Abstract
Trauma or injury is a sudden, unexpected event that often impacts previously healthy individuals, resulting in disability or death. Families and patients need support as they cope with this life-altering event. Physical or psychological impairments post-trauma may not improve despite the best treatment. Patients and families need ongoing effective and empathetic communication. Current training in trauma care is centered on life-saving clinical skills, with little attention to development of the empathic communication skills that are needed in this area of medicine. We can attempt to bridge this gap by designing a curriculum addressing trainee’s communication skills in trauma.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hunter, W. (1829). A lecture, introductory to a course on anatomy, delivered by Dr. William Hunter, October 1775. Lancet, 12, 769–773. Retrieved from https://archive.org/details/b21441145
Gawande, A. (2012). Two hundred years of surgery. The New England Journal of Medicine, 366(18), 1716–1723. https://doi.org/10.1056/NEJMra1202392
Han, J. L., & Pappas, T. N. (2018). A review of empathy, its importance, and its teaching in surgical training. Journal of Surgical Education, 75(1), 88–94. Retrieved from https://www.sciencedirect.com/science/article/pii/S193172041730301X?via%3Dihub. https://doi.org/10.1016/j.jsurg.2017.06.035
Chen, D., Lew, R., Hershman, W., & Orlander, J. (2007). A cross-sectional measurement of medical student empathy. Journal of General Internal Medicine, 22(10), 1434–1438. https://doi.org/10.1007/s11606-007-0298-x
Asha, S., Chinnappa, J., & Diwan, A. D. (2013). Review article: Burnout in emergency medicine physicians. Emergency Medicine Australiasia, 25(6), 491–495.
Hojat, M., Vergare, M. J., Maxwell, K., et al. (2009). The devil is in the third year: A longitudinal study of erosion of empathy in medical school. Academic Medicine, 84, 1182–1191.
Neumann, M., Edelhäuser, F., Tauschel, D., et al. (2011). Empathy decline and its reasons: A systematic review of studies with medical students and residents. Academic Medicine, 86, 996–1009.
ACGME competencies. Introduction to competency based education. Facilitator’s guide. http://216.92.22.76/discus/messages/21/MODULE__1_Facilitator_Manual-424.pdf
West, C. P., & Shanafelt, T. D. (2007). The influence of personal and environmental factors on professionalism in medical education. BMC Medical Education, 7, 1–9.
Lamba, S., Bryczkowski, S., Tyrie, L., Nagurka, R., & Mosenthal, A. C. (2016). Teaching OSCE to assess trauma resident skills on how to hold difficult conversations with family of critically-injured patients. MedEdPORTAL Publications, 12, 10398. https://doi.org/10.15766/mep_2374-8265.10398(2016)
Chipman, J. G., Beilman, G. J., Schmitz, C. C., & Seatter, S. C. (2007). Development and pilot testing of an OSCE for difficult conversations in surgical intensive care. Journal of Surgical Education, 64(2), 79–87.
Gettman, M. T., Karnes, R. J., Arnold, J. J., et al. (2008). Urology resident training with an unexpected patient death scenario: Experiential learning with high fidelity simulation. The Journal of Urology, 180(1), 283–288.
Davis, D., & Lee, G. (2011). The use of standardized patients in the plastic surgery residency curriculum: Teaching core competencies with objective structured clinical examinations. Plastic & Reconstructive Surgery, 128(1), 291–298.
Short, M. W., Jorgensen, J. E., Edwards, J. A., et al. (2009). Assessing intern core competencies with an objective structured clinical examination. Journal of Graduate Medical Education, 1(1), 30–36.
Wehbe-Janek, H., Song, J., & Shabahang, M. (2011). An evaluation of the usefulness of the standardized patient methodology in the assessment of surgery residents’ communication skills. Journal of Surgical Education, 68(3), 172–177.
Reiss, H., Kelley, J. M., & Bailey, R. W. (2012). Empathy training for resident physicians: A randomized controlled trial of a neuroscience-informed curriculum. Journal of General Internal Medicine, 27(10), 1280–1286.
Wouda, J. C., & van de Wiel, H. B. (2012). The communication competency of medical students, residents and consultants. Patient Education and Counseling, 86, 57–62.
Hojat, M., Gonnella, J. S., & Nasca, T. J. (2002). The Jefferson scale of physician empathy: Further psychometric data and differences by gender and specialty at item level. Academic Medicine, 77(10), S58–S60.
Sprangers, M. (1989). Response-shift bias in program evaluation. Impact Assessment, 7(2–3), 153–166.
Chandawarkar, R. Y., Ruscher, K. A., Krajewski, A., et al. (2011). Pretraining and posttraining assessment of residents’ performance in the fourth accreditation council for graduate medical education competency: Patient communication skills. Archives of Surgery, 146(8), 916–921.
Hutul, O. A., Carpenter, R. O., Tarpley, J. L., & Lamis, K. D. (2006). Missed opportunities: A descriptive assessment of teaching and attitudes regarding communication skills in a surgical residency. Current Surgery, 63(6), 401–409.
Orgel, E., McCarter, R., & Jacobs, S. (2010). A failing medical educational model: A self-assessment by physicians at all levels of training of ability and comfort to deliver bad news. Journal of Palliative Medicine, 13, 677–683.
Jacques, A. P., Adkins, E. J., Knepel, S., et al. (2011). Educating the delivery of bad news in medicine: Preceptorship versus simulation. International Journal of Critical Illness and Injury Science, 1(2), 121–124.
Lamba, S., Pound, A., Rella, J. G., et al. (2012). Emergency medicine resident education in palliative care: A needs assessment. Journal of Palliative Medicine, 15(5), 516–520.
Jurkovich, G. J., Pierce, B., Pananen, L., & Rivara, F. P. (2000). Giving bad news: The family perspective. Journal of Trauma and Acute Care Surgery, 48, 865–873.
Klaristenfeld, D. D., Harrington, D. T., & Miner, T. J. (2007). Teaching palliative care and end-of-life issues: A core curriculum for surgical residents. Annals of Surgical Oncology, 14, 1801–1806.
Minor, S., Schroder, C., & Heyland, D. (2009). Using the intensive care unit to teach end-of-life skills to rotating junior residents. The American Journal of Surgery, 197(6), 814–819.
Baile, W. F., Buckman, R., Lenzi, R., et al. (2000). SPIKES- a six step protocol for delivering bad news: Application to the patient with cancer. The Oncologist, 5, 302–311.
Knops, K., & Lamba, S. (2010). Clinical application of ASCEND: A pathway to higher ground for communication. Journal of Palliative Medicine, 13(7), 825–830.
Tyrie, L., Mosenthal, A., Bryczkowski, S., Laboy, C., & Lamba, S. (2015). Difficult conversations after resuscitation in trauma: Video education E-module. AAMC MedEdPORTAL Publications, 11, 10092. Retrieved from https://www.mededportal.org/publication/10092. https://doi.org/10.15766/mep_2374-8265.10092
Lamba, S., Bryczkowski, S., Tyrie, L., & Nagurka, R. (2016). Teaching surgery residents the skills to communicate difficult news to patient and family members: A literature review. Journal of Palliative Medicine, 19(1), 101–107.
Lamba, S., Bryczowski, S., Tyrie, L., Weissman, D. E., & Mosenthal, A. C. (2016). Death disclosure and delivery of difficult news in trauma. Fast facts and concepts #305. Journal of Palliative Medicine, 19(5), 566–567.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Lamba, S., Kunac, A., Mosenthal, A. (2019). Teaching Advanced Communication Skills to Trainees Caring for the Critically Injured. In: Foster, A.E., Yaseen, Z.S. (eds) Teaching Empathy in Healthcare. Springer, Cham. https://doi.org/10.1007/978-3-030-29876-0_13
Download citation
DOI: https://doi.org/10.1007/978-3-030-29876-0_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-29875-3
Online ISBN: 978-3-030-29876-0
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)