Learning In Practice

Learning needs assessment: assessing the need

BMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7330.156 (Published 19 January 2002) Cite this as: BMJ 2002;324:156

Assessing the Needs: The Use of a Self–Assessment Questionnaire in Interventional Radiology.

It is extremely encouraging for the future of training to read
Professor Grant’s article underlying the necessity for needs assessment in
today’s medical practice.
This is the concept that we have adopted in our department. We are in the
process of introducing the use of rapid rapport skills and methods of non
pharmacologic analgesia and anxiolysis for patients undergoing
interventional procedures in radiology. The training will take the form of
informal seminars/tutorials, an electronic, interactive teaching module
and will be part of the Continuing Medical Education (C.M.E) program in
Harvard Medical School.

The learning needs of the radiology personnel (radiologists, nurses,
physician assistant, technologists) are presently assessed by the use of a
self-assessment questionnaire, where emphasis is put on the level of
comfort or discomfort of the individual on matters of rapport and use of
non pharmacologic analgesia. An example of this follows:

Nonpharmacologic analgesia for Radiology Personnel
A Self - Assessment Tool.

Using Using the scale below, please rate your comfort level relating
to each of the following areas. Please use either a password or your name.

Password …………………………………

Completely at ease=1

Very at ease=2

Moderately at ease=3

A bit uneasy=4

Very Uneasy=5

1. Initiating communication with a relaxed patient


-Outside the procedure room


-On the procedure table

2.Initiating communication with a hostile patient


- Outside the procedure room


- On the procedure table

3.Proposing the use of hypnosis

4. Explaining the concept of self-hypnosis

5.Recognizing and addressing patient’s skepticisms re: self-hypnosis

6.Dealing with patient’s complaints

7.Recognizing patient’s preferred mode of communication(Visual,
olfactory, auditory, kinesthetic, gustatory)

8.Matching patient’s preferred mode of communication

9.Matching patient’s tone of voice and tempo of speech

10.Recognizing patient’s “comfort zone” (distance)

11.Matching patient’s “comfort zone”

12.Matching patient’s non-verbal communication (gestures, facial
expressions, postures, hand and leg positions)

13.“Mirroring” while avoiding “mimicking”

14.Pacing and leading the patient(Matching patient’s verbal and non
verbal communication, then leading to a resourceful state)

15.Encouraging the patient

16.Avoiding praise

17.Empowering the patient

18.Using non biased questions

19.Using “positive suggestions” instead of “negative suggestions”

20.Inducing hypnosis with a script

21.Inducing hypnosis without a script

22.Introducing and using ideomotor signals

23.Recognizing minimal cues

Competing interests: No competing interests

25 January 2002
Olga Hatsiopoulou
Research Fellow, Harvard Medical School and BIDMC.
Dr Elvira V Lang, Associate professor of Radiology and Medicine, Harvard Medical School
Department of Radiology,Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.