Measuring the Uptake of Disclosure and Apology Content in the American Medical School Curriculum

Abstract

Surveys were sent to deans and curriculum leaders of American medical schools regarding the teaching of disclosure and apology in the curriculum. One-hundred six medical schools responded (n = 106; 60% response rate) and results showed that disclosure and apology (also known as communication and resolution programs or CANDOR) is being taught in American medical schools but more work remains to develop consistent curriculum across all medical schools. The same survey (with slightly different wording) was sent to a commercial list of fourth year medical students; two hundred thirty students (n = 230, 17% response rate) representing 67 medical schools completed the survey. The students’ data – though not statistically significant – provides a glimpse into students’ feeling about this topic, including the desire to learn what happens after “sorry” and how cases can be resolved with disclosure, including the insurance, legal, and compensation aspects. Further avenues of research on this topic are suggested.