| Videotaped simulated interviews to improve medical students' skills in disclosing a diagnosis of cancer. | |
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MedLine Citation:
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PMID: 19918865 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the performance of the training course on the disclosure of a diagnosis of cancer intended for fifth year medical students of the University of Nantes. METHODS: The course comprised three sessions: (1) a group discussion that taught a six-point protocol (SPIKES) for delivering a diagnosis, (2) a videotaped simulated interview to assess protocol implementation and communication skills, and (3) feedback from a senior physician. The learning objectives were memorisation and implementation of the protocol, use of appropriate communication techniques to deal with the patient's response, and identifying one's own reactions in a stressful situation. Two types of assessments were performed before and after each session: self-assessments by the students and a quantitative and qualitative external assessment by a psychologist and senior physician. In addition, recall of the six-point protocol was assessed during the end-of-the-year examination. RESULTS: Overall, 108 students took part in the course during the 2004-2005 academic year. They felt that their competence improved after each session in terms of the three learning objectives. However, recall of the six-point protocol was inadequate. It was best among students who considered they had progressed most. CONCLUSIONS: Our training course on communication techniques helps students acquire confidence in their skills in breaking bad news by backing theory with practice and feedback. The students make progress despite the psychological stress generated by simulated real-life conditions. |
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Authors:
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Angélique Bonnaud-Antignac; Loïc Campion; Pierre Pottier; Stéphane Supiot |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Psycho-oncology Volume: 19 ISSN: 1099-1611 ISO Abbreviation: Psychooncology Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-02 Completed Date: 2011-01-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9214524 Medline TA: Psychooncology Country: England |
Other Details:
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Languages: eng Pagination: 975-81 Citation Subset: IM |
Copyright Information:
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(c) 2009 John Wiley & Sons, Ltd. |
Affiliation:
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University of Nantes, Faculty of Medicine, Nantes, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Clinical Competence* Communication Education, Medical, Undergraduate / methods* Educational Measurement / methods* Feedback Female France Humans Interviews as Topic Male Neoplasms* / diagnosis, psychology Patient Simulation* Physician-Patient Relations Pilot Projects Students, Medical Truth Disclosure* Videotape Recording |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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