonal & communication skills Overview | ||
| Return to Interpersonal & communication skills Assessments | ||
| Return to Interpersonal & communication skills Resources | ||
| Move forward to Patient education resources | ||
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