The impact of senior medical students' personal difficulties on their communication patterns in breaking bad news

Academic Medicine

Volumn 84, Issue 11, 2009, Pages 1582-1594

  Meitar, Dafna ^a   Karnieli Miller, Orit ^b   Eidelman, Shmuel ^b  

^a TEL AVIV UNIVERSITY   (Israel)

^b UNIVERSITY OF HAIFA   (Israel)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL COMPETENCE; COMMUNICATION SKILL; CORRELATION ANALYSIS; EMOTIONALITY; EVALUATION; FEMALE; HUMAN; INTERPERSONAL COMMUNICATION; MALE; MEDICAL INFORMATION; MEDICAL STUDENT; NORMAL HUMAN; PERSONAL EXPERIENCE; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; SELF CONCEPT; TECHNIQUE;

EID: 70449379684     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e3181bb2b94     Document Type: Article

References (43)

1. Novack DH, Suchman AL, Clark W, Epstein RM, Najberg E, Kaplan C. Calibrating the physician. Personal awareness and effective patient care. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient. JAMA. 1997;278:502-509.
2. Baile WF, Kudelka AP, Beale EA, et al. Communication skills training in oncology. Description and preliminary outcomes of workshops on breaking bad news and managing patient reactions to illness. Cancer. 1999;86:887-897.
3. Fallowfield L, Lipkin M, Hall A. Teaching senior oncologists communication skills: Results from phase I of a comprehensive longitudinal program in the United Kingdom. J Clin Oncol. 1998;16:1961-1968.
4. Rosenbaum ME, Ferguson KJ, Lobas JG. Teaching medical students and residents skills for delivering bad news: A review of strategies. Acad Med. 2004;79:107-117.
5. Vaidya VU, Greenberg LW, Patel KM, Strauss LH, Pollack MM. Teaching physicians how to break bad news: A 1-day workshop using standardized parents. Arch Pediatr Adolesc Med. 1999;153:419-422.
6. Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. SPIKES-A six-step protocol for delivering bad news: Application to the patient with cancer. Oncologist. 2000; 5:302-311.
7. Girgis A, Sanson-Fisher RW. Breaking bad news. 1: Current best advice for clinicians. Behav Med. 1998;24:53-59. (Pubitemid 28401319)
8. Ptacek JT, Ptacek JJ, Ellison NM. "I'm sorry to tell you..." Physicians' reports of breaking bad news. J Behav Med. 2001;24: 205-217.
9. VandeKieft GK. Breaking bad news. Am Fam Physician. 2001;64:1975-1978.
10. Rodriguez HP, Anastario MP, Frankel RM, et al. Can teaching agenda-setting skills to physicians improve clinical interaction quality? A controlled intervention. BMC Med Educ. 2008;8:3.
11. Smith RC, Dorsey AM, Lyks JS, Frankel RM. Teaching self-awareness enhances learning about patient-centered interviewing. Acad Med. 1999;74:1242-1248.
12. Ptacek JT, Fries EA, Eberhardt TL, Ptacek JJ. Breaking bad news to patients: Physicians' perceptions of the process. Support Care Cancer. 1999;7:113-120.
13. Suchman AL, Markakis K, Beckman HB, Frankel R. A model of empathic communication in the medical interview. JAMA. 1997;277:678-682.
14. De Valck C, Bensing J, Bruynooghe R. Medical students' attitudes towards breaking bad news: An empirical test of the World Health Organization model. Psychooncology. 2001;10:398-409.
15. Dobie S. Viewpoint: Reflections on a welltraveled path: Self-awareness, mindful practice, and relationship-centered care as foundations for medical education. Acad Med. 2007;82:422-427.
16. Libert Y, Merckaert I, Reynaert C, et al. Does psychological characteristic influence physicians' communication styles? Impact of physicians' locus of control on interviews with a cancer patient and a relative. Support Care Cancer. 2006;14:230-242.
17. Meier DE, Back AL, Morrison RS. The inner life of physicians and care of the seriously ill. JAMA. 2001;286:3007-3014.
18. Novack DH, Epstein RM, Paulsen RH. Toward creating physician- healers: Fostering medical students' self-awareness, personal growth, and well-being. Acad Med. 1999;74: 516-520.
19. Buckman R. Breaking bad news: Why is it still so difficult? BMJ. 1984;288:1597-1599.
20. Caine ED, Conwell YC. Self-determined death, the physician, and medical priorities. Is there time to talk? JAMA. 1993;270:875-876.
21. Girgis A, Sanson-Fisher RW, Schofield MJ. Is there consensus between breast cancer patients and providers on guidelines for breaking bad news? Behav Med. 1999;25: 69-77.
22. Zinn WM. Doctors have feelings too. JAMA. 1988;259:3296-3298.
23. Fallowfield L. Giving sad and bad news. Lancet. 1993;341:476-478.
24. McLeod ME. The caring physician: A journey in self-exploration and self-care. Am J Gastroenterol. 2003;98:2135-2138.
25. Suchman AL. A new theoretical foundation for relationship-centered care. Complex responsive processes of relating. J Gen Intern Med. 2006;21(suppl 1):S40-S44.
26. Borkan J. Immersion/crystallization. In: Crabtree BF, Miller WL, eds. Doing Qualitative Research. Thousand Oaks, Calif: Sage; 1999:179-194.
27. Miller WL, Crabtree BF. Primary care research: A multimethod typology and qualitative road map. In: Crabtree BF, Miller WL, eds. Doing Qualitative Research. Newbury Park, Calif: Sage Publications; 1992: 3-28.
28. Miller WL. Routine, ceremony, or drama: An exploratory study of the primary care clinical encounter. J Fam Pract. 1992;34: 289-296.
29. Waddington K. Using diaries to explore the characteristics of work-related gossip: Methodological considerations from exploratory multimethod research. J Occup Organ Psychol. 2005;78:221-226.
30. Seale C, Chaplin R, Lelliott P, Quirk A. Sharing decisions in consultations involving anti-psychotic medication: A qualitative study of psychiatrists' experiences. Soc Sci Med. 2006;62:2861-2873.
31. Lofland J. Analyzing Social Settings: A Guide to Qualitative Observation. Belmont, Calif: Wadsworth; 1971.
32. Broyard A. Intoxicated by My Illness. New York, NY: Fawcett Columbine; 1992.
33. Baile WF, Buckman R, Schapira L, Parker PA. Breaking bad news: More than just guidelines. J Clin Oncol. 2006;24:3217.
34. Gabbard GO, Nadelson C. Professional boundaries in the physician-patient relationship. JAMA. 1995;273:1445-1449.
35. Smith RC, Dwamena FC, Fortin AH. Teaching personal awareness. J Gen Intern Med. 2005;20:201-207.
36. Brady DW, Corbie-Smith G, Branch WT. "What's important to you?": The use of narratives to promote self-reflection and to understand the experiences of medical residents. Ann Intern Med. 2002;137:220-223.
37. Charon R. The patient-physician relationship. Narrative medicine: A model for empathy, reflection, profession, and trust. JAMA. 2001;286:1897-1902.
38. Saunders PA, Tractenberg RE, Chaterji R, et al. Promoting self-awareness and reflection through an experiential mind-body skills course for first year medical students. Med Teach. 2007;27:1-7.
39. Beach MC, Inui T; Relationship-Centered Care Research Network. Relationshipcentered care. A constructive reframing. J Gen Intern Med. 2006;21(suppl 1): S3-S8.
40. Fryer-Edwards K, Arnold RM, Baile W, Tulsky JA, Petracca F, Back A. Reflective teaching practices: An approach to teaching communication skills in a small-group setting. Acad Med. 2006;81:638-644.
41. Hareli S, Karnieli-Miller O, Hermoni D, Eidelman S. Factors in the doctor-patient relationship that accentuate physicians' hurt feelings when patients terminate the relationship with them. Patient Educ Couns. 2007;67:169-175.
42. Robinson MD, Clore GL. Belief and feeling: An accessibility model of emotional selfreport. Psychol Bull. 2002;128:934-960.
43. Wear D, Varley JD. Rituals of verification: The role of simulation in developing and evaluating empathic communication. Patient Educ Couns. 2008;71:153-156.