Evidence map›Paper›PMID 35520962›Full record

ArticleBMJ simulation & technology enhanced learning2021

Teaching residents how to break bad news: piloting a resident-led curriculum and feedback task force as a proof-of-concept study.

Joseph Sleiman, David J Savage, Benjamin Switzer, Colleen Y Colbert, Cory Chevalier, Kathleen Neuendorf, David Harris

Abstract read
In one paragraph

Article in BMJ simulation & technology enhanced learning, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Joseph SleimanInternal Medicine Residency Program, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0000-0002-7390-5949
David J SavageInternal Medicine Residency Program, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0000-0003-4690-5115
Benjamin SwitzerInternal Medicine Residency Program, Cleveland Clinic, Cleveland, Ohio, USA.
Colleen Y ColbertCenter for Educational Resources, Education Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID 0000-0002-2608-7218
Cory ChevalierCleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Kathleen NeuendorfCleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
David HarrisCleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Breaking bad news (BBN) is a critically important skill set for residents. Limited formal supervision and unpredictable timing of bad news delivery serve as barriers to the exchange of meaningful feedback. Purpose of study: The goal of this educational innovation was to improve internal medicine residents' communication skills during challenging BBN encounters. A formal BBN training programme and innovative on-demand task force were part of this two-phase project. Study design: Internal medicine residents at a large academic medical centre participated in an interactive workshop focused on BBN. Workshop survey results served as a needs assessment for the development of a novel resident-led BBN task force. The task force was created to provide observations at the bedside and feedback after BBN encounters. Training of task force members incorporated video triggers and a feedback checklist. Inter-rater reliability was analysed prior to field testing, which provided data on real-world implementation challenges. Results: 148 residents were trained during the 2-hour communications skills workshop. Based on survey results, 73% (108 of 148) of the residents indicated enhanced confidence in BBN after participation. Field testing of the task force on a hospital ward revealed potential workflow barriers for residents requesting observations and prompted troubleshooting. Solutions were implemented based on field testing results. Conclusions: A trainee-led BBN task force and communication skills workshop is offered as an innovative model for improving residents' interpersonal and communication skills in BBN. We believe the model is both sustainable and reproducible. Lessons learnt are offered to aid in implementation in other settings.

Indexed as

communication skillscompetency-basededucationfeedbackmedicalpost-graduateresident training

Identifiers

PMID35520962
PMCPMC8936722

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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.