Medical improvisation training to enhance the antenatal counseling skills of neonatologists and neonatal fellows: a pilot study

J Matern Fetal Neonatal Med. 2017 Aug;30(15):1865-1869. doi: 10.1080/14767058.2016.1228059. Epub 2016 Sep 5.

Abstract

Introduction: Neonatologists must be skilled at providing antenatal counseling to expectant parents of premature infants at the limits of viability. We conducted a medical improvisation workshop with the objective of enhancing antenatal counseling skills.

Methods: Pre- and postworkshop questionnaires were collected to examine the impact of the training. A follow-up survey was distributed 3 months after the workshop to examine the impact of the training on antenatal counseling skills.

Results: Nine neonatologists and three neonatal fellows participated in the workshop. Participants reported the skills learned in the workshop could enhance the quality of antenatal counseling. On follow-up survey, 90% of subjects reported improvements in the quality of their antenatal counseling.

Discussion: Participation in a medical improvisation workshop resulted in enhancements of self-perceived antenatal counseling skills. Medical improvisation training may provide a feasible and effective method of communication training for neonatologists. Further research into this innovative method are needed.

Keywords: Medical improvisation; antenatal counseling; improvisational medicine; improvisational theater; medical improv; neonatal counseling; prenatal counseling.

MeSH terms

  • Clinical Competence
  • Communication
  • Counseling / education*
  • Counseling / methods
  • Fellowships and Scholarships
  • Female
  • Fetal Viability
  • Humans
  • Infant, Premature*
  • Neonatologists / education*
  • Neonatology / education*
  • Parents*
  • Physician-Patient Relations
  • Pilot Projects
  • Pregnancy
  • Prenatal Care / methods*
  • Prenatal Care / psychology
  • Surveys and Questionnaires