Individual training at the undergraduate level to promote competence in breaking bad news in oncology.

Détails

ID Serval
serval:BIB_2841CF29E644
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Individual training at the undergraduate level to promote competence in breaking bad news in oncology.
Périodique
Psycho-oncology
Auteur(s)
Berney A., Carrard V., Schmid Mast M., Bonvin R., Stiefel F., Bourquin C.
ISSN
1099-1611 (Electronic)
ISSN-L
1057-9249
Statut éditorial
Publié
Date de publication
12/2017
Peer-reviewed
Oui
Volume
26
Numéro
12
Pages
2232-2237
Langue
anglais
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Résumé
Training medical students in breaking bad news (BBN) in oncology may be key to improve patient care in an area where many physicians tend to be uncomfortable. Given the lack of evidence in the literature, this study aimed to assess empirically the impact of 2 teaching strategies to prepare students for the task of BBN in oncology: one-to-one simulated patient (SP) training with individual feedback (intervention group) vs small-group SP training with collective feedback (comparison group).
Fourth-year students (N = 236) were randomly assigned to the intervention or comparison group. The SP videotaped interviews were analyzed with respect to BBN communication performance, rated using the Calgary-Cambridge checklist of teaching objectives for BBN; verbal interaction behaviors, coded with the Roter interaction analysis system; and 7 nonverbal behaviors.
Students in the intervention group scored significantly higher after than before the training on the overall evaluation of the interview (P < .001) as well as on process skills (P < .001); they also obtained significantly higher scores compared to students in the comparison group on the overall evaluation of the interview (P < .001) and on process skills (P < .001).
This study supports an individualized BBN teaching strategy and contributes to efforts to find the best way to train and reach the largest number of future physicians to improve communication competences in oncology.
Mots-clé
Adult, Clinical Competence/standards, Communication, Education, Medical, Undergraduate, Educational Measurement, Female, Humans, Male, Patient Simulation, Physician-Patient Relations, Physicians, Professional Competence, Students, Medical/psychology, Truth Disclosure, Video Recording, breaking bad news, cancer, communication, communication skills training, individual supervision, oncology, undergraduate medical education
Pubmed
Web of science
Création de la notice
16/05/2017 9:35
Dernière modification de la notice
20/08/2019 13:07
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