An Overview of Teaching Communication of Bad News in Medical School: Should a Lecture be Adequate to Address the Topic?
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Data de Publicação: | 2016 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909 |
Resumo: | Introduction: Delivering bad news is very common in medical daily practice. Several studies have shown a lack of effective communication skills amongst medical students, particularly concerning how to deliver bad news. The SPIKES protocol allows communicating bad news in a 6-step method. The aim of this study is to investigate the perspective of students related to this subject.Material and Methods: A 45 minute lecture “Breaking Bad News” was given to 160 students in the fifth and sixth years of the Medicine course, using the SPIKES’ protocol training. After the lecture, an online survey was given to all students, and a cross-sectional and descriptive analysis of data extracted from survey was undertaken.Results: Fifty-four students (21% of overall) answered the online survey. Eighty three percent said that theme should have an important role in their further daily medical practice, and most of students rated the physicians’ role as challenging. Sixty percent of students expressed that communicating bad news was an integral part of the medical course curriculum. Regarding the SPIKES´ protocol, 48% felt that the first step would be the easiest to put in practice, and 40% felt that the fifth step related to “Emotions” would be the most difficult.Discussion: In general, the students would like to gain competencies in breaking bad news using a practical approach Conclusions: Students highly valued theoretical and practical approaches in teaching of communication of bad news. Therefore, we encourage a combination approach in pre-graduate medical education. |
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An Overview of Teaching Communication of Bad News in Medical School: Should a Lecture be Adequate to Address the Topic?Uma Visão Geral do Ensino de Comunicação de Más Notícias no Curso de Medicina: Será Uma Aula Teórica Adequada para Abordar o Tema?Clinical CompetenceCommunicationEducationMedicalUndergraduatePortugalStudentsTruth DisclosureCompetência ClínicaComunicaçãoEnsino Médico Pré-graduadoEstudantes de MedicinaPortugalRevelação da Verdade.Introduction: Delivering bad news is very common in medical daily practice. Several studies have shown a lack of effective communication skills amongst medical students, particularly concerning how to deliver bad news. The SPIKES protocol allows communicating bad news in a 6-step method. The aim of this study is to investigate the perspective of students related to this subject.Material and Methods: A 45 minute lecture “Breaking Bad News” was given to 160 students in the fifth and sixth years of the Medicine course, using the SPIKES’ protocol training. After the lecture, an online survey was given to all students, and a cross-sectional and descriptive analysis of data extracted from survey was undertaken.Results: Fifty-four students (21% of overall) answered the online survey. Eighty three percent said that theme should have an important role in their further daily medical practice, and most of students rated the physicians’ role as challenging. Sixty percent of students expressed that communicating bad news was an integral part of the medical course curriculum. Regarding the SPIKES´ protocol, 48% felt that the first step would be the easiest to put in practice, and 40% felt that the fifth step related to “Emotions” would be the most difficult.Discussion: In general, the students would like to gain competencies in breaking bad news using a practical approach Conclusions: Students highly valued theoretical and practical approaches in teaching of communication of bad news. Therefore, we encourage a combination approach in pre-graduate medical education.Introdução: A comunicação de más notícias é muito comum na prática médica diária. Vários estudos têm demonstrado um défice de competências por parte dos estudantes de medicina quanto à forma de dar más notícias. Com a aplicação do protocolo SPIKES torna-se possível adquirir treino de competências relacionadas com tal questão em seis etapas. O objetivo deste estudo é investigar a perspetiva dos estudantes sobre o problema.Material e Métodos: Uma palestra de 45 minutos sobre “Comunicação de Más Notícias” visou os 160 estudantes do quinto e sexto ano de Medicina, usando o treino segundo protocolo de SPIKES. Após a palestra, foi implementado um inquérito online a todos os alunos, e foi realizada uma análise transversal e descritiva dos dados extraídos da pesquisa.Resultados: Cinquenta e quatro alunos (21% do total) responderam ao questionário online. Oitenta e três por cento afirmaram que o tema deverá ter um papel importante na sua futura prática médica diária, e a maioria dos estudantes avaliou o papel dos médicos como desafiante. Sessenta por cento dos estudantes expressaram que comunicar más notícias fez parte integrante do currículo do curso de medicina. Em relação ao protocolo de SPIKES, 48% sentiram que o primeiro passo seria o mais fácil de colocar em prática, e 40% sentiram que o quinto passo relacionado com as “Emoções” seria o mais difícil.Discussão: Em geral, os alunos gostariam de se sentir capacitados para obter competências nas más notícias usando uma abordagem prática.Conclusões: Os estudantes valorizam as abordagens teóricas e práticas no ensino da comunicação de más notícias. Deste modo, recomenda-se um modelo pedagógico combinado na educação médica pré-graduada.Ordem dos Médicos2016-12-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/mswordapplication/pdfapplication/pdfapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909oai:ojs.www.actamedicaportuguesa.com:article/7909Acta Médica Portuguesa; Vol. 29 No. 12 (2016): December; 826-831Acta Médica Portuguesa; Vol. 29 N.º 12 (2016): Dezembro; 826-8311646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909/4865https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909/8548https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909/8609https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909/8734https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909/8735https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909/8778Direitos de Autor (c) 2016 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessCoutinho, FilipeRamessur, Anisha2022-12-20T11:05:21Zoai:ojs.www.actamedicaportuguesa.com:article/7909Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:30.949337Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
An Overview of Teaching Communication of Bad News in Medical School: Should a Lecture be Adequate to Address the Topic? Uma Visão Geral do Ensino de Comunicação de Más Notícias no Curso de Medicina: Será Uma Aula Teórica Adequada para Abordar o Tema? |
title |
An Overview of Teaching Communication of Bad News in Medical School: Should a Lecture be Adequate to Address the Topic? |
spellingShingle |
An Overview of Teaching Communication of Bad News in Medical School: Should a Lecture be Adequate to Address the Topic? Coutinho, Filipe Clinical Competence Communication Education Medical Undergraduate Portugal Students Truth Disclosure Competência Clínica Comunicação Ensino Médico Pré-graduado Estudantes de Medicina Portugal Revelação da Verdade. |
title_short |
An Overview of Teaching Communication of Bad News in Medical School: Should a Lecture be Adequate to Address the Topic? |
title_full |
An Overview of Teaching Communication of Bad News in Medical School: Should a Lecture be Adequate to Address the Topic? |
title_fullStr |
An Overview of Teaching Communication of Bad News in Medical School: Should a Lecture be Adequate to Address the Topic? |
title_full_unstemmed |
An Overview of Teaching Communication of Bad News in Medical School: Should a Lecture be Adequate to Address the Topic? |
title_sort |
An Overview of Teaching Communication of Bad News in Medical School: Should a Lecture be Adequate to Address the Topic? |
author |
Coutinho, Filipe |
author_facet |
Coutinho, Filipe Ramessur, Anisha |
author_role |
author |
author2 |
Ramessur, Anisha |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Coutinho, Filipe Ramessur, Anisha |
dc.subject.por.fl_str_mv |
Clinical Competence Communication Education Medical Undergraduate Portugal Students Truth Disclosure Competência Clínica Comunicação Ensino Médico Pré-graduado Estudantes de Medicina Portugal Revelação da Verdade. |
topic |
Clinical Competence Communication Education Medical Undergraduate Portugal Students Truth Disclosure Competência Clínica Comunicação Ensino Médico Pré-graduado Estudantes de Medicina Portugal Revelação da Verdade. |
description |
Introduction: Delivering bad news is very common in medical daily practice. Several studies have shown a lack of effective communication skills amongst medical students, particularly concerning how to deliver bad news. The SPIKES protocol allows communicating bad news in a 6-step method. The aim of this study is to investigate the perspective of students related to this subject.Material and Methods: A 45 minute lecture “Breaking Bad News” was given to 160 students in the fifth and sixth years of the Medicine course, using the SPIKES’ protocol training. After the lecture, an online survey was given to all students, and a cross-sectional and descriptive analysis of data extracted from survey was undertaken.Results: Fifty-four students (21% of overall) answered the online survey. Eighty three percent said that theme should have an important role in their further daily medical practice, and most of students rated the physicians’ role as challenging. Sixty percent of students expressed that communicating bad news was an integral part of the medical course curriculum. Regarding the SPIKES´ protocol, 48% felt that the first step would be the easiest to put in practice, and 40% felt that the fifth step related to “Emotions” would be the most difficult.Discussion: In general, the students would like to gain competencies in breaking bad news using a practical approach Conclusions: Students highly valued theoretical and practical approaches in teaching of communication of bad news. Therefore, we encourage a combination approach in pre-graduate medical education. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-12-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909 oai:ojs.www.actamedicaportuguesa.com:article/7909 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/7909 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909/4865 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909/8548 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909/8609 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909/8734 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909/8735 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7909/8778 |
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Direitos de Autor (c) 2016 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2016 Acta Médica Portuguesa |
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openAccess |
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application/pdf application/msword application/pdf application/pdf application/msword application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 29 No. 12 (2016): December; 826-831 Acta Médica Portuguesa; Vol. 29 N.º 12 (2016): Dezembro; 826-831 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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