Impact of a pediatric-focused communication course on patient/caregiver-perceived physician communication skills in a pediatric emergency department

Objectives: To evaluate the impact of a pediatric-focused, relationshipcentered communication course on patient/caregiver assessment of emergency department (ED) physician communication skills. Methods: This was a prospective study; a previously validated assessment tool (Pediatric Physician Interpersonal Communication Skills Assessment [P-PICSA]) was used to collect pediatric patient/caregiver evaluation of ED physician communication skills. Emergency department physicians were required to attend a 5.5-hour communication course. Differences in precourse/postcourse P-PICSA and top-box scores were analyzed to determine course impact on ED physician communication skills. Results: From July 2016 to August 2017, 49 pediatric ED physicians participated in the course, and 24 physicians (49%) had 6-month precourse/ postcourse P-PICSA data. Postcourse scores were higher for all 13 items, with 3 items achieving statistical significance: (1) the doctor used words I could understand; (2) the way the doctor involved me in making decisions about my child's care in the ED; (3) how the doctor discussed next steps and/or follow-up plans formy child's care afterwe leave the ED(P < 0.05).Additionally, postcourse, top-box score percentages were higher for 12 items, with 1 item achieving statistical significance (P = 0.0386). Conclusions: An organization-wide, pediatric-focused, relationshipcentered communication course improved patient/caregiver-perceived ED physician communication. Further research is necessary to assess longterm sustainability.