文章基本信息

标题：¿Comunicamos correctamente las malas noticias en medicina? Resultados de un taller de formación basado en videos y debriefing
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作者：Diego Flores-Funes ; José Aguilar-Jiménez ; Ramón José Lirón-Ruiz 等
期刊名称：Educación Médica
印刷版ISSN：1575-1813
出版年度：2020
卷号：21
期号：2
页码：1-5
DOI：10.1016/j.edumed.2018.07.005
出版社：Elsevier B.V.
摘要：Aim To evaluate the training of medical professionals in Breaking Bad News (BBN), and the usefulness of a workshop based on clinical-case’ videos and debriefing. Material and methods Descriptive study of previous training, methodology used, and importance of BBN in students, residents and physicians. A before-after study was also performed to evaluate the usefulness of a practical workshop based on videos of different situations with BBN, application of the SPIKES protocol, and subsequent debriefing. A satisfaction survey was answered by all participants. Results 135 people participated in the workshop, of which 102 (75.6%) were medical students. 117 participants (92.9%) did not use any methodology in BBN, 99 (79.2%) had not received previous training in BBN, and 113 (89.7%) did not know the SPIKES protocol. After the workshop, 112 (85.5%) considered BBN very important. All participants found the workshop useful and considered that the methodology was adequate (3-5 on Likert scale). Comparing the evaluations, we have found an average of 5.8 (95%CI 5.6-5.9) pre-workshop, and 5.9 (95%CI 5.9-6.0) post-workshop (p< 0.01) Conclusion Currently, training in BBN is poor. Its teaching should be practical, being the video model an appropriate method.
关键词：Clinical competence ; Breaking bad news ; Medical education ; Students ; Residents ; Communication