好色先生

好色先生

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Abstract Details

A Live Patient Simulation Model for Neurology Residents and Fellows to Effectively Communicate Bad News
Ethics, Pain and Palliative Care
P02 - (-)
001
BACKGROUND: Breaking bad news is an unfortunate, but necessary practice of medicine. Patients are often unsatisfied with the method in which physicians deliver bad news. This can have a broad psychosocial impact on both the patient and their families. The lack of appropriate tools and training to effectively deliver bad news is widely recognized by medical professionals at all levels of practice. This skill is especially important for Neurologists who frequently encounter patients with devastating medical conditions.
DESIGN/METHODS: A curriculum was designed for postgraduate year (PGY) 3-5 neurology residents and fellows to improve their communication skills in "breaking bad news" to amyotrophic lateral sclerosis (ALS) patients. It included didactic lectures and articles on ALS, an ethics conference on end of life issues, and an independent review of articles providing information on the SPIKES protocol in breaking bad news. Residents were then scheduled to attend the VCU Human Simulation Center to provide the diagnosis of ALS to a trained standardized patient. The sessions were video-recorded and immediate feedback was provided to the participants by both the patient and a supervising physician who was monitoring the session. The participants were given the opportunity to review their recorded sessions either independently or with a Palliative Care physician. The residents and fellows' feedback was collected through a computerized survey at the end of the simulation session.
RESULTS: All twelve residents and fellows found the simulation to be educationally valuable. High marks were given to both the initial debriefing and the independent review of the simulated encounter.
CONCLUSIONS: Utilizing simulated patients to train residents and fellows on how to deliver bad news is an effective way to prepare learners for real-time clinical scenarios.
Authors/Disclosures
Pavani Guntur, MD (Cedars-Sinai Medical Group)
PRESENTER 		No disclosure on file
Scott Vota, DO, FAAN No disclosure on file
Jason S. Wong, MD (Stamford Health Medical Group) No disclosure on file
Robert A. Bermel, MD, FAAN (Cleveland Clinic) Dr. Bermel has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Sanofi/Genzyme. Dr. Bermel has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Genentech/Roche. Dr. Bermel has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Novartis. Dr. Bermel has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for TG Therapeutics. The institution of Dr. Bermel has received research support from Biogen. The institution of Dr. Bermel has received research support from Roche. The institution of Dr. Bermel has received research support from Novartis. Dr. Bermel has received intellectual property interests from a discovery or technology relating to health care.