Creating Middle Stage: Finding a New Space for Reflection within a Residency Program. Issue 5 (15th April 2020)

• Record Type: Journal Article
• Authors: Warisse Turner, Jeanine; Robinson, James; Morris, Elise; Oberkircher, Katherine; Roett, Michelle
• Is Part Of: Health communication. Volume 35:Issue 5(2020)
• Page Start: 548
• Page End: 559
• Publication Date: 2020-04-15
• Subjects: Communication in medicine -- Periodicals; Health in mass media -- Periodicals; 362.1014
• DOI: 10.1080/10410236.2019.1573294
• Languages: English
• ISSNs: 1041-0236

Abstract

ABSTRACT: While communication is essential to effective clinical outcomes, training programs that employ synchronous feedback systems are expensive and time consuming. Using a secure web blog as an asynchronous alternative for enhancing communication skills, we created a unique middle stage learning opportunity within a residency training program. Each resident was recorded interacting with a patient and that digital record was posted to a secure blog. By the end of year three, the residents ( N = 6) interacted with 20 patients and wrote a blog post discussing each interaction. The other residents watched these interactions and responded to their peers' digitized interactions in the form of a blog post ( N = 95). Transcripts were created and analyzed using the constant comparative method and yielded five categories of resident message types. They were: N arrative of the visit, visit issues, communication strategies, social support, and reflections on the experience and provided a unique opportunity to examine interaction among the residents.