Intervention
The interactive course was divided into 3 skill sets within a pediatric patient encounter: (1) Beginning the encounter , (2)Relationship-centered interviewing, and (3) Ending the encounter. Participants utilized these 3 skill sets in order to establish rapport, convey empathy, elicit patient/family perspectives, relay information, and make collaborative decisions with the patient/family. Each course had no more than 12 participants and was led by 2 ACH-trained TCH providers over 5.5 hours using a combination of didactic learning, small group discussions, and role-play skills practice. ACH-trained TCH providers were a multidisciplinary group from various subspecialties, including 4 pediatric subspecialists, 1 pediatric critical care advanced practice provider, 1 pediatric surgery advanced practice provider, 2 pediatric surgeons, 2 pediatric hospitalists, 2 general pediatricians, and 1 pediatric anesthesiologist.