Workplace-based communication skills training in clinical departments: Examining the role of collegial relations through positioning theory.

Abstract:

INTRODUCTION:Studies suggest that the workplace is a key to understanding how clinical communication skills learning takes place and that medical communication skills need to be reinforced over time in order not to deteriorate. This study explored the perceptions of doctors in four hospital departments who participated in a workplace-based communication training project. Its specific focus was the relationship between collegial relations and learning communication skills. METHODS:The study applied a qualitative design using an ethnographic methodology, i.e. interviews and observations. Positioning theory was used as the theoretical framework. RESULTS:Training communication skills with colleagues in the actual workplace setting was valued by the participants who experienced more sharing of communication challenges, previously understood as something private one would not share with colleagues. However, collegial relations were also barriers for providing critical feedback, especially from junior doctors to their seniors. CONCLUSION:The position as "colleague" both reinforced the communication skills training and hindered it. The communication skills educational model had a flat, non-hierarchical structure which disturbed the hierarchical structure of the workplace, and its related positions.

journal_name

Med Teach

journal_title

Medical teacher

authors

Møller JE,Malling BV

doi

10.1080/0142159X.2018.1464647

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

309-317

issue

3

eissn

0142-159X

issn

1466-187X

journal_volume

41

pub_type

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