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

Berney, Alexandre; Carrard, Valérie; Mast, Marianne Schmid; Bonvin, Raphael; Stiefel, Friedrich; Bourquin, Céline

doi:10.1002/pon.4452

Cited by 35 publications

(43 citation statements)

References 33 publications

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“…When comparing our results with those of the initial study, 9 Note. N = 120:60 intervention group students and 60 comparison group students.…”

Section: Resultsmentioning

confidence: 70%

“…7,9 In short, 236 fourth-year medical students of Lausanne University Medical School (Switzerland) participating in a BBN course were randomly assigned to one out of two conditions: an intervention or comparison group (see Figure 1). 7,9 In short, 236 fourth-year medical students of Lausanne University Medical School (Switzerland) participating in a BBN course were randomly assigned to one out of two conditions: an intervention or comparison group (see Figure 1).…”

Section: Existing Data Setmentioning

confidence: 99%

“…[1][2][3][4] In training, this task is of considerable pedagogical value, because breaking bad news (BBN) includes informing patients about complex and threatening medical issues and handling emotions generated by the information on both the physician and the patient side. 8 This paper is the continuation of an initial study 9 comparing the effect of two teaching formats in an undergraduate BBN communication course. 8 This paper is the continuation of an initial study 9 comparing the effect of two teaching formats in an undergraduate BBN communication course.…”

Section: Introductionmentioning

confidence: 99%

“…9 Since understanding how patients assess and react to the behavioral styles of health care professionals is of utmost importance in clinical communication research, the present study aimed to further explore and gain insights into the perspective of patients on this individualized teaching approach. 9 Since understanding how patients assess and react to the behavioral styles of health care professionals is of utmost importance in clinical communication research, the present study aimed to further explore and gain insights into the perspective of patients on this individualized teaching approach.…”

Section: Introductionmentioning

confidence: 99%

“…Three satisfaction measures were included.The first is an overall impression single item ("Overall, I had a very good impression of this physician"), adapted from the OSCE overall impression rated by the experts in the initial study ("What is your overall impression of the student") 9,18. They evaluated the medical students' SP interviews on several variables commonly used when exploring the perspective of patients: 20 patient satisfaction with the consultation, trust in the physician, liking of the physician, and evaluation of the physician's competence.…”

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confidence: 99%

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Undergraduate training in breaking bad news: A continuation study exploring the patient perspective

et al. 2019

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Objective: This paper reports on the continuation of an initial study that demonstrated the effectiveness, as rated by experts, of an undergraduate training in breaking bad news (BBN) using simulated patient (SP) and individual feedback. The current study aimed to further explore whether such an individualized training approach also has positive effects from the perspective of the patient, using the analogue patient (AP) methodology. Methods:A subsample of 180 videotaped interviews with SPs were selected from the existing data set (N = 332), consisting of 60 pre-and post-training interviews of students benefiting from the individualized approach (intervention group) and 60 post-training interviews of students having small-group SP training and collective supervision (comparison group). Sixty-eight APs-healthy untrained observers-were asked to view the videotaped interviews while "putting themselves in the patient's shoes" and evaluate satisfaction, trust, liking, and the competence of medical students. Results:The intervention group students improved significantly from pre-to posttraining on several dimensions evaluated by the APs: patient satisfaction, trust in the student, liking of the student, and perceived medical competence. Increased AP satisfaction was related to different changes in students' communication behavior between pre-and post-training: increase in positive talk, emotional responsiveness, biomedical and psychosocial information, and biomedical counseling. There was no significant between-group difference at post-training.Conclusions: AP evaluation showed significant improvement between pre-and post-training. This result provides additional and complementary evidence of the positive effects of individualized training in BBN from the AP perspective, a proxy of (real) patients. KEYWORDSbreaking bad news, cancer, communication training, medical students, oncology, patient outcome Valerie Carrard and Céline Bourquin contributed equally to the present study and are both considered first authors.

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“…When comparing our results with those of the initial study, 9 Note. N = 120:60 intervention group students and 60 comparison group students.…”

Section: Resultsmentioning

confidence: 70%

Section: Existing Data Setmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Undergraduate training in breaking bad news: A continuation study exploring the patient perspective

et al. 2019

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Interventions for improving medical students' interpersonal communication in medical consultations

Gilligan

Powell

Lynagh

et al. 2021

Cochrane Database of Systematic Reviews

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Cancer patients’ experiences and preferences when receiving bad news: a qualitative study

Krieger

Salm

Dresen

et al. 2022

J Cancer Res Clin Oncol

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Purpose Receiving a cancer diagnosis significantly impacts patients’ lives, and how the bad news is delivered influences patients’ trajectory, psychosocial adjustment and openness to psycho-oncological support. We explored how patients’ experiences, reactions and preferences were when receiving the news and which optimization recommendations can be made. Methods We conducted an exploratory qualitative study with patients who enrolled in the new integrated cross-sectoral psycho-oncological care programme ‘isPO’, being enrolled 12 months post-diagnosis. Data on the main issue (i.e. perception of the moment when the diagnosis is received) were collected via telephone interviews that were fully audiotaped and transcribed. Two independent coders conducted inductive content analyses using MAXQDA. Results Out of 38 approached patients, 23 cancer patients with 13 different tumour entities participated. They had a mean age of 54.2 (SD 16.2); n = 17 (74%) were female. Three major themes with 14 corresponding subthemes emerged: (1) patients’ experiences with the bad news delivery, including setting, mode, preparation and perceived needs; (2) patients’ reactions to the bad news, such as shock, fear and helplessness, disbelief and denial, anger and feeling of injustice, thankfulness and depression; and (3) patients’ receiving preferences, including psycho-oncological support, addressing informational needs, needs-driven comprehensive support and a competent multidisciplinary support team. Conclusions The quality of bad news delivery and addressing patients’ needs should be strongly considered by physicians. We recommend integrating patients’ perspective on the quality management processes of breaking bad news. For providing needs-centred high-quality care, applying existing guidelines and acquiring patient-centred communication skills are central.

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

Abstract: 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.

Cited by 35 publications

References 33 publications

Undergraduate training in breaking bad news: A continuation study exploring the patient perspective

Undergraduate training in breaking bad news: A continuation study exploring the patient perspective

Interventions for improving medical students' interpersonal communication in medical consultations

Cancer patients’ experiences and preferences when receiving bad news: a qualitative study

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