How anesthesia residents fare when breaking bad news to a patient — 4 study insights

A study, published in BMC Anesthesiology, examined how anesthesiology residents break bad news in relation to critical incidents.

Yanda Yazbeck Karam, MD, of the Lebanon-based Lebanese American University School of Medicine, and colleagues studied how anesthesiology residents broke bad news to patients through a simulator and through role-play situations.

Researchers analyzed the communication skills of 16 residents through videotaped standardized patient encounters at baseline and after an educational intervention. The residents also completed surveys of their communication abilities.

Here's what you should know:

1. Using the GRIEV_ING checklist, post-test scores were higher than pretest scores.

2. The post-test scores were also higher using communication global rating as a metric.

3. The GRIEV_ING checklist said residents had acceptable inter-rater — degree of agreement among rater — and internal consistency reliability.

4. Performance was not related to work experience or previous experience breaking bad news.

Researchers concluded, "Anesthesiology residents’ communication skills when breaking bad news in relation to a critical incident may be improved with educational interventions based on immersive experiences with a high fidelity simulator and role-play with standardized patients."

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