Joseph S. Weiner, MD, PhD; Alice Fornari , EdD ;

2. A Developmentally-Based, Integrated Curriculum in Communication and Interpersonal Skills for Medical Students: Bringing this to your Home Institution Joseph S. Weiner, MD, PhD; Alice Fornari, EdD; Marie Barilla-Labarca, MD; Ruth Ellen Pearlman, MD; Judith Brenner, MD Hofstra North Shore-LIJ School of Medicine Hempstead, NY

3. Overview • Summary of Communication Curriculum at the Hofstra North Shore-LIJ School of Medicine • Communication Training • Core Skills • Longitudinally refined skills • Faculty development • Assessment • Breakout tables will explore these topics in more detail

4. Hofstra Curriculum • Pedagogic Foundations • Values-Based Curriculum • Communication is a theme that weaves through all four years

5. Aligned Values, Principals and Goals Drives Good Outcomes

6. Hofstra Curriculum • Pedagogic Foundations • Three Function Model [Cole and Bird] • Function 1: Establish an effective relationship. • Interpersonal skill development • Function 2: What is the problem or issue? • Information gathering and synthesis • Function 3: Shared education, motivation and treatment planning. • Decision making models • Motivational interviewing • Longitudinal patient care

7. Hofstra Curriculum • Pedagogic Foundations • Skills-Based Training • Minimal lecture • Knowledge is not an endpoint • Knowledge facilitates skill development • Guided Practice • Role play; Standardized patients; Immediate clinical exposure • Communication skills should be immediately applicable to the students’ clinical experiences.

8. Hofstra Curriculum • Pedagogic Foundations • Assessment • Multiple domains [Verbal/Written Communication, Self Assessment, Individual and Group Video Review] • Skills based assessment [standardized patients, coaching] • Formative and Summative • Assessment drives learning

9. Integration Throughout

10. Skills Relevant to the Student’s Professional Life • Intensive introductory course (7 weeks) • Deconstruction of basic, generalizable skills • Developmentally appropriate • Focus on function 1 [relationship building] • Focus on function 2 [information gathering and synthesis of the problem] • Clear demarcation in the curriculum with Function 3 [treatment planning and education] • Verbal and written communication skills

11. Relevant Skills : MS-1 Developmental Progression • Summer MS-1 [First 7 Weeks of Med School] • Core Communication Skills • Initial Engagement with a Patient • Chief Complaint and HPI • Highly Specific Empathy Skills • PMH, Medication,…., Social History • Practice an Interview with an SP • Trust Building • Cognitive Exam

12. Relevant Skills : MS-1 Developmental Progression • Fall MS-1 • Communication about screening tests • Obtaining a sexual history • Sharing difficult (“bad”) news • Winter MS-1 • Communication with Children/Adolescents: Chronic Illness • Readiness for Change • Screening for Problem Drinking

13. Relevant Skills : Developmental Progression • Winter MS-1 • Intimate Partner Violence: screening for a history of abuse • Screening for problem drinking • Spring MS-1 • Motivational Interviewing: Lifestyle Choices • Motivational Interviewing: Smoking Cessation

14. Faculty Development • Recruitment • Introduction to skills-based training • Philosophic shift from passive learning • Training in “Giving Feedback” • Training in Coaching/Role Play

15. Assessment • Interaction with Standardized Patient • Aligning the taught skills with assessment • Some unfamiliar scenarios to give the student a chance to apply taught skills [formative] • Formative assessment • Summative assessment

16. Resources • Core Communication Team • Faculty (Salaried and Voluntary) • Assessment Center • Medical Director • Standardized Patient Trainer • SP Rooms/Video/Data Storage • Standardized Patient Pool • Curriculum Time

17. Core Communication Skills Training • Initial Engagement with a Patient • Chief Complaint and HPI, Part I • Chief Complaint and HPI, Part II • Highly Specific Empathy Skills • Practice an Interview with an SP/Full History • Trust Building • Cognitive Exam Outcomes • Specific Skills-Based Learning Objectives: • Verbal Communication • Written Communication • Self Assessment • Exposure to Coaching Our 7-Week Core

18. A Sample Class • Goals • Learning Objectives • Pre-reading • Class Plan (Highly Structured) • Framing lecture (20 minutes) • Large or small group discussion (20 minutes) • Skills-based Practice/Role Play (60 minutes) • Discussion (10 minutes): • What will you immediately apply? • What are ongoing challenges?

19. Faculty Development Core Principles

20. Assessment Drives Learning A representative week Weeks devoted to Assessment

21. Assessment: Formative and Summative

22. Longitudinal Planning of Communications Curriculum

23. Sample Curriculum Map KEY T = Taught A = Assessed

24. Contact Information