4.5 Article

Breaking bad news: A randomized controlled trial to test a novel interactive course for medical students using blended learning

期刊

PATIENT EDUCATION AND COUNSELING
卷 105, 期 1, 页码 105-113

出版社

ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2021.05.002

关键词

Breaking bad news; E-learning; Blended learning; Communication strategy

资金

  1. Swiss National Science Foundation (SNSF), Switzerland [10001C_192850/1, 10531C_182422]
  2. Gottfried Julia Bangerter-Rhyner Foundation, Switzerland [8472/HEG-DSV]

向作者/读者索取更多资源

This study evaluated the impact of an E-learning assignment on medical students' accurate recognition of breaking bad news (BBN) communication techniques. The results showed that the use of E-learning tool could reduce the number of inappropriate BBN elements identified by students.
Objective: Breaking bad news (BBN) is challenging for physicians and patients and specific communication strategies aim to improve these situations. This study evaluates whether an E-learning assignment could improve medical students' accurate recognition of BBN communication techniques. Methods: This randomized controlled trial was conducted at the University of Basel. After a lecture on BBN, 4th year medical students were randomized to an intervention receiving an E-learning assignment on BBN or to a control group. Both groups then worked on an examination video and identified previously taught BBN elements shown in a physician-patient interaction. The number of correctly, misclassified and incorrectly identified BBN communication elements as well as missed opportunities were assessed in the examination video. Results: We included 160 medical students (55% female). The number of correctly identified BBN elements did not differ between control and intervention group (mean [SD] 3.51 [2.50] versus 3.72 [2.34], p = 0.58). However, the mean number of inappropriate BBN elements was significantly lower in the intervention than in the control group (2.33 [2.57] versus 3.33 [3.39], p = 0.037). Conclusions: Use of an E-learning tool reduced inappropriate annotations regarding BBN communication techniques. Practice implications: This E-learning might help to further advance communication skills in medical students. (c) 2021 Elsevier B.V. All rights reserved.

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