Evidence map›Paper›PMID 36008175›Full record

ArticleSurgery2022

From chaos to creativity: Designing collaborative communication training for the delivery of bad news.

Emily B Rivet, Cherie Edwards, Nicole Bedros, Susan Haynes, Aaron Anderson, Erin McDonough, Sorabh Khandelwal, Renee Cholyway, Moshe Feldman, Patricia Lange

Abstract read
In one paragraph

Article in Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. The silver lining of the pandemic in surgical education: virtual surgical education and recommendations for best practices.Global surgical education : journal of the Association for Surgical Education · 2023
    Review
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

10 authors.

Emily B RivetDepartments of Surgery and Internal Medicine, Virginia Commonwealth University, Richmond, VA. Electronic address: emily.rivet@vcuhealth.org.
Cherie EdwardsSchool of Medicine, Virginia Commonwealth University, Richmond, VA.
Nicole BedrosDepartment of Surgery, Baylor University Medical Center, Dallas, TX.
Susan HaynesDepartment of Surgery, Virginia Commonwealth University, Richmond, VA.
Aaron AndersonDepartment of Theatre, School of Medicine and School of Business, Virginia Commonwealth University, Richmond, VA.
Erin McDonoughDepartment of Emergency Medicine, College of Medicine, University of Cincinatti, Cincinatti, OH.
Sorabh KhandelwalDepartment of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH.
Renee CholywayDepartment of Surgery, Virginia Commonwealth University, Richmond, VA.
Moshe FeldmanSchool of Medicine, Virginia Commonwealth University, Richmond, VA.
Patricia LangeDepartment of Surgery, Virginia Commonwealth University, Richmond, VA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBefore the COVID-19 pandemic, teaching communication skills in health care focused primarily on developing skills during face-to-face conversation. Even experienced clinicians were unprepared for the transition in communication modalities necessitated due to physical distancing requirements and visitation restrictions during the COVID-19 pandemic. We aimed to develop and pilot a comprehensive video-mediated communication training program and test its feasibility in multiple institutional settings and medical disciplines.

methodsThe education team, consisting of clinician-educators in general surgery and emergency medicine (EM) and faculty specialists in simulation and coaching, created the intervention. Surgery and EM interns in addition to senior medical students applying in these specialties were recruited to participate. Three 90-minute sessions were offered focusing on 3 communication topics that became increasingly complex and challenging: breaking bad news, goals of care discussions, and disclosure of medical error. This was a mixed-methods study using survey and narrative analysis of open comment fields.

resultsLearner recruitment varied by institution but was successful, and most (75%) learners found the experience to be valuable. All of the participants reported feeling able to lead difficult discussions, either independently or with minimal assistance. Only about half (52%) of the participants reported feeling confident to independently disclose medical error subsequent to the session.

conclusionWe found the program to be feasible based on acceptability, demand, the ability to implement, and practicality. Of the 3 communication topics studied, confidence with disclosure of medical error proved to be the most difficult. The optimal length and structure for these programs warrants further investigation.

Indexed as

COVID-19Internship and ResidencyCommunicationHumansPandemicsPhysician-Patient RelationsTruth Disclosure

Identifiers

PMID36008175
PMCPMC9395255

What OpenQuestion holds

Textmetadata
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.