ACGME COMPETENCIES Interpersonal and Communication Skills

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ACGME COMPETENCIESInterpersonal and
Communication Skills

• Thomas H. Gouge, M.D.
• Professor of Surgery
• Associate Chairman
• Program Director
• The New York University School of Medicine

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Interpersonal and Communication Skills ACGME
Outcome Project

• Residents must be able to demonstrate
  interpersonal and communication skills that
  result in effective information exchange and
  teaming with patients, their families and
  professional associates. Residents are expected
  to
• Create and sustain a therapeutic and ethically
  sound relationship with patients
• Use effective listening skills and elicit and
  provide information using effective nonverbal,
  explanatory, questioning and writing skills
• Work effectively with others as a member or
  leader of a health care team or other
  professional group

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Interpersonal and Communication Skills RRC
Essentials 2003

• Interpersonal and Communication Skills that
  result in effective information exchange and
  collaboration with patients, their families and
  other health professionals. Surgical residents
  are expected to
• Communicate effectively with other health care
  professionals
• Counsel and educate patients and families
• Effectively document practice activities

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Interpersonal and Communication Skills ACGME
Outcomes Project

• Assessments should assess attainment of
  competency-based objectives and facilitate
  continuous improvement of the educational
  experience, resident performance and residency
  program performance.
• Assessments should be feasible and yield valid,
  reliable data that facilitates teaching and
  learning
• The assessment system should have multiple
  observations by multiple observers using multiple
  assessment approaches/instruments based on
  specified criteria
• The assessment system should be fair and
  consistent with program objectives

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Interpersonal and Communication Skills ACGME
Assessment Tools

• 360 Evaluation Instrument
• Chart Stimulated Recall Oral Examination ( CSR)
• Checklist Evaluation of Performance
• Global Rating of Performance
• Objective Structured
• Clinical Examination (OSCE)
• Procedure, Operative or Case Logs
• Patient Surveys
• Portfolios
• Record Review
• Simulations and Models
• Standardized Oral Examination
• Standardized Patient Examination (SP)
• Written Examination (MCQ)

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Interpersonal and Communication Skills ACGME
Assessment Tools Suggested Best Methods for
Evaluation 2000 Creation of
therapeutic environment and Listening Skills

• Most Desirable Next Best Possibly applicable
• SP,OSCE 360
  Checklist
• Patient Survey

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Interpersonal and Communication Skills APDS
Task Force Survey Implementation
Methods n158

• 151 Clinical Teaching
• 135 Conferences
• 94 Institutional Core Curriculum
• 16 Computer Modules

• 16 Standardized Patients
• 24 Simulations/Role Playing
• 2 Anatomic or Animal Models

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Interpersonal and Communication Skills APDS
Task Force Survey Implementation
Methods Other Methods

• 360 Evaluations
• Mock Orals
• Direct Observation
• Performance Feedback
• Grand Rounds
• Projects (group or individual)

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Interpersonal and Communication Skills APDS
Task Force Survey Assessment
Tools n158

• 32 Written Examinations
• 44 ABSITE
• 68 Oral Examinations
• 9 OSCE
• 38 Resident Portfolio
• 0 Simulated Chart Review

• 148 Faculty Evaluations of Residents
• 48 360 Evaluations
• 54 Patient Questionnaires
• 86 Resident Evaluations of other residents

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Interpersonal and Communication Skills APDS
Task Force Survey Assessment
Tools Other Tools

• Conference Presentations
• Standardized Patients
• Medical Student Evaluations
• SPI Session

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Interpersonal and Communication Skills APDS
Task Force Assessment Forms

• Scales
• Most common is 1-5 numerical
• 50 included NA/NO
• Range 2-10
• Number of behaviors assessed
• 2-18

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Interpersonal and Communication
SkillsRecommendations

• Establish criteria
• Demonstrate best practices/performance
• Agree on standards/expectations
• Define unacceptable, satisfactory, outstanding
• Assess real work
• History, notes, orders
• Informed consent
• Teaching
• Students
• Conferences
• Assess real behavior
• Telephone/page manners
• Peers, Faculty, Nurses, Patients, Families
• OR, ER, Ward, Clinic