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Training Clinicians with Communication Skills Needed to Match Medical Treatments to Patient Values
Author(s) -
Back Anthony L.,
Fromme Erik K.,
Meier Diane E.
Publication year - 2019
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.15709
Subject(s) - medicine , training (meteorology) , medline , communication skills , communication skills training , physical therapy , medical education , physics , meteorology , political science , law
Most clinicians currently in practice did not receive the evidence‐based communication skills training they need to provide high‐quality communication for seriously ill older adults and their families. Clinician communication skills are a critical factor in achieving a patient and family understanding of their illness that enables them to share in decision making that will result in medical treatments and social supports that are aligned with their goals and values. Research demonstrates that existing clinician competence in communication skills is extremely variable, that most clinicians need specific communication training to have an adequate level of skill, and that evidence‐based training is efficacious. A conservative estimate suggests that more than 219,000 physicians and advance practice providers (APPs) (50% of physicians in high‐contact subspecialties and 25% of all APPs) could benefit from training. Combining evidence‐based clinician training with health system workflow redesign would likely maximize the impact of this training. We conclude with recommendations designed to address gaps in communication skills through effective training and health system changes in the service of enabling all patients with serious illness and their families to receive care aligned with their personal priorities. J Am Geriatr Soc 67:S435–S441, 2019.