Evaluation of communication skills training programs at North American veterinary medical training institutions

Jane R. Shaw 1Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80525.

Search for other papers by Jane R. Shaw in
Current site
Google Scholar
PubMed
Close
 DVM, PhD

Abstract

OBJECTIVE

To describe how North American veterinary medical teaching institutions (VMTIs) provide communication skills training to students.

SAMPLE

Faculty coordinators of communication skills training programs (CSTPs) at 30 North American VMTIs.

PROCEDURES

An online survey instrument was designed and administered to each respondent followed by a telephone (n = 28) or in-person (2) interview. The survey and interview process were designed to evaluate all aspects of CSTPs, such as communication framework used, program format, number of student-contact hours, staffing models, outcome assessment, faculty background, program priorities, and challenges. Descriptive results were generated, and guidelines for future development of CSTPs were recommended.

RESULTS

27 US and 3 Canadian VMTIs were represented, and communication skills training was required at all. Twenty-five CSTPs used the Calgary-Cambridge Guide framework. Respondents provided a mean of 33 student-contact hours of training, primarily in the first 3 years of the veterinary curriculum in lecture (mean, 12 hours), communication laboratory (13 hours), and self-study (8 hours) formats with formative feedback. Communication skills training was integrated with other disciplines at 27 VMTIs. Most CSTPs were coordinated and taught by 1 faculty member with a < 0.50 full-time equivalent commitment and no administrative support. Stated priorities included acquisition of resources for CSTP faculty, administrative support, and video-equipped facilities; increasing integration of CSTPs into curricula; and assessment of educational outcomes.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested that support for CSTPs and recognition of their value continue to grow, but a lack of resources, faculty expertise, validated methods for outcomes assessment, and leadership remain challenges.

Abstract

OBJECTIVE

To describe how North American veterinary medical teaching institutions (VMTIs) provide communication skills training to students.

SAMPLE

Faculty coordinators of communication skills training programs (CSTPs) at 30 North American VMTIs.

PROCEDURES

An online survey instrument was designed and administered to each respondent followed by a telephone (n = 28) or in-person (2) interview. The survey and interview process were designed to evaluate all aspects of CSTPs, such as communication framework used, program format, number of student-contact hours, staffing models, outcome assessment, faculty background, program priorities, and challenges. Descriptive results were generated, and guidelines for future development of CSTPs were recommended.

RESULTS

27 US and 3 Canadian VMTIs were represented, and communication skills training was required at all. Twenty-five CSTPs used the Calgary-Cambridge Guide framework. Respondents provided a mean of 33 student-contact hours of training, primarily in the first 3 years of the veterinary curriculum in lecture (mean, 12 hours), communication laboratory (13 hours), and self-study (8 hours) formats with formative feedback. Communication skills training was integrated with other disciplines at 27 VMTIs. Most CSTPs were coordinated and taught by 1 faculty member with a < 0.50 full-time equivalent commitment and no administrative support. Stated priorities included acquisition of resources for CSTP faculty, administrative support, and video-equipped facilities; increasing integration of CSTPs into curricula; and assessment of educational outcomes.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested that support for CSTPs and recognition of their value continue to grow, but a lack of resources, faculty expertise, validated methods for outcomes assessment, and leadership remain challenges.

Supplementary Materials

    • Supplementary Appendix S1 (PDF 190 kb)

Contributor Notes

Address correspondence to Dr. Shaw (jane.shaw@colostate.edu).
  • 1. Dysart LM, Coe JB, Adams CL. Analysis of solicitation of client concerns in companion animal practices. J Am Vet Med Assoc 2011;238:16091615.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2. Kanji N, Coe JB, Adams CL, et al. Effect of veterinarian-client-patient interactions on client adherence to dentistry and surgery recommendations in companion-animal practice. J Am Vet Med Assoc 2012;240:427436.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3. McArthur M, Fitzgerald J. Evaluation of a communication skills training program for companion-animal veterinarians: a pilot study using RIAS coding. J Vet Med Educ 2016;43:111125.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4. Shaw JR, Adams CL, Bonnett BN, et al. Veterinarian satisfaction with companion animal visits. J Am Vet Med Assoc 2012;240:832841.

  • 5. McArthur ML, Fitzgerald JR. Companion animal veterinarians' use of clinical communication skills. Aust Vet J 2013;91:374380.

  • 6. Coe JB, Adams CL, Bonnet BN. A focus group study of veterinarians' and pet owners' perceptions of veterinarian-client communication in companion animal practice. J Am Vet Med Assoc 2008;233:10721080.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7. Stoewen DL, Coe JB, MacMartin C, et al. Qualitative study of the communication expectations of clients accessing oncology care at a tertiary referral center for dogs with life-limiting cancer. J Am Vet Med Assoc 2014;245:785795.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8. Coe JB, Adams CL, Bonnett BN. A focus group study of veterinarians' and pet owners' perceptions of the monetary aspects of veterinary care. J Am Vet Med Assoc 2007;231:15101518.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9. Ellis-Iversen J, Cook AJ, Watson E, et al. Perceptions, circumstances and motivators that influence implementation of zoonotic control programs on cattle farms. Prev Vet Med 2010;93:276285.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10. Derks M, van Woudenbergh B, Boender M, et al. Veterinarian awareness of farmer goals and attitudes to herd health management in the Netherlands. Vet J 2013;198:224228.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11. Hall J, Wapenaar W. Opinions and practices of veterinarians and dairy farmers towards herd health management in the UK. Vet Rec 2012;170:441.

  • 12. Kristensen E, Enevoldsen C. A mixed methods inquiry: how dairy farmers perceive the value(s) of their involvement in an intensive dairy herd health management program. Acta Vet Scand 2008;50:50.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13. Nogueira Borden LJ, Adams CL, Bonnett BN, et al. Comparison of veterinarian and standardized client perceptions of communication during euthanasia discussions. J Am Vet Med Assoc 2019;254:10731085.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14. Dinsmore J, McConnell D. Communicate to avoid malpractice claims. J Am Vet Med Assoc 1992;201:383387.

  • 15. McEachern Nunalee MM, Weedon GR. Modern trends in veterinary malpractice: how our evolving attitudes toward non-human animals will change veterinary medicine. Anim Law 2004;10:125161.

    • Search Google Scholar
    • Export Citation
  • 16. Brown JP, Silverman JD. The current and future market for veterinarians and veterinary medical services in the United States. J Am Vet Med Assoc 1999;215:161183.

    • Search Google Scholar
    • Export Citation
  • 17. Lue TW, Pantenburg DP, Crawford PM. Impact of the owner-pet and client-veterinarian bond on the care that pets receive. J Am Vet Med Assoc 2008;232:531540.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18. Blackwell MJ. Beyond philosophical differences: the future training of veterinarians. J Vet Med Educ 2001;28:148152.

  • 19. Russell RL. Preparing veterinary students with the interactive skills to effectively work with clients and staff. J Vet Med Educ 1994;21:4043.

    • Search Google Scholar
    • Export Citation
  • 20. Volk JO, Thomas JG, Colleran EJ, et al. Executive summary of phase 3 of the Bayer veterinary care usage study. J Am Vet Med Assoc 2014;244:799802.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21. Volk JO, Felsted KE, Thomas JG, et al. Executive summary of the Bayer veterinary care usage study. J Am Vet Med Assoc 2011;238:12751282.

  • 22. Volk JO, Felsted KE, Thomas JG, et al. Executive summary of phase 2 of the Bayer veterinary care usage study. J Am Vet Med Assoc 2011;239:13111316.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23. Walsh DA, Osburn BI, Christopher MM. Defining the attributes expected of graduating veterinary medical students. J Am Vet Med Assoc 2001;219:13581365.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24. Hubbell JA, Saville WJ, Moore RM. Frequency of activities and procedures performed in private equine practice and proficiency expected of new veterinary school graduates. J Am Vet Med Assoc 2008;232:4246.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 25. Greenfield CL, Johnson AL, Schaeffer DJ. Frequency of use of various procedures, skills, and areas of knowledge among veterinarians in private small animal exclusive or predominant practice and proficiency expected of new veterinary school graduates. J Am Vet Med Assoc 2004;224:17801787.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26. Nett RJ, Witte TK, Holzbauer SM, et al. Risk factors for suicide, attitudes toward mental illness, and practice-related stressors among US veterinarians. J Am Vet Med Assoc 2015;247:945955.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27. Bartram DJ, Baldwin DS. Veterinary surgeons and suicide: a structured review of possible influences on increased risk. Vet Rec 2010;166:388397.

  • 28. Englander R, Cameron T, Ballard A, et al. Toward a common taxonomy of competency domains for the health professions and competencies of physicians. Acad Med 2013;88:10881094.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 29. AVMA. CVTEA accreditation policies and procedures—standards. Available at: www.avma.org/ProfessionalDevelopment/Education/Accreditation/Programs/Pages/cvtea-pp-standards.aspx. Accessed Dec 12, 2017.

    • Search Google Scholar
    • Export Citation
  • 30. NAVMEC Board of Directors. The North American Veterinary Medical Education Consortium (NAVMEC) looks to veterinary medical education for the future: “roadmap for veterinary medical education in the 21st century: responsive, collaborative, flexible.” J Vet Med Educ 2011;38:320327.

    • Search Google Scholar
    • Export Citation
  • 31. Aspegren K. BEME guide No. 2: teaching and learning communication skills in medicine—a review with quality grading of articles. Med Teach 1999;21:563570.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 32. Berkhof M, van Rijssen HJ, Schellart AJ. Effective training strategies for teaching communication skills to physicians: an overview of systematic reviews. Patient Educ Couns 2011;84:152162.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 33. Gysels M, Richardson A, Higginson IJ. Communication training for health professionals who care for patients with cancer: a systematic review of training methods. Support Care Cancer 2005;13:356366.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 34. Hulsman RL, Ros WJ, Winnubst JA, et al. Teaching clinically experienced physicians communication skills. A review of evaluation studies. Med Educ 1999;33:655668.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 35. Kaplonyi J, Bowles KA, Nestel D, et al. Understanding the impact of simulated patients on health care learners' communication skills: a systematic review. Med Educ 2017;51:12091219.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 36. Lane C, Rollnick S. The use of simulated patients and role-play in communication skills training: a review of the literature to August 2005. Patient Educ Couns 2007;67:1320.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 37. Smith S, Hanson JL, Tewksbury LR. Teaching patient communication skills to medical students. Eval Health Prof 2007;30:321.

  • 38. Kurtz SM, Silverman J, Draper J. Teaching and learning communication skills in medicine. 2nd ed. Abingdon, England: Radcliffe Medical Press, 2005;36–43,77–103,114–115.

    • Search Google Scholar
    • Export Citation
  • 39. Adams CL, Ladner L. Implementing a simulated client program: bridging the gap between theory and practice. J Vet Med Educ 2004;31:138145.

  • 40. Adams CL, Kurtz SM. Building on existing models from human medical education to develop a communication curriculum in veterinary medicine. J Vet Med Educ 2006;33:2837.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 41. Brandt JC, Bateman SW. Senior veterinary students' perceptions of using role play to learn communication skills. J Vet Med Educ 2006;33:7680.

  • 42. Cary JA, Farnsworth KD, Kurtz SM. Telephone communication in emergency cases: a training program for veterinary students. J Vet Med Educ 2010;37:130135.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 43. Cary J, Kurtz S. Integrating clinical communication with clinical reasoning and the broader medical curriculum. Patient Educ Couns 2013;92:361365.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 44. Chun R, Schaefer S, Lotta CC, et al. Didactic and experiential training to teach communication skills: the University of Wisconsin-Madison School of Veterinary Medicine collaborative experience. J Vet Med Educ 2009;36:196201.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 45. Englar RE. A novel approach to simulation-based education for veterinary medical communication training over eight consecutive pre-clinical quarters. J Vet Med Educ 2017;44:502522.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 46. Grevemeyer B, Betance L, Artemiou E. A telephone communication skills exercise for veterinary students: experiences, challenges, and opportunities. J Vet Med Educ 2016;43:126134.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 47. Hafen M, Rush BR, Nelson SC. Utilizing filmed authentic student-client interactions as a communication teaching tool. J Vet Med Educ 2009;36:429435.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 48. Hazel SJ, Heberle N, McEwen M, et al. Team-based learning increases active engagement and enhances development of teamwork and communication skills in a first-year course for veterinary and animal science undergraduates. J Vet Med Educ 2013;40:333341.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 49. Meehan MP, Menniti MF. Final-year veterinary students' perceptions of their communication competencies and a communication skills training program delivered in a primary care setting and based on Kolb's Experiential Learning Theory. J Vet Med Educ 2014;41:371383.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 50. Shaw DH, Ihle SL. Communication skills training at the Atlantic Veterinary College, University of Prince Edward Island. J Vet Med Educ 2006;33:100104.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 51. Strand EB, Johnson B, Thompson J. Peer-assisted communication training: veterinary students as simulated clients and communication skills trainers. J Vet Med Educ 2013;40:233241.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 52. Washburn SE, Posey D, Stewart RH, et al. Merging clinical cases, client communication, and physiology to enhance student engagement, learning, and skills. J Vet Med Educ 2016;43:170175.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 53. Bonvicini K, Keller VF. Academic faculty development: the art and practice of effective communication in veterinary medicine. J Vet Med Educ 2006;33:5057.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 54. Shaw JR. Four core communication skills of highly effective practitioners. Vet Clin North Am Small Anim Pract 2006;36:385396.

  • 55. Frankel RM, Stein T. Getting the most out of the clinical encounter: the four habits model. Perm J 1999;3:7988.

  • 56. Radford A, Stockley P, Silverman J, et al. Development, teaching, and evaluation of a consultation structure model for use in veterinary education. J Vet Med Educ 2006;33:3844.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 57. Englar RE, Williams M, Weingand K. Applicability of the Calgary-Cambridge Guide to dog and cat owners for teaching veterinary clinical communications. J Vet Med Educ 2016;43:143169.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 58. Maloney S, Haines T. Issues of cost-benefit and cost-effectiveness for simulation in health professions education. Adv Simul (Lond) 2016;1:13.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 59. Zendejas B, Wang AT, Brydges R, et al. Cost: the missing outcome in simulation-based medical education research: a systematic review. Surgery 2013;153:160176.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 60. Artemiou E, Adams CL, Toews L, et al. Informing web-based communication curricula in veterinary education: a systematic review of web-based methods used for teaching and assessing clinical communication in medical education. J Vet Med Educ 2014;41:4454.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 61. Cook DA, Levinson AJ, Garside S, et al. Internet-based learning in the health professions: a meta-analysis. JAMA 2008;300:11811196.

  • 62. Triola M, Feldman H, Kalet AL, et al. A randomized trial of teaching clinical skills using virtual and live standardized patients. J Gen Intern Med 2006;21:424429.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 63. Artemiou E, Adams CL, Vallevand A, et al. Measuring the effectiveness of small-group and web-based training methods in teaching clinical communication: a case comparison study. J Vet Med Educ 2013;40:242251.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 64. Root Kustritz MV, Molgaard LK, Malone E. Creation of a metric for faculty effort in teaching in the veterinary curriculum. J Vet Med Educ 2015;42:6668.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 65. Institute for Healthcare Communication. Available at: http://healthcarecomm.org. Accessed Dec 12, 2017.

  • 66. International Conference on Communication in Veterinary Medicine. Available at: www.eiseverywhere.com/ehome/215811. Accessed Dec 12, 2017.

    • Search Google Scholar
    • Export Citation
  • 67. Colorado State University Communication Coaching Skills Workshop. Available at: csu-cvmbs.colostate.edu/academics/clinsci/veterinary-communication/Pages/communication-skills-coaching-workshop.aspx. Accessed Dec 12, 2017.

    • Search Google Scholar
    • Export Citation
  • 68. Baillie S, Pierce SE, May SA. Fostering integrated learning and clinical professionalism using contextualized simulation in a small-group role-play. J Vet Med Educ 2010;37:248253.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 69. The taxonomy table. In: Anderson LW, Krathwohl DR, eds. A taxonomy for learning, teaching, and assessing: a revision of Bloom's Taxonomy of Educational Objectives. Boston: Allyn and Bacon, 2001;2738.

    • Search Google Scholar
    • Export Citation
  • 70. Artemiou E, Hecker KG, Adams CL, et al. Does a rater's professional background influence communication skills assessment? J Vet Med Educ 2015;42:315323.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 71. Hecker K, Read EK, Vallevand A, et al. Assessment of first-year veterinary students' clinical skills using objective structured clinical examinations. J Vet Med Educ 2010;37:395402.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 72. Hecker KG, Adams CL, Coe JB. Assessment of first-year veterinary students' communication skills using an objective structured clinical examination: the importance of context. J Vet Med Educ 2012;39:304310.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 73. Kogan LR, Butler CL, Lagoni LK, et al. Training in client relations and communication skills in veterinary medical curricula and usage after graduation. J Am Vet Med Assoc 2004;224:504507.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 74. Fogelberg K, Farnsworth CC. Faculty and students' self-assessment of client communication skills and professional ethics in three veterinary medical schools. J Vet Med Educ 2009;36:423428.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 75. Kedrowicz AA. The impact of a group communication course on veterinary medical students' perceptions of communication competence and communication apprehension. J Vet Med Educ 2016;43:135142.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 76. Stevens BJ, Kedrowicz AA. Evaluation of fourth-year veterinary students' client communication skills: recommendations for scaffolded instruction and practice. J Vet Med Educ 2018;45:8590.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 77. Root Kustritz MV, Lowum S, Flynn K, et al. Assessing communications competencies through reviews of client interactions and comprehensive rotation assessment: a comparison of methods. J Vet Med Educ 2017;44:290301.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 78. Latham CE, Morris A. Effects of formal training in communication skills on the ability of veterinary students to communicate with clients. Vet Rec 2007;160:181186.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 79. Hafen M, Siqueira Drake AA, Rush BR, et al. Using authentic client interactions in communication skills training: predictors of proficiency. J Vet Med Educ 2013;40:318326.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 80. Shaw JR, Barley GE, Hill AE. Communication skills education onsite in a veterinary practice. Patient Educ Couns 2010;80:337344.

  • 81. Shaw JR, Barley GE, Broadfoot K, et al. Outcomes assessment of on-site communication skills education in a companion animal practice. J Am Vet Med Assoc 2016;249:419432.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 82. May SA, Silva-Fletcher A. Scaffolded active learning: nine pedagogical principles for building a modern veterinary curriculum. J Vet Med Educ 2015;42:332339.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 83. Lloyd JW. Financial dimensions of veterinary medical education: an economist's perspective. J Vet Med Educ 2013;40:8593.

  • 84. Killinger SL, Flanagan S, Castine E, et al. Stress and depression among veterinary medical students. J Vet Med Educ 2017;44:38.

Advertisement