To assess the current state of published literature on communication skill teaching in urology in order to inform future directions for research and teaching. Excellent patient-physician communication skills increase understanding of medical conditions, facilitate shared decision making regarding treatment planning, improve clinical outcomes, and decrease lawsuits. Surgical and procedure-based subspecialties, including urology, have generally been slow to incorporate formal communication skill teaching into curricula for postgraduate trainees.
We performed a PubMed literature search using multiple keywords, selecting and reviewing papers published in English and addressing one of three domains (curriculum development, teaching methods, assessment methods) of communication skills teaching. The distribution of manuscripts within the urology-specific literature was compared to that of procedure-based specialties as a whole.
Eight papers were found in the urology literature, and 24 papers in other procedure-based specialties. Within the urology-specific literature, all 8 papers (100%) acknowledged the need for communication curriculum development, one (12.5%) described how communication skills were taught, and one (12.5%) discussed how communication skills were assessed. Fewer manuscripts in other procedure-based specialties acknowledged the need to develop curricula (29.2%, p=0.0007), but were equally likely to discuss communication skill teaching (37.5%, p=0.63) and assessment (33.3%, p=0.73). Orthopedic surgery is the only surgical subspecialty with ongoing, adaptable, formal training for physicians.
Most current publications addressing communication skills in procedure-based specialties are specialty-specific and focus on only one of the three communication domains. Opportunities exist to share information and create more integrated models to teach communication skills in urology.