Effectiveness of Integrating Simulation with Art-Based Teaching Strategies on Oncology Fellows’ Performance Regarding Breaking Bad News

Abstract

The task of breaking bad news (BBN) may be improved by incorporating simulation with art-based teaching methods. The aim of the present study was to assess the effect of an integrating simulation with art-based teaching strategies, on fellows' performance regarding BBN, in Iran. The study was carried out using quasi-experimental methods, interrupted time series. The participants were selected from medical oncology fellows at two teaching hospitals of Tehran University of Medical Sciences (TUMS), Iran. Participants were trained through workshop, followed by engaging participants with different types of art-based teaching methods. In order to assess the effectiveness of the integrating model, fellows' performance was rated by two independent raters (standardized patients (SPs) and faculty members) using the BBN assessment checklist. This assessment tool measured seven different domains of BBN skill. Segmented regression was used to analyze the results of study. Performance of all oncology fellows (n = 19) was assessed for 228 time points during the study, by rating three time points before and three time points after the intervention by two raters. Based on SP ratings, fellows' performance scores in post-training showed significant level changes in three domains of BBN checklist (B = 1.126, F = 3.221, G = 2.241; p < 0.05). Similarly, the significant level change in fellows' score rated by faculty members in post-training was B = 1.091, F = 3.273, G = 1.724; p < 0.05. There was no significant change in trend of fellows' performance after the intervention. Our results showed that using an integrating simulation with art-based teaching strategies may help oncology fellows to improve their communication skills in different facets of BBN performance. Iranian Registry of Clinical Trials ID: IRCT2016011626039N1.

Art in Medical Education: A Review

“…Upon further review, 28 articles were selected for inclusion owing to their detailed methodologies and analyses, including 16 describing art education with medical students (TABLE 1) [3][4][5][6][7][8][9][10][11][13][14][15][16][17][18][19] and 12 involving residents (TABLE 2). 12,[20][21][22][23][24][25][26][27][28][29][30] Some interventions relied on professional art curators to teach fine art to participants, while others used artistically minded clinicians. The duration of the projects ranged from 1 to 17 sessions.…”

Do medical records outsourcing affect insurance deductions? An Interrupted time series in Qazvin’s trauma center

“…Thereafter, the interrupted time series method and the segmented regression analysis were used for the data obtained during 48 months. The interrupted time method was applied since it has recently been extensively used to evaluate the effects of health interventions and health policy interventions (16)(17). The autocorrelation condition and seasonal effects should be considered to perform this plan: autocorrelation is usually present in the time series data and it is defined as the correlation between the response variable at time t and the response variable at times t-1 and t-2 (19).…”

Roleplay as an Educational Strategy in Palliative Care: A Systematic Integrative Review

“…Regarding the population, most studies were carried out with healthcare professionals (physicians, nursing professionals, pharmacists, social service personnel, and ethicists) (n ¼ 16, 47%) [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] and undergraduate medical and nursing students (n ¼ 12, 35%). [31][32][33][34][35][36][37][38][39][40][41][42] The remaining studies (n ¼ 6, 18%) were carried out with healthcare students and professionals simultaneously, 7,[43][44][45] with volunteers 46 or with patients suffering from serious diseases and their caregivers.…”