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Pre Meeting Course Submissions

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Fundamentals of Communication in Surgery (FCS) Train-the-Trainer

Description of Course:

Participants will learn to deliver Fundamentals of Communication in Surgery sessions to surgical residents at their institution. The training will review program content, materials, and tips for teaching residents. Participants will practice the FCS skillset to foster confidence in teaching these skills to surgical trainees.
Content includes:
1. 2-Minute Rant: improv exercise to discover common ground among shared values underlying expressions of frustration.
2. Avoiding the Cognitive Trap: card game to teach learners to recognize and respond to emotionally charged statements by using empathic responses.
3. Heads Up and Headline: card game and worksheet to learn delivery of serious news to patients and families by stating bad event + consequences.
4. Better Conversations: worksheets and role play exercise to apply this novel framework to informed consent conversations teaching the skill of supporting patients and families in deliberation.
5. Acute Change in Status: worksheet and role play exercise to practice using best- and worst-case scenarios to express uncertainty about the range of possible outcomes and generate narrative descriptions of the experience of care to help patients and families understand what might come next.
After the course, our team will provide participants with the necessary materials and ongoing support to launch the FCS curriculum at their own institutions. For more information, please visit our website at: https://fcsprogram.org/

Submitter Name:Carly Sobol
Past ASE Roles:Resident Member
Previously Presented?No
Target Audience:Attending surgeons and surgical education faculty eager to learn novel communication skills applicable to all conversations with patients and families and interested in facilitating FCS for surgical residents at their home institutions. While all other ASE conference participants, including surgical trainees, are welcome to attend, FCS requires attending surgeons to teach the curriculum locally.
Length of Proposed Pre-Meeting Course

Half Day

Time Frame of Proposed Pre-Meeting Course

1:00 pm - 5:00 pm

Course Objective 1

Participants will learn and practice the FCS skillset: empathic response to avoid the cognitive trap, generate a heads up and headline statement, clarify goals and downsides of surgery using the Better Conversation framework for informed consent, and use scenario planning and Best Case/Worst Case for prognostication and decision making

Course Objective 2

Participants will demonstrate application of the FCS skillset with high fidelity through exercises, games, and role play with peers

Course Objective 3

Participants will practice providing constructive feedback during scenario planning and Better Conversations role play

Course Objective 4

Participants will prepare to launch the FCS curriculum with surgical residents at their institutions

Course Objective 5

Participants will identify potential pitfalls and respond to common questions when delivering FCS to resident learners

Activity Order Title of Presentation or Activity Presenter/Faculty Name Presenter/Faculty Role Presenter/Faculty Email Presenter/Faculty Institution Time allotted in minutes for activity

1

Intro to FCS: Background and Curriculum Overview

Gretchen Schwarze

Speaker

schwarze@surgery.wisc.edu

University of Wisconsin

5

2

Train the Trainer Objectives and the Role of the Trainer

Katherine Hill

Session Lead

katherine.hill2@hsc.wvu.edu

West Virginia University

5

3

The 2-Minute Rant Didactic Video and Activity

Amber Shada

Moderator

shada@surgery.wisc.edu

University of Wisconsin

15

4

The 2-Minute Rant Participant Debrief, Teaching Pearls, Pitfalls, and FAQs

Amber Shada

Moderator

shada@surgery.wisc.edu

University of Wisconsin

10

5

Avoiding the Cognitive Trap Didactic Video and Activity

Adham Saad

Moderator

adhamsaad@usf.edu

University of South Florida

15

6

Avoiding the Cognitive Trap Debrief, Teaching Pearls, Pitfalls, and FAQs

Adham Saad

Moderator

adhamsaad@usf.edu

University of South Florida

10

7

Better Conversations #1 Didactic Video and Activities

Courtney Morgan

Moderator

morganc@surgery.wisc.edu

University of Wisconsin

35

8

Better Conversations #1 Debrief, Teaching Pearls, Pitfalls, and FAQs

Courtney Morgan

Moderator

morganc@surgery.wisc.edu

University of Wisconsin

10

9

Break

Katherine Hill

Session Lead

katherine.hill2@hsc.wvu.edu

West Virginia University

20

10

Better Conversations #2 and #3 Introduction

Katherine Hill

Speaker

katherine.hill2@hsc.wvu.edu

West Virginia University

20

11

Heads Up and Headline Didactic Video and Activity

Carly Sobol

Moderator

csobol@uwhealth.org

University of Wisconsin

20

12

Heads Up and Headline Debrief, Teaching Pearls, Pitfalls, and FAQs

Morgan Cribbin

Moderator

cribbinmp@upmc.edu

UPMC

10

13

Acute Change in Status Didactic Video and Role Play Activity

Anna Newcomb

Moderator

anna.newcomb@inova.org

INOVA

30

14

Acute Change in Status Debrief, Teaching Pearls, Pitfalls, and FAQs

Anna Newcomb

Moderator

anna.newcomb@inova.org

INOVA

10

15

Teaching ‘In the Moment’ Skills for Providing Trainees Real Time Feedback

Katherine Hill

Speaker

katherine.hill2@hsc.wvu.edu

West Virginia University

20

16

Course Wrap Up, Q&A, and Program Evaluation Survey

Carly Sobol

Moderator

csobol@uwhealth.org

University of Wisconsin

5

Strategic Plan:

FCS directly addresses three of ASE’s Strategic Plan goals: Goal 1: increase membership, Goal 4: Leadership, and Goal 5: Innovation.

FCS will support Goal 1: Membership, through increasing potential membership of surgical educators and increasing member engagement. We have proven interest in the FCS curriculum across surgery residency programs and in surgical education in general. By providing Train-the-Trainer at ASE and through promoting the workshop through our website and by email, we will support the ASE’s goal to increase membership and engagement, especially among those interested in surgical communication innovations.

FCS will support Goal 4: Leadership through developing leaders in surgical education. The FCS curriculum was developed by a multi-institutional team of surgeons and educators across the country at various career stages. FCS provides a platform to connect with surgeons at all stages and engage them in improving their own and their trainees’ communication skills to benefit patient care. Further since the curriculum is taught to residents and many have testified to the fact that the curriculum material is directly useful in their clinical work, this positive educational experience can encourage residents to prioritize education in their career and become surgical education leaders in their own right.

FCS will support Goal 5: Innovation through augmenting professional and faculty development and promoting programs in novel areas. As previously noted, FCS is a novel curriculum, addressed at an area of surgical education where there is a direct need. Typically, we are limited in how many trainers we can train to provide FCS by the difficulty of scheduling time on busy clinical calendars and by the limited resources of our team. By providing this course in a centralized way, the ASE can train a larger number of attending surgeons and surgical educators than would otherwise be possible. FCS’s participation will also strengthen ASE’s status at the cutting edge of surgical education and communication skills training.

Measurement/Outcomes/Impact: How will the success of the project be measured against the objectives listed above?

Success will be measured by participant attendance, engagement with activities, including completion of peer role play scoring rubrics, and completion of post course program evaluation survey.

Measurement/Outcomes/Impact: What outcomes, if met, will demonstrate project success?

We will consider this course successful if attendance includes at least 20 surgeons, >90% of participants complete peer role play activities and associated scoring rubrics demonstrating use of the FCS skillset with high fidelity, and the post course evaluation survey results show acceptability of course content, timing, teaching methods, and participant confidence in feeling prepared to teach FCS to residents.

Measurement/Outcomes/Impact: Describe the impact you expect this project will have on the organization and surgical education in general?

There is currently no standardized curriculum for surgical communication for residents despite the need for all surgeons to obtain consent and communicate with patients and families during the course of surgical care. While some researchers have developed ad hoc methods for teaching residents communication skills, they are not standardized.

FCS is well poised to provide a solution through this novel curriculum built by our multi-institutional team using Kern’s six step model for curriculum development. FCS was thoughtfully designed to be scalable and easy to implement in a busy surgical education setting, requiring only 2 hours per resident-learner per year, and supported by materials and pre-recorded didactics from the FCS team. Our curriculum is proven in that >100 resident participants to date have completed one year of FCS with favorable review of the program. Residents appreciate adult learning theory applied in sessions to promote active learning, emphasizing drills over didactics with delivery of real-time feedback. Faculty trainers have provided excellent feedback on our Train-the-Trainer model, helping them learn FCS content and support facilitating FCS for their residents.

Our team was fortunate to receive funding from the CESERT Pyramid Grant to propel this work forward, and Carly Sobol, MD, received the plenary award for our FCS presentation at ASE last May in Seattle.

Budget

AV $800
Water, coffee, and packaged snacks $850

Will CME be offered for Proposed Pre-Meeting Course?

No, CME will not be offered.

Registration Fee for Proposed Pre-Meeting Course:

$100.00

If not selected as a Pre-Meeting Course, are you interested in converting the topic to a Workshop or Panel?

Yes

Please briefly explain how you would convert into either a Panel (60 minutes) or Workshop (90 minutes)

A 90-minute workshop would be feasible by narrowing the scope of our objectives. We would reduce the didactic component of our proposed course and instead focus on practicing the FCS skillset, including the Better Conversations framework and Acute Change in Status. We would model this off of our highly attended and well-received at the 2025 ASE workshop on 5/9/25.

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