Table 1 Curricular Activity and Evaluation Method
Domain | Perspective on communication | Curricular activity | Time investment | Taught by | Evaluation |
|---|---|---|---|---|---|
Clear speaking | Linguistic | Communication clarity training by linguist (web-based individual assessment, lectures; home exercises with individual feedback) | 3 h-sessions every 3 months | Specialized linguist | Before and after E-CAP® |
Content and Strategy of Patient-Centered Communication | Physician-patient communication | Lectures, review of videotapes of resident-patient interactions Integration of communication training in work-rounds | 1.5 h interactive seminar every month | Expert Faculty | OSCE: at least 2/year HCHAPS |
Culturally and linguistically appropriate care | Cultural competency and health literacy | Lecture series Health literacy rotation Web-based curriculum | Grand rounds lectures every 2 months, 4 day rotation integrated into a 2 week QI rotation | Grand round speakers, faculty | OSCE: at least 2/year |
Professionalism (individual and in the organization) | Organizational psychology | Reflective sessions for residents | One-hour sessions 4/year | Pastoral care expert | Hidden-curriculum survey; Maslach Burnout inventory |
Train the trainer | Teaching environment | Faculty development sessions in teaching patient-centered communication | Weekly meetings, monthly facilitated faculty development session Mindfulness exercises, facilitated discussion, review of OSCE-videos | Weekly meetings self-facilitated, monthly meetings with outside expert | Faculty OSCE: at least 2/year, resident evaluation of faculty communication |