Avatar-Mediated Training in the Delivery of Bad News in a Virtual World

Andrade, Allen D.; Bagri, Anita S.; Zaw, Khin; Roos, Bernard A.; Ruiz, Jorge G.

doi:10.1089/jpm.2010.0108

Cited by 79 publications

(106 citation statements)

References 30 publications

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“…Promising results have also been seen with a novel training approach using computer simulated standardized patients, although these lack nonverbal communication and emotional cues, which are so essential in the real world. 102 While available training courses are often directed at oncologists and oncology fellows, many patients have their diagnosis of cancer communicated by general practitioners or surgeons. 96,103 General practitioners are often also used as a sounding board for decisions and to verify information given by other physicians.…”

Section: Improving Communication Skillsmentioning

confidence: 99%

Deciding what information is necessary: do patients with advanced cancer want to know all the details?

Ward¹,

Russell²

2011

CMAR

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Abstract:Communicating effectively with patients who have advanced cancer is one of the greatest challenges facing physicians today. Whilst guiding the patient through complex diagnostic and staging techniques, treatment regimens and trials, the physician must translate often imprecise or conflicting data into meaningful personalized information that empowers the patient to make decisions about their life and body. This requires understanding, compassion, patience, and skill. This narrative literature review explores current communication practices, information preferences of oncology patients and their families, and communication strategies that may assist in these delicate interactions. Overwhelmingly, the literature suggests that whilst the majority of patients with advanced cancer do want to know their diagnosis and receive detailed prognostic information, this varies not only between individuals but also for a given individual over time. Barriers to the delivery and understanding of information exist on both sides of the physician-patient relationship, and family dynamics are also influential. Despite identifiable trends, the information preferences of a particular patient cannot be reliably predicted by demographic, cultural, or cancer-specific factors. Therefore, our primary recommendation is that the physician regularly asks the patient what information they would like to know, who else should be given the information and be involved in decision making, and how that information should be presented.

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Section: Improving Communication Skillsmentioning

confidence: 99%

Deciding what information is necessary: do patients with advanced cancer want to know all the details?

Ward¹,

Russell²

2011

CMAR

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“…These learning tools are frequently referred to as Virtual Patients (VPs), but have also been labeled Interactive Simulated patients, Simulated Cases or Avatars Ellaway et al 2008;Andrade et al 2010). VPs may be used throughout the medical school curriculum including pre-clinical courses .…”

Section: Introductionmentioning

confidence: 99%

Virtual Patients for assessment of medical student ability to integrate clinical and laboratory data to develop differential diagnoses: Comparison of results of exams with/without time constraints

Gunning

Fors

2012

Medical Teacher

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Introduction: We have evaluated medical student ability in a problem-based learning course using a Virtual Patient (VP)-based exam with variable parameters for assessment purposes. Methods: A class of 155 second year medical students was assessed using a VP exam with unlimited access during a 1-week period; 2 years later, the identical exam was administered to 175 students with a 3-h time limit. Results: Students taking the exam without time constraints utilized approximately twice as much time than students with the time limit. Without the pressure of a time-limit, students utilized half as many inquiries of the patient history, physical, and lab/imaging tests than were used by students having a time constraint, indicating that the time limited students used a ''shotgun approach'' to try to collect as many ''required'' inquiries as possible. Most students (91%) taking the untimed exam were able to correctly diagnose the exam case but only 31% of the time limited students correctly diagnosed the VP exam case, despite their higher number of inquiries.Conclusions: Our results demonstrate that an identical VP exam, administered with variables to compare untimed versus timelimited conditions, resulted in an unraveling of student's ability to integrate the data discovered during the process of progressive disclosure.

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“…Ceci pourrait souligner la nécessité que les dispositifs de formation à la communication d'une mauvaise nouvelle doivent, indépendamment de leurs modalités pédagogiques, être développés sur une durée minimale. Certains auteurs considèrent d'ailleurs que des séances de consolidation de l'apprentissage sont nécessaires pour optimiser la pratique de l'annonce d'une mauvaise nouvelle [27,28] . Par ailleurs, ces discordances de résultats pourraient Au-delà de ses aspects purement métrologiques, le questionnaire de Farber soulève par ailleurs certaines questions et on pourrait considérer que la conception selon laquelle, pour chacune des vignettes abordées respectivement dans chaque question, il n'existe qu'une seule réponse juste est en partie réductrice, notamment au regard de considé-rations éthiques ou même simplement psychologiques : les réponses sont très prescriptives et laissent peu de place à la complexité et à l'incertitude.…”

Section: Discussionunclassified

Étude préliminaire des effets à court et long terme d’un dispositif de formation à la communication d’une mauvaise nouvelle

Ibrahim¹,

Maalouly²,

Nemr³

et al. 2013

Pédagogie Médicale

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Avatar-Mediated Training in the Delivery of Bad News in a Virtual World

Cited by 79 publications

References 30 publications

Deciding what information is necessary: do patients with advanced cancer want to know all the details?

Deciding what information is necessary: do patients with advanced cancer want to know all the details?

Virtual Patients for assessment of medical student ability to integrate clinical and laboratory data to develop differential diagnoses: Comparison of results of exams with/without time constraints

Étude préliminaire des effets à court et long terme d’un dispositif de formation à la communication d’une mauvaise nouvelle

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