Prior experiences associated with residents’ scores on a communication and interpersonal skill OSCE

ObjectiveThis exploratory study investigated whether prior task experience and comfort correlate with scores on an assessment of patient-centered communication.MethodsA six-station standardized patient exam assessed patient-centered communication of 79 PGY2-3 residents in Internal Medicine and Family Medicine. A survey provided information on prior experiences. t-tests, correlations, and multi-factorial ANOVA explored relationship between scores and experiences.ResultsExperience with a task predicted comfort but did not predict communication scores. Comfort was moderately correlated with communication scores for some tasks; residents who were less comfortable were indeed less skilled, but greater comfort did not predict higher scores. Female gender and medical school experiences with standardized patients along with training in patient-centered interviewing were associated with higher scores. Residents without standardized patient experiences in medical school were almost five times more likely to be rejected by patients.ConclusionsTask experience alone does not guarantee better communication, and may instill a false sense of confidence. Experiences with standardized patients during medical school, especially in combination with interviewing courses, may provide an element of “deliberate practice” and have a long-term impact on communication skills.Practice ImplicationsThe combination of didactic courses and practice with standardized patients may promote a patient-centered approach.