Breaking bad news is a teachable skill in pediatric residents: A feasibility study of an educational intervention

Patient Education and Counseling
Suzanne ReedRichard Shell

Abstract

Patients and physicians identify communication of bad news as a skill in need of improvement. Our objectives were to measure change in performance of first-year pediatric residents in the delivery of bad news after an educational intervention and to measure if changes in performance were sustained over time. Communication skills of 29 residents were assessed via videotaped standardized patient (SP) encounters at 3 time points: baseline, immediately post-intervention, and 3 months post-intervention. Educational intervention used was the previously published "GRIEV_ING Death Notification Protocol." The intraclass correlation coefficient demonstrated substantial inter-rater agreement with the assessment tool. Performance scores significantly improved from baseline to immediate post-intervention. Performance at 3 months post-intervention showed no change in two subscales and small improvement in one subscale. We concluded that breaking bad news is a complex and teachable skill that can be developed in pediatric residents. Improvement was sustained over time, indicating the utility of this educational intervention. This study brings attention to the need for improved communication training, and the feasibility of an education interv...Continue Reading

References

Aug 14, 1996·JAMA : the Journal of the American Medical Association·J T Ptacek, T L Eberhardt
May 21, 1999·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·J T PtacekJ J Ptacek
May 1, 1996·Academic Medicine : Journal of the Association of American Medical Colleges·M E RosenbaumD A Sloan
Apr 24, 2003·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Catherine E DubéGary J Burkholder
Mar 1, 1959·Psychological Bulletin·D T CAMPBELL, D W FISKE
Jan 28, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Marcy E RosenbaumJeffrey G Lobas
Apr 5, 2005·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Cherri HobgoodWilliam Davis
Sep 21, 2005·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jennifer W MackJoanne Wolfe
Mar 14, 2007·Archives of Internal Medicine·Anthony L BackJames A Tulsky
Feb 1, 2008·Medical Teacher·Susan R Swing
May 12, 2009·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Ahmed EidReed Thompson
Feb 26, 2010·Teaching and Learning in Medicine·Cherri D HobgoodSusan Sawning
Feb 27, 2010·Clinical Pediatrics·Mark Eldon Harrison, Anne Walling
Mar 9, 2010·Academic Pediatrics·Jerry L RushtonCarol L Carraccio
Apr 20, 2010·International Journal of Psychophysiology : Official Journal of the International Organization of Psychophysiology·Robert L HulsmanEllen M A Smets
Jun 4, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Michael L Green, Eric Holmboe
Jan 29, 2011·Cardiology in the Young·Anna-Lena BirkelandAnnika Rydberg
Apr 20, 2011·Patient Education and Counseling·Jan C Wouda, Harry B M van de Wiel
May 21, 2011·Health Communication·Maria Teresa Munoz SastreEtienne Mullet
Oct 7, 2011·Journal of Graduate Medical Education·Patricia J HicksCarol Carraccio
Jun 29, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Cherri HobgoodJane H Brice
Jul 23, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·David A TurnerUNKNOWN Education in Pediatric Intensive Care (EPIC) Investigators

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Citations

Oct 31, 2016·Survey of Ophthalmology·Sarah M HilkertShira L Robbins
Jan 17, 2019·Journal of Adolescent and Young Adult Oncology·Stefan EssigAlexander Kiss
Aug 30, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Jennita G MeinemaNynke van Dijk
Jan 3, 2019·Pediatric Emergency Care·Muhammad Waseem, Elizabeth Horsley
Jun 13, 2020·Journal of Palliative Care·Meaghann S WeaverMelissa Contreras-Nourse
Jul 28, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Kavita KasatMarty Ellington
Mar 14, 2017·International Journal of Pediatrics·Mindy K RossMark S Pian
Sep 26, 2017·Clinical Journal of Oncology Nursing·Meridith BumbJanine Overcash
Feb 23, 2018·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Afsaneh YakhforoshhaMandana Shirazi
Oct 27, 2020·Frontiers in Psychology·Diego De LeoCristina Anile
Apr 9, 2021·BMC Medical Education·Kátia Laureano Dos SantosErik Montagna

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