Effectiveness of Integrating Simulation with Art-Based Teaching Strategies on Oncology Fellows’ Performance Regarding Breaking Bad News
- 58 Downloads
The task of breaking bad news (BBN) may be improved by incorporating simulation with art-based teaching methods. The aim of the present study was to assess the effect of an integrating simulation with art-based teaching strategies, on fellows’ performance regarding BBN, in Iran. The study was carried out using quasi-experimental methods, interrupted time series. The participants were selected from medical oncology fellows at two teaching hospitals of Tehran University of Medical Sciences (TUMS), Iran. Participants were trained through workshop, followed by engaging participants with different types of art-based teaching methods. In order to assess the effectiveness of the integrating model, fellows’ performance was rated by two independent raters (standardized patients (SPs) and faculty members) using the BBN assessment checklist. This assessment tool measured seven different domains of BBN skill. Segmented regression was used to analyze the results of study. Performance of all oncology fellows (n = 19) was assessed for 228 time points during the study, by rating three time points before and three time points after the intervention by two raters. Based on SP ratings, fellows’ performance scores in post-training showed significant level changes in three domains of BBN checklist (B = 1.126, F = 3.221, G = 2.241; p < 0.05). Similarly, the significant level change in fellows’ score rated by faculty members in post-training was B = 1.091, F = 3.273, G = 1.724; p < 0.05. There was no significant change in trend of fellows’ performance after the intervention. Our results showed that using an integrating simulation with art-based teaching strategies may help oncology fellows to improve their communication skills in different facets of BBN performance. Iranian Registry of Clinical Trials ID: IRCT2016011626039N1
KeywordsSimulation Education Breaking bad news Interrupted time series
The authors would like to express their deep gratitude to Dr. Mehrzad Mirzania, Dr. Hazhir Saberi, Dr. Alireza Abdollahi, and Dr. Mohsen Esfandbod for their kind contribution in the study and also would like to thank all the oncology fellows and employers and SPs who participated in this study.
Compliance with Ethical Standards
The study was approved by Ethics Committee at TUMS, and it was registered in the Iranian Registry of Clinical Trials (ID: IRCT2016011626039N1). Informed consent is obtained from fellows and SPs.
Conflict of Interest
The authors declare that they have no conflict of interest.
- 2.Bays AM, Engelberg RA, Back AL, Ford DW, Downey L, Shannon SE, Doorenbos AZ, Edlund B, Christianson P, Arnold RW (2014) Interprofessional communication skills training for serious illness: evaluation of a small-group, simulated patient intervention. J Palliat Med 17(2):159–166CrossRefPubMedPubMedCentralGoogle Scholar
- 13.Farokhyar N, Shirazi M, Bahador H, Jahanshir A (2014) Assessing the validity and reliability of spikes questionnaires regard in of medical residents awareness breaking bad news in TUMS 2012. Razi J Med Sci 21(122):29–36Google Scholar
- 25.Schildmann J, Kupfer S, Burchardi N, Vollmann J (2012) Teaching and evaluating breaking bad news: a pre–post evaluation study of a teaching intervention for medical students and a comparative analysis of different measurement instruments and raters. Patient Educ Couns 86(2):210–219CrossRefPubMedGoogle Scholar
- 32.Yakhforoshha A, Emami A H, Mohammadi N, Cheraghi M A, Mojtahedzadeh R, Mahmoodi-Bakhtiari B, and Shirazi M. 2017. Developing an integrated educational simulation model by considering art approach: teaching empathic communication skills. Eur J Person Centered Healthcare AccessedGoogle Scholar