An assessment of residents' competence in the delivery of bad news to patients

Academic Medicine : Journal of the Association of American Medical Colleges
S EgglyR S Robertson

Abstract

To assess the level of residents' competence in delivering bad news to patients. In June 1995, 25 residents (of 116) in the Wayne State University general internal medicine residency program volunteered to participate in the study, which consisted of videotaped interviews of a simulated patient whose profile had been developed to highlight the delivery of a diagnosis of lung cancer. The residents were evaluated using an instrument based on a review of the current literature regarding the skills considered necessary for giving bad news in a caring and informative manner. The instrument contained 16 items, seven in the informative category and nine in the affective category. Each item was rated on a five-point Likert scale (from 1 = "doesn't do this" to 5 = "does this very well"). A rating of > or = 4 on any item indicated competence in the skill area measured by that item. All interviews included in the study were rated by all six of the authors. Interrater reliability was calculated to be .91. In all, 22 interviews (three by women, 19 by men) were included in the study. The residents' ages ranged from 26 to 35 years; the numbers of years since graduation from medical school ranged from two to six. Twenty were third- or fourth-y...Continue Reading

Citations

Sep 5, 2001·American Journal of Surgery·L CollettiD Stern
Sep 2, 2003·Social Science & Medicine·Temsak PhungrassamiUmard Aegem
Aug 23, 2002·Patient Education and Counseling·Bjöörn FossumTöres Theorell
Sep 11, 2002·Patient Education and Counseling·Lea UngarShmuel Reis
Feb 26, 1999·Patient Education and Counseling·L J CardozoR S Robertson
May 21, 2011·Health Communication·Maria Teresa Munoz SastreEtienne Mullet
Apr 30, 2005·Journal of Palliative Medicine·J A Tulsky
Feb 15, 2007·Journal of Palliative Medicine·Gary S Fischer, Robert M Arnold
Jan 28, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Marcy E RosenbaumJeffrey G Lobas
Sep 21, 2010·Clinical Medicine : Journal of the Royal College of Physicians of London·P BanerjeeS Koganti
Dec 2, 2010·Clinical Medicine : Journal of the Royal College of Physicians of London·Rory Conn, Philip A Berry
Feb 23, 2002·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Mohammed Jan, John P Girvin
Oct 31, 2002·Journal of General Internal Medicine·Jay D OrlanderGregory A Johnson
Dec 11, 2002·Journal of General Internal Medicine·Neil J FarberE Gil Boyer
Nov 26, 1999·Annals of Medicine·P M Ellis, M H Tattersall
Sep 10, 2003·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Johannes KruseWolfgang Tress
Apr 28, 2007·Journal of Surgical Education·Jeffrey G ChipmanSusan C Seatter
Feb 27, 2010·Clinical Pediatrics·Mark Eldon Harrison, Anne Walling
Apr 20, 2014·The American Journal of Hospice & Palliative Care·Leslie L HarrisPaul M Haidet
Nov 5, 2004·Hospital Medicine·Nusrat U Mir
Feb 19, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·F AlkazalehR Windrim
Oct 19, 2006·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Karin M Dent, John C Carey
Jun 27, 2015·Journal of Perinatal Medicine·Beatrice E LechnerG Jesse Bender
Mar 22, 2012·Pediatric Blood & Cancer·Kimberly S MillerCynthia A Gerhardt
Sep 5, 2020·PloS One·Alexandre NuzzoUNKNOWN University of Paris OSCE and SBT groups
Nov 2, 2001·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·J T Ptacek, J J Ptacek
Dec 1, 2004·Medical Education Online·Eric H GreenSuzanne Sarfaty

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