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The 5Cs of Consultation: Training Medical Students to Communicate Effectively in the Emergency Department.

Publication ,  Journal Article
Kessler, CS; Tadisina, KK; Saks, M; Franzen, D; Woods, R; Banh, KV; Bounds, R; Smith, M; Deiorio, N; Schwartz, A
Published in: J Emerg Med
November 2015

BACKGROUND: 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. OBJECTIVE: 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. METHODS: 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). RESULTS: 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. CONCLUSION: 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.

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Published In

J Emerg Med

DOI

ISSN

0736-4679

Publication Date

November 2015

Volume

49

Issue

5

Start / End Page

713 / 721

Location

United States

Related Subject Headings

  • Young Adult
  • Self Efficacy
  • Referral and Consultation
  • Prospective Studies
  • Program Evaluation
  • Patient Simulation
  • Models, Educational
  • Male
  • Interdisciplinary Communication
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Kessler, C. S., Tadisina, K. K., Saks, M., Franzen, D., Woods, R., Banh, K. V., … Schwartz, A. (2015). The 5Cs of Consultation: Training Medical Students to Communicate Effectively in the Emergency Department. J Emerg Med, 49(5), 713–721. https://doi.org/10.1016/j.jemermed.2015.05.012
Kessler, Chad S., Kashyap Komarraju Tadisina, Mark Saks, Doug Franzen, Rob Woods, Kenny V. Banh, Richard Bounds, Michael Smith, Nicole Deiorio, and Alan Schwartz. “The 5Cs of Consultation: Training Medical Students to Communicate Effectively in the Emergency Department.J Emerg Med 49, no. 5 (November 2015): 713–21. https://doi.org/10.1016/j.jemermed.2015.05.012.
Kessler CS, Tadisina KK, Saks M, Franzen D, Woods R, Banh KV, et al. The 5Cs of Consultation: Training Medical Students to Communicate Effectively in the Emergency Department. J Emerg Med. 2015 Nov;49(5):713–21.
Kessler, Chad S., et al. “The 5Cs of Consultation: Training Medical Students to Communicate Effectively in the Emergency Department.J Emerg Med, vol. 49, no. 5, Nov. 2015, pp. 713–21. Pubmed, doi:10.1016/j.jemermed.2015.05.012.
Kessler CS, Tadisina KK, Saks M, Franzen D, Woods R, Banh KV, Bounds R, Smith M, Deiorio N, Schwartz A. The 5Cs of Consultation: Training Medical Students to Communicate Effectively in the Emergency Department. J Emerg Med. 2015 Nov;49(5):713–721.
Journal cover image

Published In

J Emerg Med

DOI

ISSN

0736-4679

Publication Date

November 2015

Volume

49

Issue

5

Start / End Page

713 / 721

Location

United States

Related Subject Headings

  • Young Adult
  • Self Efficacy
  • Referral and Consultation
  • Prospective Studies
  • Program Evaluation
  • Patient Simulation
  • Models, Educational
  • Male
  • Interdisciplinary Communication
  • Humans