Journal article
The 5Cs of Consultation: Training Medical Students to Communicate Effectively in the Emergency Department
The Journal of emergency medicine, v 49(5), pp 713-721
Nov 2015
PMID: 26250838
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Effective communication is critical for health care professionals, particularly in the Emergency Department (ED). However, currently, there is no standardized consultation model that is consistently practiced by physicians or used for training medical graduates. Recently, the 5Cs of Consultation model (Contact, Communicate, Core Question, Collaborate, and Close the Loop) has been studied in Emergency Medicine residents using simulated consultation scenarios.
Using an experimental design, we aimed to evaluate the efficacy of the 5Cs consultation model in a novel learner population (medical students) and in a “real time and real world” clinical setting.
A prospective, randomized, controlled study was conducted at eight large, academic, urban, tertiary-care medical centers (U.S. and Canada). Intervention involved two experimental groups (asynchronous and live training) compared to a baseline control group. All participants placed up to four consult phone calls. A senior physician observed and assessed each call using a preapproved 5Cs checklist and a Global Rating Scale (GRS).
Participants who received training (asynchronous or live) scored significantly higher on the 5Cs checklist total and GRS than the control group. Both training methods (asynchronous and live) were equally effective. Importantly, learning gains were sustained as students' 5Cs checklist total and GRS scores remained consistently higher at their second, third, and fourth consult (relative to their first consult). At posttest, all participants reported feeling more confident and competent in relaying patient information.
Medical students can be trained to use the 5Cs model in a timely, inexpensive, and convenient manner and increase effectiveness of physician consultations originating from the ED.
Metrics
Details
- Title
- The 5Cs of Consultation: Training Medical Students to Communicate Effectively in the Emergency Department
- Creators
- Chad S. Kessler - Durham VA Medical CenterKashyap Komarraju Tadisina - University of Illinois at ChicagoMark Saks - Drexel UniversityDoug Franzen - Department of Emergency Medicine, Virginia Commonwealth University College of Medicine, Richmond, VirginiaRob Woods - University of SaskatchewanKenny V. Banh - Department of Emergency Medicine, University of California San Francisco Fresno School of Medicine, Fresno, CaliforniaRichard Bounds - Christiana Care Health SystemMichael Smith - Case Western Reserve UniversityNancy Deiorio - Oregon Health & Science UniversityAlan Schwartz - University of Illinois at Chicago
- Publication Details
- The Journal of emergency medicine, v 49(5), pp 713-721
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]; Emergency Medicine
- Web of Science ID
- WOS:000365407100035
- Scopus ID
- 2-s2.0-84939210185
- Other Identifier
- 991019168215104721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Emergency Medicine