Breaking bad news: an active learning method for medical students

Laura Polivka; C. Delcour; H. Dufresne; S. Bartoli; P. Bataille; L. Bekel; J. Bonigen; E. Deladrière; S. Dimarcq; A. Felix; C. Havas; H. Le Goff; M. Levy; E. Riback; A. Welfringer-Morin; V. Houdouin; S. Hadj-Rabia; C. Bodemer; A. Faye; I. Melki

doi:10.1186/s12909-024-05821-4

BMC Medical Education (Sep 2024)

Breaking bad news: an active learning method for medical students

Laura Polivka,
C. Delcour,
H. Dufresne,
S. Bartoli,
P. Bataille,
L. Bekel,
J. Bonigen,
E. Deladrière,
S. Dimarcq,
A. Felix,
C. Havas,
H. Le Goff,
M. Levy,
E. Riback,
A. Welfringer-Morin,
V. Houdouin,
S. Hadj-Rabia,
C. Bodemer,
A. Faye,
I. Melki

Affiliations

Laura Polivka: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
C. Delcour: Department of Obstetrical-Gynecology, Robert-Debré Hospital, AP-HP, Paris Cité University
H. Dufresne: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
S. Bartoli: General Pediatrics, Infectious Disease and Internal Medicine Department, Reference center for Rheumatic, AutoImmune and Systemic diseases in children (RAISE), Hôpital Robert-Debré, AP-HP, Paris Cité University
P. Bataille: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
L. Bekel: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
J. Bonigen: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
E. Deladrière: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
S. Dimarcq: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
A. Felix: General Pediatrics, Infectious Disease and Internal Medicine Department, Reference center for Rheumatic, AutoImmune and Systemic diseases in children (RAISE), Hôpital Robert-Debré, AP-HP, Paris Cité University
C. Havas: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
H. Le Goff: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
M. Levy: Paediatric Intensive Care Unit, Robert-Debré Hospital, AP-HP, Paris Cité University
E. Riback: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
A. Welfringer-Morin: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
V. Houdouin: Department of Pediatric Pulmonology and Pediatric Cystic Fibrosis Center, Robert-Debré Hospital, AP-HP, Paris Cité University
S. Hadj-Rabia: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
C. Bodemer: Department of Dermatology, Reference Center for Genodermatoses (MAGEC), Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris Cité University
A. Faye: General Pediatrics, Infectious Disease and Internal Medicine Department, Reference center for Rheumatic, AutoImmune and Systemic diseases in children (RAISE), Hôpital Robert-Debré, AP-HP, Paris Cité University
I. Melki: General Pediatrics, Infectious Disease and Internal Medicine Department, Reference center for Rheumatic, AutoImmune and Systemic diseases in children (RAISE), Hôpital Robert-Debré, AP-HP, Paris Cité University

DOI: https://doi.org/10.1186/s12909-024-05821-4
Journal volume & issue: Vol. 24, no. 1
pp. 1 – 8

Abstract

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Abstract Background Breaking bad news is one of the most difficult aspects of communication in medicine. The objective of this study was to assess the relevance of a novel active learning course on breaking bad news for fifth-year students. Methods Students were divided into two groups: Group 1, the intervention group, participated in a multidisciplinary formative discussion workshop on breaking bad news with videos, discussions with a pluri-professional team, and concluding with the development of a guide on good practice in breaking bad news through collective intelligence; Group 2, the control group, received no additional training besides conventional university course. The relevance of discussion-group-based active training was assessed in a summative objective structured clinical examination (OSCE) station particularly through the students’ communication skills. Results Thirty-one students were included: 17 in Group 1 and 14 in Group 2. The mean (range) score in the OSCE was significantly higher in Group 1 than in Group 2 (10.49 out of 15 (7; 13) vs. 7.80 (4.75; 12.5), respectively; p = 0.0007). The proportion of students assessed by the evaluator to have received additional training in breaking bad news was 88.2% (15 of the 17) in Group 1 and 21.4% (3 of the 14) in Group 2 (p = 0.001). The intergroup differences in the Rosenberg Self-Esteem Scale and Jefferson Scale of Empathy scores were not significant, and both scores were not correlated with the students’ self-assessed score for success in the OSCE. Conclusion Compared to the conventional course, this new active learning method for breaking bad news was associated with a significantly higher score in a summative OSCE. A longer-term validation study is needed to confirm these exploratory data.

Published in BMC Medical Education

ISSN: 1472-6920 (Online)
Publisher: BMC
Country of publisher: United Kingdom
LCC subjects: Education: Special aspects of education; Medicine
Website: https://bmcmededuc.biomedcentral.com

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