Evidence map›Paper›PMID 40148935›Full record

ArticleBMC medical education2025

From classroom to clinic: Addressing gaps in teaching and perceived preparedness for breaking bad news in medical education.

Marcilea Silva Santos, Laís Michelle Cunha, Ana Julia Ferreira, Ana Paula Drummond-Lage

Abstract read
In one paragraph

Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Perceived Preparedness in Psycho-Oncology: A Cross-Sectional Comparison of Expectations and Training Experiences Among Undergraduate Psychology Students.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  3. Article
  4. Self-Assessment Versus Peer Assessment of Oncology Communication Skills in Medical Students: A Video-Based Pilot Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  5. Article
  6. Bridging the Gap: Addressing the Disparity Between Expectations and Practical Training in Oncology During Medical School.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Article
  7. 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

4 authors.

Marcilea Silva SantosPost-Graduate Program in Health Sciences, Faculdade Ciências Médicas de Minas Gerais - FCM-MG, Belo Horizonte, MG, Brazil.
Laís Michelle CunhaSchool of Medicine, Faculdade Ciências Médicas de Minas Gerais - FCM-MG, Belo Horizonte, MG, Brazil.
Ana Julia FerreiraSchool of Medicine, Faculdade Ciências Médicas de Minas Gerais - FCM-MG, Belo Horizonte, MG, Brazil.
Ana Paula Drummond-LagePost-Graduate Program in Health Sciences, Faculdade Ciências Médicas de Minas Gerais - FCM-MG, Belo Horizonte, MG, Brazil. apdrummond@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunicating bad news (BBN) is a significant challenge in medical practice, particularly in oncology, as it directly impacts patient care and follow-up. Despite existing protocols to aid this process, both patients and healthcare professionals frequently highlight insufficient training in BBN. This study evaluates [1] the curricula and methodologies of teaching BBN at the study institution and [2] medical students' perceptions of the effectiveness and adequacy of their BBN education and training.

methodsThis cross-sectional, quantitative, exploratory study used a self-administered questionnaire with 25 questions developed by the researchers. Categorical variables were compared via the chi-square test or Fisher's exact test, with a significance level of 5%.

resultsA total of 300 questionnaires were completed by medical students from the 8th to 12th periods, comprising 205 women and 95 men, with an average age of 23.9 ± 3.4 years. Among the participants, 220 (73.3%) reported receiving some formal instruction on breaking bad news, but only 17.3% felt prepared for this task. A vast majority (95.7%) recognized the importance of being prepared to communicate bad news. At the beginning of their practical cycle, 74.6% of the students found "discussing the end of therapeutic options and palliative care" the most challenging. For those already in the practical cycle, 54.8% identified "communicating about the worsening of the disease" as the most difficult.

conclusionDeveloping skills for breaking bad news is essential for a strong doctor-patient relationship. Teaching these skills in medical education is necessary to increase patient motivation and confidence in treatment.

Indexed as

CommunicationEducation, MedicalEducation, Medical, UndergraduatePhysician-Patient RelationsStudents, MedicalTruth DisclosureAdultCross-Sectional StudiesCurriculumFemaleHumansMaleSurveys and QuestionnairesTeachingYoung AdultBreaking bad newsMedical educationOncologyQuality education

Identifiers

PMID40148935
PMCPMC11951527

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.