Communication Skills Training in Ophthalmology: Results of a Needs Assessment and Pilot Training Program

Publication date: Available online 1 September 2017
Source:Journal of Surgical Education
Author(s): Anuradha Mishra, David Browning, Miriam J. Haviland, Mary Lou Jackson, Donna Luff, Elaine C. Meyer, Katherine Talcott, Carolyn E. Kloek
ObjectiveTo conduct a needs assessment to identify gaps in communication skills training in ophthalmology residency programs and to use these results to pilot a communication workshop that prepares residents for difficult conversations.DesignA mixed-methods design was used to perform the needs assessment. A pre-and postsurvey was administered to workshop participants.SettingMass Eye and Ear Infirmary, Harvard Medical School (HMS), Department of Ophthalmology.ParticipantsHMS ophthalmology residents from postgraduate years 2-4 participated in the needs assessment and the workshop. Ophthalmology residency program directors in the United States participated in national needs assessment.MethodsOphthalmology program directors across the United States were queried on their perception of resident communication skills training through an online survey. A targeted needs assessment in the form of a narrative exercise captured resident perspectives on communication in ophthalmology from HMS residents. A group of HMS residents participated in the pilot workshop and a pre- and postsurvey was administered to participants to assess its effectiveness.ResultsThe survey of program directors yielded a response rate of 40%. Ninety percent of respondents agreed that the communication skills training in their programs could be improved. Fifteen of 24 residents (62%) completed the needs assessment. Qualitative analysis of the narrative material revealed four themes; (1) differing expectations, (2) work role and environment, (3) challenges specific to ophthalmology, and (4) successful strategies adopted. Nine residents participated in the workshop. There was a significant improvement post-workshop in resident reported scores on their ability to manage their emotions during difficult conversations (p = 0.03).ConclusionsThere is an opportunity to improve communication skills training in ophthalmology residency through formalized curriculum.



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