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Bringing competency-based communication training to scale: A multi-institutional virtual simulation-based mastery learning curriculum for Emergency Medicine residents.

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Title: Bringing competency-based communication training to scale: A multi-institutional virtual simulation-based mastery learning curriculum for Emergency Medicine residents.
Authors: Aluce, Laurie M.1 laurie.aluce@nm.org, Cooper, Julie J.2,3, Emlet, Lillian Liang4,5, Cohen, Elaine R.6, Ostrowski, Simon J.7, Wood, Gordon J.8, Vermylen, Julia H.8
Source: Medical Teacher. Mar2025, Vol. 47 Issue 3, p505-512. 8p.
Subject Terms: *Medical education, *Academic medical centers, *Course evaluation (Education), *Role playing, *Simulation methods in education, *Pre-tests & post-tests, *Online education, *Adult education workshops, *Outcome-based education, *Communication education, *Disclosure, Research funding, Emergency medicine, Catastrophic illness, Descriptive statistics, Hospital medical staff
Abstract: Purpose: Serious illness communication skills are essential for physicians, yet competency-based training is lacking. We address scalability barriers to competency-based communication skills training by assessing the feasibility of a multi-center, virtual simulation-based mastery learning (vSBML) curriculum on breaking bad news (BBN). Methods: First-year emergency medicine residents at three academic medical centers participated in the virtual curriculum. Participants completed a pretest with a standardized patient (SP), a workshop with didactics and small group roleplay with SPs, a posttest with an SP, and additional deliberate practice sessions if needed to achieve the minimum passing standard (MPS). Participants were assessed using a previously published BBN assessment tool that included a checklist and scaled items. Authors compared pre- and posttests to evaluate the impact of the curriculum. Results: Twenty-eight (90%) of 31 eligible residents completed the curriculum. Eighty-nine percent of participants did not meet the MPS at pretest. Post-intervention, there was a statistically significant improvement in checklist performance (Median= 93% vs. 53%, p < 0.001) and on all scaled items assessing quality of communication. All participants ultimately achieved the MPS. Conclusions: A multi-site vSBML curriculum brought all participants to mastery in the core communication skill of BBN and represents a feasible, scalable model to incorporate competency-based communication skills education in a widespread manner. [ABSTRACT FROM AUTHOR]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Bringing competency-based communication training to scale: A multi-institutional virtual simulation-based mastery learning curriculum for Emergency Medicine residents.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Aluce%2C+Laurie+M%2E%22&quot;&gt;Aluce, Laurie M.&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; laurie.aluce@nm.org&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cooper%2C+Julie+J%2E%22&quot;&gt;Cooper, Julie J.&lt;/searchLink&gt;&lt;relatesTo&gt;2,3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Emlet%2C+Lillian+Liang%22&quot;&gt;Emlet, Lillian Liang&lt;/searchLink&gt;&lt;relatesTo&gt;4,5&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cohen%2C+Elaine+R%2E%22&quot;&gt;Cohen, Elaine R.&lt;/searchLink&gt;&lt;relatesTo&gt;6&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ostrowski%2C+Simon+J%2E%22&quot;&gt;Ostrowski, Simon J.&lt;/searchLink&gt;&lt;relatesTo&gt;7&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wood%2C+Gordon+J%2E%22&quot;&gt;Wood, Gordon J.&lt;/searchLink&gt;&lt;relatesTo&gt;8&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Vermylen%2C+Julia+H%2E%22&quot;&gt;Vermylen, Julia H.&lt;/searchLink&gt;&lt;relatesTo&gt;8&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Medical+Teacher%22&quot;&gt;Medical Teacher&lt;/searchLink&gt;. Mar2025, Vol. 47 Issue 3, p505-512. 8p.
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Serious illness communication skills are essential for physicians, yet competency-based training is lacking. We address scalability barriers to competency-based communication skills training by assessing the feasibility of a multi-center, virtual simulation-based mastery learning (vSBML) curriculum on breaking bad news (BBN). Methods: First-year emergency medicine residents at three academic medical centers participated in the virtual curriculum. Participants completed a pretest with a standardized patient (SP), a workshop with didactics and small group roleplay with SPs, a posttest with an SP, and additional deliberate practice sessions if needed to achieve the minimum passing standard (MPS). Participants were assessed using a previously published BBN assessment tool that included a checklist and scaled items. Authors compared pre- and posttests to evaluate the impact of the curriculum. Results: Twenty-eight (90%) of 31 eligible residents completed the curriculum. Eighty-nine percent of participants did not meet the MPS at pretest. Post-intervention, there was a statistically significant improvement in checklist performance (Median= 93% vs. 53%, p &lt; 0.001) and on all scaled items assessing quality of communication. All participants ultimately achieved the MPS. Conclusions: A multi-site vSBML curriculum brought all participants to mastery in the core communication skill of BBN and represents a feasible, scalable model to incorporate competency-based communication skills education in a widespread manner. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Medical Teacher is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/0142159X.2024.2345267
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 505
    Subjects:
      – SubjectFull: Medical education
        Type: general
      – SubjectFull: Academic medical centers
        Type: general
      – SubjectFull: Course evaluation (Education)
        Type: general
      – SubjectFull: Role playing
        Type: general
      – SubjectFull: Simulation methods in education
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Online education
        Type: general
      – SubjectFull: Adult education workshops
        Type: general
      – SubjectFull: Outcome-based education
        Type: general
      – SubjectFull: Communication education
        Type: general
      – SubjectFull: Disclosure
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Emergency medicine
        Type: general
      – SubjectFull: Catastrophic illness
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Hospital medical staff
        Type: general
    Titles:
      – TitleFull: Bringing competency-based communication training to scale: A multi-institutional virtual simulation-based mastery learning curriculum for Emergency Medicine residents.
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            – D: 01
              M: 03
              Text: Mar2025
              Type: published
              Y: 2025
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