Implementation and evaluation of a web-based communication skills learning tool for training internal medicine interns in patient-doctor communication

Abstract

Doc.com^© is the American Academy of Communication in Healthcare's web-based resource for learning core communication skills. To date, very few doc.com^© modules have been evaluated formally. This study sought to assess four modules' effectiveness at improving internal medicine interns' communication skills knowledge. Interns were asked to complete four modules early in internship and complete web-based five-item pre/post multiple choice tests and a satisfaction survery for each module. The participation rate was 97 per cent (31 of 32 interns). Knowledge improved significantly with module completion (average pre-test score 89 per cent versus post-test 95 per cent, p = 0.006). Most (86 per cent) felt that the modules were clearly presented and met stated learning objectives, 67 per cent felt that completing the modules would improve their out-patient communication skills, and 62 per cent their inpatient skills. However, only 16 per cent indicated that the modules should replace faculty-led communication skills instruction. Although baseline knowledge of basic patient–doctor communication skills among interns was high, the use of four basic doc.com^© modules improved interns' communication skills knowledge on multiple choice tests. Interns were satisfied with the modules as a curricular intervention. Use of the doc.com^© modules may be a valuable adjunct to faculty-led communication skills training aimed at helping trainees achieve competency in the areas of interpersonal and communication skills.

Keywords:

• COMMUNICATION SKILLS
• MEDICAL INTERVIEWING
• GRADUATE MEDICAL EDUCATION
• INTERNSHIP AND RESIDENCY
• WEB-BASED CURRICULUM