Can Communication Skills Be Taught in a Multidisciplinary Maternal Fetal Care Center?

To evaluate a structured communication training for providers performing prenatal counseling for patients presenting to a multidisciplinary maternal fetal care center. Providers who care for pregnant patients with high-risk fetal conditions participated in two half-day virtual training sessions using the VitalTalk methodology. In each session, providers learned the methodology and then participated in role-play with standardized actors. Anonymous pre- and post-surveys were administered electronically via REDCap. Participants were asked about their preparedness and comfort performing communication skills and leading challenging conversations specific to prenatal counseling. 24 multidisciplinary providers participated. Clinical and prognostic uncertainty and balancing honesty with hope were the top factors making conversations difficult. Following the course, there was a significant increase in preparedness and comfort to perform all queried skills. Most providers felt a refresher course yearly or every 2-3 years would be helpful. An interactive, structured communication course can improve preparedness and comfort to deliver serious news in a cohort of multidisciplinary providers who care for pregnant patients with high-risk fetal conditions.