INTRODUCTION Physician-patient communication involves complex skills that affect quality, outcome, and satisfaction for patients, families, and health care teams. Yet, institutional, regulatory, and scientific demands compete for physicians' attention. A framework is needed to support physicians continued development of communication skills: Coaching is 1 such evidence-based practice, and we assessed the feasibility of implementing such a program. METHOD Participants were 12 physicians, representing high and low scorers on the Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) survey. We added items to capture empathy and family experience to the Calgary-Cambridge Observation Guide for the Medical Interview. Coaches observed communication associated with patient satisfaction and quality measures: introductions (I), asking about concerns (C), and check for understanding (U), or ICU. Participants received a report describing their communication behaviors, emphasizing strengths, and identifying areas for improvement. RESULTS Scores on the ICU significantly discriminated between low and high HCAHPS scorers, physicians from surgical and cognitive specialties, men and women. We collected anonymous feedback regarding the value of this training; participants recommended expanding the program. DISCUSSION Based on physician endorsement, experienced coaches are expanding the coaching program to physicians throughout our institution. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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医师交流指导计划：建立反馈的支持文化，以维持和振兴教师。

引言医患沟通涉及复杂的技能，这些技能会影响患者，家庭和医疗团队的质量，结果和满意度。然而，机构，监管和科学的需求在争夺医生的注意力。需要一个框架来支持医生不断发展交流技能：指导就是一种基于证据的实践，我们评估了实施这种计划的可行性。方法参与者为12位医师，分别代表“医院医疗服务提供者和系统消费者评估”（HCAHPS）调查中的高分和低分。我们在《医疗面试的卡尔加里-剑桥观察指南》中增加了捕捉同理心和家庭经历的项目。教练观察到与患者满意度和质量指标相关的沟通：简介（I），询问问题（C），并检查理解（U）或ICU。参与者收到了一份报告，描述了他们的沟通行为，强调优势并确定了需要改进的地方。结果ICU的得分明显区分了HCAHPS的低分者和高分者，来自外科和认知专业的医师，男女。我们收集了有关此次培训价值的匿名反馈；参与者建议扩大该计划。讨论基于医师的认可，经验丰富的教练正在将教练计划扩展到我们机构的医师。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。并确定需要改进的地方。结果ICU的得分明显区分了HCAHPS的低分者和高分者，来自外科和认知专业的医师，男女。我们收集了有关此次培训价值的匿名反馈；参与者建议扩大该计划。讨论基于医师的认可，经验丰富的教练正在将教练计划扩展到我们机构的医师。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。并确定需要改进的地方。结果ICU的得分明显区分了HCAHPS的低分者和高分者，来自外科和认知专业的医师，男女。我们收集了有关此次培训价值的匿名反馈；参与者建议扩大该计划。讨论基于医师的认可，经验丰富的教练正在将教练计划扩展到我们机构的医师。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。讨论基于医师的认可，经验丰富的教练正在将教练计划扩展到我们机构的医师。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。讨论基于医师的认可，经验丰富的教练正在将教练计划扩展到我们机构的医师。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。