Breaking Bad News in obstetrics: a randomized trial of simulation followed by debriefing or lecture

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Chavi Eve KarkowskyCynthia Chazotte

Abstract

Although communication skills represent an increasingly important aspect of medical care, little has been done to assess the best method of teaching these skills. Our study was designed to assess simulation-debriefing compared to lecture in teaching skills for Breaking Bad News (BBN) in obstetrics. This is a randomized prospective trial of house staff from a large academic medical center. Subjects initially underwent baseline simulation, followed by evaluation on BBN skills by themselves, a faculty observer, and the standardized patient (SP). The subjects were then immediately randomized to a debriefing session by faculty or to a lecture about BBN. Subsequently, both groups underwent a second simulation with the same three assessments, yielding post-intervention data. 35 subjects completed both simulations. Both debriefing and lecture curricula showed improvement in scores by self (p = 0.010) and faculty (p < 0.001). The debriefing group improved significantly more than the lecture group for self-evaluation; additionally, improvements were greater for the debrief group in verbal and nonverbal skills. Long-term follow-up three months after both interventions demonstrated continued improvement in BBN. Simulation training with deb...Continue Reading

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Citations

Jun 8, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Judith Johnson, Maria Panagioti
Dec 16, 2017·American Journal of Speech-language Pathology·Rinat Gold, Azgad Gold
Sep 20, 2019·Qualitative Health Research·Maria BrannSusanna Foxworthy Scott
Sep 19, 2019·World Journal of Urology·Cora GriffinKamran Ahmed
Nov 22, 2020·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Christine H MortonCynthia Chazotte
Jan 29, 2021·International Journal of Environmental Research and Public Health·Chungli BangStella Quah
Jan 17, 2021·Journal of Gynecology Obstetrics and Human Reproduction·Claire SzmulewiczPerrine Capmas
Dec 22, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Alexandra GueneucGihad E Chalouhi
Apr 4, 2021·International Journal of Environmental Research and Public Health·Sonia LippkeAnnalena Welp
May 28, 2020·Palliative Medicine Reports·Fernanda F OliveiraLisandra Stein Bernardes

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