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National studies by the Joint Commission and the Institute of Medicine have demonstrated communication failures are the single largest contributing factor in serious medical errors. Partly in response to these studies, US residents require practice and feedback to meet Accreditation Council for Graduate Medical Education mandates for effective patient and family centered communication. Current instructional approaches rely heavily on lectures, rarely provide individualized feedback to residents about communication skills, and may not assure that residents acquire the skills desired by patients. The Video-based Communication Assessment (VCA) app is a novel tool for simulating communication scenarios for practice and obtaining crowdsourced assessments and feedback on physicians’ communication skills. The VCA has been shown to be effective for error disclosure training and is currently being tested as a tool to teach bystander response to observed microaggression. Residents at all training levels can potentially improve communication skills with VCA practice and feedback. After viewing this lecture, participants should be able to: 1. Recognize that communication skills are critical to the delivery of good medical care 2. Recognize that structured training can improve communication skills 3. Understand that novel smart phone-based communication training tools (VCA) may particularly benefit trainees in diagnostic specialties, such as pathology, with infrequent real-life practice opportunities. Suzanne Dintzis, MD, PhD Professor, Anatomic Pathology Department of Laboratory Medicine & Pathology University of Washington 11/16/22