Pediatric residents’ perceptions of communication competencies: Implications for teaching
Open accessAbstract
BACKGROUND: Medical regulatory organizations worldwide require competency in communication skills. Pediatric communication competencies are unique, and little is known about pediatric residents' perceptions regarding these skills. AIM: The purpose of this study was to examine pediatric residents' attitudes about communication skills, their perceptions of the importance of learning 15 specific communication skills relevant to pediatrics, confidence in these skills, and relevant program supports. METHODS: We developed a 47-item cross-sectional questionnaire to study pediatric residents' attitudes and perceptions regarding communication competencies. 104 pediatric housestaff in a university-affiliated program in the US were asked to complete the questionnaire. Scale variables were created and evaluated for reliability. Data were analysed using descriptive and univariate statistics. RESULTS: Response rate was 86% (89/104). Cronbach's alpha reliabilities of the Importance Scale (r = 0.92) and Confidence Scale (r = 0.90) were excellent. Ninety nine percent of the participants agreed that learning to communicate effectively with patients was a priority. All agreed it is important to demonstrate empathy and caring, and to teach medical students to communicate effectively with patients. Pediatric residents agreed that the 15 communication competencies studied were important to learn. Most reported confidence in core communication competencies (interviewing, listening, building rapport, demonstrating caring and empathy), but only half or fewer were confident in 7 more advanced communication skills (ability to discuss end-of-life issues, speaking with children about serious illness, giving bad news, dealing with the 'difficult' patient/parent, cultural awareness/sensitivity, understanding psychosocial aspects, and understanding patients' perspectives). Few reported the availability of relevant program supports for learning these skills. CONCLUSIONS: Pediatric residents perceive communication competencies as important and a priority for learning, yet report a lack of confidence in advanced communication skills and insufficient program supports. Our measurement scales can add to the evaluation of residency programs, and may provide suggestions for pediatric curricular content in core and advanced communication skills.
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Additional file 5 of Development and validation of The Breaking Bad News Attitudes Scale
dos Santos, K. L., Gremigni, P., Casu, G., Zaia, V., & Montagna, E. (2021) · Figshare · doi:10.6084/m9.figshare.14385466
Additional file 3 of Development and validation of The Breaking Bad News Attitudes Scale
dos Santos, K. L., Gremigni, P., Casu, G., Zaia, V., & Montagna, E. (2021) · Figshare · doi:10.6084/m9.figshare.14385460
Du, Y., Qiao, L., Dong, L., Wan, C., Yang, X., & Liu, H. (2024) · Figshare · doi:10.6084/m9.figshare.26752840
Additional file 1 of Development and validation of The Breaking Bad News Attitudes Scale
dos Santos, K. L., Gremigni, P., Casu, G., Zaia, V., & Montagna, E. (2021) · Figshare · doi:10.6084/m9.figshare.14385454
Du, Y., Qiao, L., Dong, L., Wan, C., Yang, X., & Liu, H. (2024) · Figshare · doi:10.6084/m9.figshare.26752837
Møller, J. E., Kjær, L. B., Helledie, E., Nielsen, L. F., & Malling, B. V. (2021) · Figshare · doi:10.6084/m9.figshare.15184586
Additional file 4 of Development and validation of The Breaking Bad News Attitudes Scale
dos Santos, K. L., Gremigni, P., Casu, G., Zaia, V., & Montagna, E. (2021) · Figshare · doi:10.6084/m9.figshare.14385463
Møller, J. E., Kjær, L. B., Helledie, E., Nielsen, L. F., & Malling, B. V. (2021) · Figshare · doi:10.6084/m9.figshare.15184580
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Attitudes and Perspectives on Ophthalmology Resident Training: The APORT Study Series
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- Authors
- Rider, E. A., Volkan, K., & Hafler, J. P.
- Affiliations
- Harvard University (US)
- California State University, Channel Islands (US)
- Tufts University (US)
- Corresponding author
- Rider, Elizabeth A.
- Venue
- Medical Teacher
- Publisher
- Informa UK Limited
- Published
- 2008-01
- Volume
- 30
- Issue
- 7
- Pages
- e208-e217
- ISSN
- 0142-159X (ISSN-L)
- 1466-187X
- OpenAlex
- W2126727141
- Cited by
- 92
- References
- 82
- Citations by year
- 2025: 6 · 2024: 4 · 2023: 1 · 2022: 7 · 2021: 10 · 2020: 6 · 2019: 3 · 2018: 5 · 2017: 6 · 2016: 9 · 2015: 6 · 2014: 10 · 2013: 5 · 2012: 6
- FWCI
- 2.64
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Medical Teacher (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fetzer Institute
- Arnold P. Gold Foundation
- Conference on Jewish Material Claims Against Germany
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- pediatric residents, communication skills, physician-patient communication, communication skills training, resident confidence, empathy, end-of-life communication, cultural sensitivity, psychosocial aspects of illness, medical curriculum
- MeSH terms
- Adult, Communication, Cross-Sectional Studies, Female, Hospitals, Pediatric, Humans, Internship and Residency, Male, Pediatrics, Physician-Patient Relations, Professional Competence, Teaching, United States
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