The Evaluation of Training Oral and Maxillofacial Trainees in Head and Neck Cancer Doctor–Patient Communication Using the Patient Concerns Inventory
Head and neck cancer has a significant impact on a patient’s health related quality of life (HRQOL). The head and neck specific Patient Concerns Inventory (PCI-HN) has been utilised to enhance doctor-patient dialogue in routine consultations. To date there has been no formal training for oral and ma...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karolinum Press
2024-04-01
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| Series: | Acta Medica |
| Online Access: | https://actamedica.lfhk.cuni.cz/66/4/0146/ |
| _version_ | 1797214583317856256 |
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| author | Emma G. Walshaw Simon Rogers Jianhua Wu John Sandars Anastasios Kanatas |
| author_facet | Emma G. Walshaw Simon Rogers Jianhua Wu John Sandars Anastasios Kanatas |
| author_sort | Emma G. Walshaw |
| collection | DOAJ |
| description | Head and neck cancer has a significant impact on a patient’s health related quality of life (HRQOL). The head and neck specific Patient Concerns Inventory (PCI-HN) has been utilised to enhance doctor-patient dialogue in routine consultations. To date there has been no formal training for oral and maxillofacial surgery (OMFS) surgical trainees in the use of the PCI-HN in consultations. The aim of the study was to evaluate training for OMFS surgical trainees in the use of the PCI-HN, using simulated follow-up HNC consultations, in order to improve doctor-patient communication skills. Material and methods: Ten oral and maxillofacial surgical trainees completed actor simulated HNC consultations before and after training. A study-specific mark scheme was developed based on the ComOn-Coaching rating scales and used to score the doctor-patient interaction. A group debrief afterwards explored the trainee’s experiences of the training and consultations. Results: All trainees showed an improvement in doctor-patient communication scores following their training. Overall, the six participants who were Specialty registrars, year 3 (ST3) or above, scored higher, than the four Specialty registrars, year 1–2 (ST1-2). The scores were higher if fewer PCI-HN items were discussed (3–4). The most frequently avoided PCI-HN items were intimacy and relationships. The trainees considered that their training was useful for organising their consultations and for providing holistic care. Conclusion: Although training improved surgeon-patient communication, further evaluation is required with a larger number of trainees and actual consultations in clinic. |
| first_indexed | 2024-04-24T11:16:29Z |
| format | Article |
| id | doaj.art-ca5f5111f99c452789271cdb86aa6ce5 |
| institution | Directory Open Access Journal |
| issn | 1211-4286 1805-9694 |
| language | English |
| last_indexed | 2024-04-24T11:16:29Z |
| publishDate | 2024-04-01 |
| publisher | Karolinum Press |
| record_format | Article |
| series | Acta Medica |
| spelling | doaj.art-ca5f5111f99c452789271cdb86aa6ce52024-04-11T07:55:25ZengKarolinum PressActa Medica1211-42861805-96942024-04-0166414615310.14712/18059694.2024.9The Evaluation of Training Oral and Maxillofacial Trainees in Head and Neck Cancer Doctor–Patient Communication Using the Patient Concerns InventoryEmma G. WalshawSimon Rogershttps://orcid.org/0000-0002-5989-6142Jianhua WuJohn SandarsAnastasios Kanatashttps://orcid.org/0000-0003-2025-748XHead and neck cancer has a significant impact on a patient’s health related quality of life (HRQOL). The head and neck specific Patient Concerns Inventory (PCI-HN) has been utilised to enhance doctor-patient dialogue in routine consultations. To date there has been no formal training for oral and maxillofacial surgery (OMFS) surgical trainees in the use of the PCI-HN in consultations. The aim of the study was to evaluate training for OMFS surgical trainees in the use of the PCI-HN, using simulated follow-up HNC consultations, in order to improve doctor-patient communication skills. Material and methods: Ten oral and maxillofacial surgical trainees completed actor simulated HNC consultations before and after training. A study-specific mark scheme was developed based on the ComOn-Coaching rating scales and used to score the doctor-patient interaction. A group debrief afterwards explored the trainee’s experiences of the training and consultations. Results: All trainees showed an improvement in doctor-patient communication scores following their training. Overall, the six participants who were Specialty registrars, year 3 (ST3) or above, scored higher, than the four Specialty registrars, year 1–2 (ST1-2). The scores were higher if fewer PCI-HN items were discussed (3–4). The most frequently avoided PCI-HN items were intimacy and relationships. The trainees considered that their training was useful for organising their consultations and for providing holistic care. Conclusion: Although training improved surgeon-patient communication, further evaluation is required with a larger number of trainees and actual consultations in clinic.https://actamedica.lfhk.cuni.cz/66/4/0146/ |
| spellingShingle | Emma G. Walshaw Simon Rogers Jianhua Wu John Sandars Anastasios Kanatas The Evaluation of Training Oral and Maxillofacial Trainees in Head and Neck Cancer Doctor–Patient Communication Using the Patient Concerns Inventory Acta Medica |
| title | The Evaluation of Training Oral and Maxillofacial Trainees in Head and Neck Cancer Doctor–Patient Communication Using the Patient Concerns Inventory |
| title_full | The Evaluation of Training Oral and Maxillofacial Trainees in Head and Neck Cancer Doctor–Patient Communication Using the Patient Concerns Inventory |
| title_fullStr | The Evaluation of Training Oral and Maxillofacial Trainees in Head and Neck Cancer Doctor–Patient Communication Using the Patient Concerns Inventory |
| title_full_unstemmed | The Evaluation of Training Oral and Maxillofacial Trainees in Head and Neck Cancer Doctor–Patient Communication Using the Patient Concerns Inventory |
| title_short | The Evaluation of Training Oral and Maxillofacial Trainees in Head and Neck Cancer Doctor–Patient Communication Using the Patient Concerns Inventory |
| title_sort | evaluation of training oral and maxillofacial trainees in head and neck cancer doctor patient communication using the patient concerns inventory |
| url | https://actamedica.lfhk.cuni.cz/66/4/0146/ |
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