Students' experiences with a longitudinal skills training program on breaking bad news: A follow-up study

Patient Education and Counseling
M BrouwersE M van Weel-Baumgarten

Abstract

Breaking bad news (BBN) should be trained, preferably early and following a helical model with multiple sessions over time, including feedback on performance. It's unclear how medical students evaluate such an approach. We gathered student opinions regarding a helical BBN training programme, the feedback and emotional support they received, and the applicability of the skills training immediately after BBN skills training (Q1) and after finishing their clinical clerkships (Q2). Students find a helical curriculum useful, but this declines on follow-up. At Q2 students report less satisfaction with the amount of feedback and emotional support they received and report that the skills training was less applicable in clinical practice compared to what they reported at Q1. A helical BBN training programme with early exposure seems to lead to a shift from students being unconsciously incompetent to consciously incompetent. Students would have appreciated more emotional support and feedback. We recommend more feedback and emotional support after BBN during clerkships. The gap between classroom and practice can be diminished by emphasizing real life role play and clinical role models should demonstrate continuity and agreement between th...Continue Reading

Citations

Dec 10, 2020·AIMS Public Health·Mumen Abdalazim DafallahMohamed H Ahmed
May 1, 2021·Patient Education and Counseling·Thomas Dale MacLaineJeremy Dale
May 14, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Elizabeth CarrollAriane Lewis
Aug 6, 2021·The American Journal of Hospice & Palliative Care·Lucas Mariano Santos NovaesAna Cláudia Mesquita Garcia

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