Evidence map›Paper›PMID 31139738›Full record

ArticleMedEdPORTAL : the journal of teaching and learning resources2019

Delivering Challenging News: An Illness-Trajectory Communication Curriculum for Multispecialty Oncology Residents and Fellows.

Daniel Cannone, Mark Atlas, Alice Fornari, Maria-Louise Barilla-LaBarca, Mark Hoffman

Abstract read
In one paragraph

Article in MedEdPORTAL : the journal of teaching and learning resources, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Breaking Bad News: A Simulation-Based Training Program for OB/GYN Residents.MedEdPORTAL : the journal of teaching and learning resources · 2026
    Article
  7. Review
  8. Review
  9. Values and Uncertainty at End of Life: A Standardized Patient Case for Preclinical Medical Students.MedEdPORTAL : the journal of teaching and learning resources · 2025
    Article
  10. Article
  11. Article
  12. Attitudes and Perception of the REFLECT Communication Curriculum for Clinical Oncology Graduate Medical Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  13. Article
  14. Advance Care Planning and Goals of Care Discussion: Barriers from the Perspective of Medical Residents.International journal of environmental research and public health · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. An Advanced Communication Skills Workshop Using Standardized Patients for Senior Medical Students.MedEdPORTAL : the journal of teaching and learning resources · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Daniel CannoneFellow, Division of Pediatric Hospice and Palliative Medicine, University of Tennessee Health Science Center.
Mark AtlasAttending Physician, Cohen Children's Medical Center; Program Director, Division of Pediatric Hematology/Oncology and Stem Cell Transplantation, Cohen Children's Medical Center.
Alice FornariAssociate Dean for Educational Skills Development, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell.
Maria-Louise Barilla-LaBarcaAssociate Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell.
Mark HoffmanAssociate Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Published curricula to teach communication skills for postgraduate fellows in oncology are few in number despite the fact that oncologists conduct many difficult discussions with their patients and their families. Such discussions may include disclosing initial diagnosis or relapse of a patient's cancer or relaying a poor prognosis or change to palliative care. Methods: An eight-module course on communication in oncology practice was delivered over 2 months for palliative and oncology fellows and radiation oncology residents. Learners were given a precourse survey in which they were asked to rate their proficiency in various communication tasks. Each learner then participated in a videotaped precourse objective structured clinical exam (OSCE) on breaking bad news with standardized patients (SPs). The course took place over 8 weeks with weekly didactics and role-play. At the end of the course, a second OSCE took place. After the course was completed, the fellows again filled out a proficiency survey. Results: Twenty-two learners participated over 2 years of this course. Participants reported a significant increase in perceived competence in all areas on the postcourse survey. SP feedback on OSCEs pre- and postcourse indicated improvement in skills for learners. Pre- and postcourse OSCE video assessment revealed a significant improvement in global communication skills. Discussion: Initial data show that this course successfully improved communication skills and increased fellows' comfort level across several domains of communication. Future directions include validating our assessment tool, expanding the topic base, and investigating the impact on practice after course completion.

Indexed as

CommunicationCurriculumFellowships and ScholarshipsInternship and ResidencyPhysician-Patient RelationsTruth DisclosureEducation, Medical, GraduateHumansMedical OncologyPalliative CarePatient SimulationCommunication SkillsEditor's ChoiceEnd-of-Life/Palliative CareHospice and Palliative MedicineOncologyPediatric Hematology-OncologyPsycho-OncologyRadiation OncologyRole-PlayStandardized Patient

Identifiers

PMID31139738
PMCPMC6507920

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.