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

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...

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Autores principales:	Daniel Cannone, Mark Atlas, Alice Fornari, Maria-Louise Barilla-LaBarca, Mark Hoffman
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Oncology Editor's Choice Standardized Patient Communication Skills Radiation Oncology Role-Play Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/9654c0db819b44e2b8a8271241e87728
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spelling	oai:doaj.org-article:9654c0db819b44e2b8a8271241e877282021-11-22T13:43:15ZDelivering Challenging News: An Illness-Trajectory Communication Curriculum for Multispecialty Oncology Residents and Fellows10.15766/mep_2374-8265.108192374-8265https://doaj.org/article/9654c0db819b44e2b8a8271241e877282019-04-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10819https://doaj.org/toc/2374-8265Introduction 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.Daniel CannoneMark AtlasAlice FornariMaria-Louise Barilla-LaBarcaMark HoffmanAssociation of American Medical CollegesarticleOncologyEditor's ChoiceStandardized PatientCommunication SkillsRadiation OncologyRole-PlayMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Oncology Editor's Choice Standardized Patient Communication Skills Radiation Oncology Role-Play Medicine (General) R5-920 Education L
spellingShingle	Oncology Editor's Choice Standardized Patient Communication Skills Radiation Oncology Role-Play Medicine (General) R5-920 Education L Daniel Cannone Mark Atlas Alice Fornari Maria-Louise Barilla-LaBarca Mark Hoffman Delivering Challenging News: An Illness-Trajectory Communication Curriculum for Multispecialty Oncology Residents and Fellows
description	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.
format	article
author	Daniel Cannone Mark Atlas Alice Fornari Maria-Louise Barilla-LaBarca Mark Hoffman
author_facet	Daniel Cannone Mark Atlas Alice Fornari Maria-Louise Barilla-LaBarca Mark Hoffman
author_sort	Daniel Cannone
title	Delivering Challenging News: An Illness-Trajectory Communication Curriculum for Multispecialty Oncology Residents and Fellows
title_short	Delivering Challenging News: An Illness-Trajectory Communication Curriculum for Multispecialty Oncology Residents and Fellows
title_full	Delivering Challenging News: An Illness-Trajectory Communication Curriculum for Multispecialty Oncology Residents and Fellows
title_fullStr	Delivering Challenging News: An Illness-Trajectory Communication Curriculum for Multispecialty Oncology Residents and Fellows
title_full_unstemmed	Delivering Challenging News: An Illness-Trajectory Communication Curriculum for Multispecialty Oncology Residents and Fellows
title_sort	delivering challenging news: an illness-trajectory communication curriculum for multispecialty oncology residents and fellows
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/9654c0db819b44e2b8a8271241e87728
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Delivering Challenging News: An Illness-Trajectory Communication Curriculum for Multispecialty Oncology Residents and Fellows

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