Helping medical students to acquire a deeper understanding of truth-telling.

Détails

Ressource 1Télécharger: pmid26563958.pdf (372.02 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_88557C657957
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Helping medical students to acquire a deeper understanding of truth-telling.
Périodique
Medical education online
Auteur⸱e⸱s
Hurst S.A., Baroffio A., Ummel M., Burn C.L.
ISSN
1087-2981 (Electronic)
ISSN-L
1087-2981
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
20
Pages
28133
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Truth-telling is an important component of respect for patients' self-determination, but in the context of breaking bad news, it is also a distressing and difficult task.
We investigated the long-term influence of a simulated patient-based teaching intervention, integrating learning objectives in communication skills and ethics into students' attitudes and concerns regarding truth-telling. We followed two cohorts of medical students from the preclinical third year to their clinical rotations (fifth year). Open-ended responses were analysed to explore medical students' reported difficulties in breaking bad news.
This intervention was implemented during the last preclinical year of a problem-based medical curriculum, in collaboration between the doctor-patient communication and ethics programs.
Over time, concerns such as empathy and truthfulness shifted from a personal to a relational focus. Whereas 'truthfulness' was a concern for the content of the message, 'truth-telling' included concerns on how information was communicated and how realistically it was received. Truth-telling required empathy, adaptation to the patient, and appropriate management of emotions, both for the patient's welfare and for a realistic understanding of the situation.
Our study confirms that an intervention confronting students with a realistic situation succeeds in making them more aware of the real issues of truth-telling. Medical students deepened their reflection over time, acquiring a deeper understanding of the relational dimension of values such as truth-telling, and honing their view of empathy.

Mots-clé
Communication, Education, Medical, Undergraduate/methods, Female, Health Knowledge, Attitudes, Practice, Humans, Longitudinal Studies, Male, Physician-Patient Relations, Students, Medical/psychology, Surveys and Questionnaires, Truth Disclosure, United States
Pubmed
Création de la notice
18/11/2015 11:33
Dernière modification de la notice
20/08/2019 15:47
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