• Stephen D Brown, Michael J Callahan, David M Browning, Robert L Lebowitz, Sigall K Bell, Jisun Jang, and Elaine C Meyer.
• Department of Radiology, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts; Institute for Professionalism and Ethical Practice, Boston Children's Hospital, Boston, Massachusetts. Electronic address: stephen.brown@childrens.harvard.edu.
• J Am Coll Radiol. 2014 Aug 1;11(8):781-7.

PurposeThe aim of this study was to assess the effect of communication skills training on radiology trainees' (1) comfort with communicating directly with patients and family members about unexpected or difficult diagnoses ("bad news"), radiologic errors, and radiation risks and (2) attitudes about disclosing radiologic errors directly to patients and their families.MethodsOne hundred nine radiology trainees from 16 US programs were asked to complete questionnaires immediately before and after attending an institutional review board-exempted, full-day communication workshop. Questionnaires assessed (1) comfort communicating with patients and their families generally and about bad news, radiologic errors, and radiation risks specifically; (2) attitudes and behavioral intent regarding a hypothetical vignette involving a radiologic error; and (3) desire for additional communication training.ResultsAll trainees completed the questionnaires. After completing the workshop, more trainees reported comfort communicating with patients about bad news, errors, and radiation risks (pre vs post, 44% vs 73%, 25% vs 44%, and 34% vs 58%, respectively, P < .001 for all). More also agreed that the radiologist in the error vignette should discuss the error with the patient (pre vs post, 84% vs 95%; P = .002) and apologize (pre vs post, 78% vs 94%; P < .001). After participation, fewer trainees reported unwillingness to disclose the error despite medicolegal concerns (pre vs post, 39 vs 15%; P < .001). Despite high baseline comfort (92%) and low stress (14%) talking with patients in general, most respondents after participation desired additional communication training on error disclosure (83%), general communication (56%), and radiation risks (80%).ConclusionsThis program provides effective communication training for radiology trainees. Many trainees desire more such programs.Copyright © 2014 American College of Radiology. Published by Elsevier Inc. All rights reserved.

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