<p>Surgical training programs primarily emphasize technical skills for diagnosis and treatment. However, communication and interpersonal skills are equally essential for residents. Trainees often face sensitive situations, such as delivering bad news and discussing end-of-life decisions and lack of communications skills could result in a negative impact on patients and malpractice claims. Despite their importance, communication skills training is often underrepresented in surgical education. This study aimed to explore the extent to which such training is offered during surgical residency in Italy, and to investigate how surgical trainees and young surgeons perceive their own communication competence and confidence, particularly in emotionally demanding scenarios. The “COSTRUIRE” (COmmunication Skills TRaining in sUrgIcal REsidency)&#xa0;survey, conducted from July to September 2024 by the Young Group of the Italian Society of Surgical Oncology, utilized a 30-item online questionnaire to gather data on participants’ communication experiences, emotional experiences, burnout risk, and training preferences. The responses were analyzed in accordance with the CHERRIES guidelines. A total of 189 participants met the inclusion criteria, including general surgery residents (61.4%) and early-career surgeons. Most respondents (85.2%) reported having communicated a difficult diagnosis without supervision during training. While participants rated their communication skills positively, over 70% expressed a desire to have handled these conversations differently, often citing the need for better tools or support. Notably, 73.9% reported learning communication informally by observing mentors. Only 7.9% received formal training during residency, despite 91% recognizing its importance. Emotional impact was significant, with high levels of emotional involvement but also early signs of burnout. The COSTRUIRE survey identified the importance of structured communication skills training in Italian surgical residency. Addressing this gap may contribute to improving self-perceived competence and confidence in managing emotionally challenging clinical interactions.</p>

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Communication skill training in surgical residency: insights from Y-SICO (Young-Italian Society of Surgical Oncology)

  • Rossella Melcarne,
  • Federico Cappellacci,
  • Filippo Carannante,
  • Ludovico Carbone,
  • Federica Ferracci,
  • Stefano Fracon,
  • Michele Manigrasso,
  • Erica Milone,
  • Edoardo Maria Muttillo,
  • Stefania Piccioni,
  • Silvia Sofia,
  • Giulia Turri,
  • Marcello Deraco,
  • Antonio Macrì,
  • Franco Roviello,
  • Caterina Accardo,
  • Elisa Agus,
  • Luca Alberti,
  • Maria Ida Amabile,
  • Carla Ammendolia,
  • Giorgio Ammerata,
  • Paolo Amoretti,
  • Felicia Andrei,
  • Michela Angelucci,
  • Alfredo Annicchiarico,
  • Pietro Anoldo,
  • Laura Antolino,
  • Valerio Argiolas,
  • Mirko Armas,
  • Enrica Avezzù,
  • Andrea Baldo,
  • Lorenzo Barberis,
  • Maria Rachele Barbieri,
  • Giulia Becherucci,
  • Elisa Bertilone,
  • Chiara Bettini,
  • Massimo Biondo,
  • Francesca Blasa,
  • Andrea Boniotti,
  • Giacomo Borroni,
  • Alessandra Bozza,
  • Greta Bracchetti,
  • Francesco Brucchi,
  • Angela Bucaro,
  • Anna Bella Burciu,
  • Fabiana Caciolo,
  • Riccardo Calef,
  • Matteo Calì,
  • Gaetano Silvio Calleri,
  • Federico Cammillini,
  • Vincenzo Canalella,
  • Fabio Carbone,
  • Barbara Carlucci,
  • Andrea Castriotti,
  • Livio Catozzi,
  • Giulia Chiappini,
  • Nicola Cillara,
  • Matteo Cinquepalmi,
  • Enrico Coletta,
  • Gaia Colletti,
  • Luigi Eduardo Conte,
  • Sophia Costacurta,
  • Antonio Costanzo,
  • Luciano Curella,
  • Carmen Cutolo,
  • Fabrizio D’Acapito,
  • Chiara D’Alterio,
  • Giuliano D’Onghia,
  • Federica De Franco,
  • Renato De Martino,
  • Paola De Nardi,
  • Giovanni De Nobili,
  • Giuseppe De Ruggieri,
  • Matteo Desio,
  • Agnese Dezi,
  • Giuseppe Lorenzo Di Giulio,
  • Giulia Di Lieto,
  • Marcello Di Martino,
  • Giovanna Di Meo,
  • Giulia Di Raimondo,
  • Tommaso Dominioni,
  • Claudia Donello,
  • Miriam Attalla El Halabieh,
  • Tal Deborah Engel,
  • Lorenzo Epis,
  • Anna Esposito,
  • Anna Falasca,
  • Giacinto Falco,
  • Agostino Fernicola,
  • Francesco Ferrara,
  • Davide Ferrari,
  • Lorenzo Ferri,
  • Enrico Fischetti,
  • Gianluca Fiumara,
  • Laura Fortuna,
  • Antonio Franzese,
  • Martina Fricano,
  • Gaetano Gallo,
  • Alessia Galvano,
  • Tiziana Garritano,
  • Patrizia Alba Gentile,
  • Giulia Germiniasi,
  • Marco Giacometti,
  • Mauro Giambusso,
  • Andrea Gioffré,
  • Gennaro Giovine,
  • Giuseppe Giuliani,
  • Alice Gori,
  • Lorenzo Gozzini,
  • Giulia Grassi,
  • Antonella Grasso,
  • Serena Guarriello,
  • Maryam Hosseinpour,
  • Ilda Hoxhaj,
  • Alessandro Iacomino,
  • Roberta Iadarola,
  • Maria Iannello,
  • Eva Iannuzzi,
  • Luca Improta,
  • Luca Ippolito,
  • Roberta La Mendola,
  • Annarita Libia,
  • Gabriella Lionetto,
  • Antonio Luberto,
  • Fabrizio Luca,
  • Claudio Luciani,
  • Michele Manara,
  • Serena Mantova,
  • Chiara Marafante,
  • Paolo Maresca,
  • Giancarlo Maresca,
  • Martina Marrelli,
  • Patrizia Marsanic,
  • Matteo Mascherini,
  • Alberto Massocco,
  • Manuela Mastronardi,
  • Marco Domenico Mazza,
  • Gennaro Mazzarella,
  • Gennaro Melone,
  • Paolo Enrico Meneghesso,
  • Valentina Messina,
  • Valentina Miacci,
  • Flavio Milana,
  • Margherita Minghetti,
  • Marica Mirabella,
  • Rosario Minà,
  • Perla Molica,
  • Serena Molica,
  • Federico Morabito,
  • Marika Morabito,
  • Andrea Morini,
  • Rossella Moscatiello,
  • Edoardo Mosciatti,
  • Marco Nicolazzi,
  • Stefania Nigro,
  • Cecilia Orsini,
  • Chiara Pagnoni,
  • Giuseppe Palomba,
  • Elisa Paoluzzi Tomada,
  • Vincenzo Papagni,
  • Roberto Passa,
  • Carola Perinotti,
  • Bruno Perotti,
  • Teresa Perra,
  • Giovanni Piazza,
  • Sara Pollesel,
  • Gianmario Edoardo Poto,
  • Silvia Puddu,
  • Emanuela Querci,
  • Valeria Quintodei,
  • Serena Ragonici,
  • Mario Rampa,
  • Emanuele Rausa,
  • Luca Resca,
  • Valerio Rinaldi,
  • Luca Risi,
  • Nicola Rocco,
  • Fausto Rosa,
  • Leonardo Rossi,
  • Edoardo Saladino,
  • Giacomo Salina,
  • Anna Sanfilippo,
  • Pietro Santocchi,
  • Matteo Santoliquido,
  • Paolina Saullo,
  • Stefania Saverino,
  • Valentina Sbacco,
  • Lorenzo Scardina,
  • Andrea Scardino,
  • Alessia Scarton,
  • Federica Scolari,
  • Alessandra Scotto di Uccio,
  • Giuseppe Sena,
  • Rosina Siciliano,
  • Leandro Siragusa,
  • Alessandro Soave,
  • Marco Summa,
  • Flavia Taglioni,
  • Giorgio Talamo,
  • Francesco Taliente,
  • Marsia Tancredi,
  • Silvia Tedesco,
  • Ilaria Tersigni,
  • Flavio Tirelli,
  • Antonio Toesca,
  • Giovanni Tomasicchio,
  • Beatrice Torre,
  • Irene Tucceri Cimini,
  • Alessio Vagliasindi,
  • Marina Valente,
  • Mariafelicia Valeriani,
  • Angelo Maria Velardi,
  • Alessandro Veltri,
  • Luca Ventrone,
  • Tommaso Violante,
  • Mario Gaetano Visaloco,
  • Davide Zattoni,
  • Iris Zoto,
  • Arcangelo Picciariello

摘要

Surgical training programs primarily emphasize technical skills for diagnosis and treatment. However, communication and interpersonal skills are equally essential for residents. Trainees often face sensitive situations, such as delivering bad news and discussing end-of-life decisions and lack of communications skills could result in a negative impact on patients and malpractice claims. Despite their importance, communication skills training is often underrepresented in surgical education. This study aimed to explore the extent to which such training is offered during surgical residency in Italy, and to investigate how surgical trainees and young surgeons perceive their own communication competence and confidence, particularly in emotionally demanding scenarios. The “COSTRUIRE” (COmmunication Skills TRaining in sUrgIcal REsidency) survey, conducted from July to September 2024 by the Young Group of the Italian Society of Surgical Oncology, utilized a 30-item online questionnaire to gather data on participants’ communication experiences, emotional experiences, burnout risk, and training preferences. The responses were analyzed in accordance with the CHERRIES guidelines. A total of 189 participants met the inclusion criteria, including general surgery residents (61.4%) and early-career surgeons. Most respondents (85.2%) reported having communicated a difficult diagnosis without supervision during training. While participants rated their communication skills positively, over 70% expressed a desire to have handled these conversations differently, often citing the need for better tools or support. Notably, 73.9% reported learning communication informally by observing mentors. Only 7.9% received formal training during residency, despite 91% recognizing its importance. Emotional impact was significant, with high levels of emotional involvement but also early signs of burnout. The COSTRUIRE survey identified the importance of structured communication skills training in Italian surgical residency. Addressing this gap may contribute to improving self-perceived competence and confidence in managing emotionally challenging clinical interactions.