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A workshop to teach medical students communication skills and clinical knowledge about end-of-life care

  • Innovations In Education And Clinical Practice
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Abstract

We describe a half-day workshop to teach third-year medical students three focused end-of-life care skills: breaking bad news, discussing advance directives, and assessing and managing pain. Our workshop included a readers’ theater exercise and three role-play exercises. In two of the workshops, faculty members played the role of patients. We used readers’ theater to engage the students on an emotional level and set a reflective tone for the workshop. Evaluations reflected that most respondents felt that the workshop enhanced their understanding and ability to address these skills with patients. By 6 months, many students reported applying these skills to patient care in a way they thought was effective.

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References

  1. Billings JA, Block S. Palliative care in undergraduate medical education: status report and future directions. JAMA. 1997;278:733–8.

    Article  PubMed  CAS  Google Scholar 

  2. Field MJ, Cassel CK. Approaching Death: Improving Care at the End of Life. Institute of Medicine Report. Washington, DC: National Academy Press; 1997.

    Google Scholar 

  3. Sullivan AM, Lakoma MD, Block SD. The status of medical education in end-of-life care: a national report. J Gen Intern Med. 2003;18:685–95.

    Article  PubMed  Google Scholar 

  4. Butow PN, Kazemi JN, Beney LJ, Griffin LJ, Dunn SM, Tattersall MH. When the diagnosis is cancer: patient communication experiences and preferences. Cancer. 1996;77:2630–7.

    Article  PubMed  CAS  Google Scholar 

  5. Ramirez AJ, Graham J, Richared MA, et al. Burnout and psychiatric disorder among cancer clinicians. Br J Cancer. 1995;71:1263–9.

    PubMed  CAS  Google Scholar 

  6. Foley KM. Competent care for the dying instead of physician assisted suicide. N Engl J Med. 1997;336:54–8.

    Article  PubMed  CAS  Google Scholar 

  7. Novack CH, Volk G, Drossman DA, Lipkin M. Medical interviewing and interpersonal skills teaching in US medical schools. Progress, problems and promise. JAMA. 1993;269:2101–5.

    Article  PubMed  CAS  Google Scholar 

  8. Charlton R, Ford E. Education need is in palliative care. Fam Pract. 1995;12:70–4.

    Article  PubMed  CAS  Google Scholar 

  9. Fallowfield L. Giving sad and bad news. Lancet. 1993;341:476–8.

    Article  PubMed  CAS  Google Scholar 

  10. Frankel RM, Speice J, Branca L, et al. Oncology providers’ and patients’ experience with communication problems. Proc Am Soc Clin Oncol. 1997;16:45a.

    Google Scholar 

  11. Rappaport W, Witzke D. Education about death and dying during the clinical years of medical school. Surgery. 1993;113:163–5.

    PubMed  CAS  Google Scholar 

  12. Pan CX, Soriano RP, Fischberg DJ. Palliative care module within a required geriatrics clerkship: taking advantage of existing partnerships. Acad Med. 2002;77:936–7.

    Article  PubMed  Google Scholar 

  13. Savitt Todd L. Medical Readers’ Theater: A Guide and Scripts. Iowa City: University of Iowa Press; 2002.

    Google Scholar 

  14. Moore L. People like that are the only people here: canonical babbling in peed onk. In Birds of America. Knopf; 1998.

  15. Buckman R. How to Break Bad News: A Guide for Health Care Professionals. Baltimore: Johns Hopkins University Press; 1992.

    Google Scholar 

  16. Ptacek JT, Eberhardt TL. Breaking bad news: a review of the literature. JAMA. 1996;276:496–502.

    Article  PubMed  CAS  Google Scholar 

  17. Cole SA, Bird J. Medical Interviewing: The Three-Function Approach. St. Louis: Mosby; 2000;1991.

    Google Scholar 

  18. 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;86:887–97.

    Article  PubMed  CAS  Google Scholar 

  19. Serwint JR. The use of standardized patient in pediatric residency training: anatomy of a standardized patient case scenario. J Palliat Med. 2002;5:146–53.

    Article  PubMed  Google Scholar 

  20. Benbassat J, Baumal R. A step-wise role playing approach for teaching patient counseling skills to medical students. Patient Educ Couns. 2002;46:147–52.

    Article  PubMed  Google Scholar 

  21. Littlefield JH, Hahn HB, Meyer AS. Evaluation of a role-play learning exercise in an ambulatory clinic setting. Adv Health Sci Educ. 1999;4:167–73.

    Article  Google Scholar 

  22. Charon R. The patient-physician relationship. Narrative medicine: a model for empathy, reflection, profession, and trust. JAMA. 2001;286:1897–902.

    Article  PubMed  CAS  Google Scholar 

  23. Mann BD, Sachdeva AK, Nieman LZ, Nielan BA, Rovito MA, Damsker JI. Teaching medical students by role playing: a model for integrating psychosocial issues with disease management. J Cancer Educ. 1996;11:65–72.

    PubMed  CAS  Google Scholar 

  24. Knowles C, Kinchington F, Erwin J, Peters B. A randomized controlled trial of the effectiveness of combining video role play with traditional methods of delivering undergraduate medical education. Sex Transm Infect. 2001;77:376–80.

    Article  PubMed  CAS  Google Scholar 

  25. Schmidt TA, Norton RL, Tolle SW. Sudden death in the ED: educating residents to compassionately inform families. J Emerg Med. 1992;10:643–7.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Alexia M. Torke MD.

Additional information

This project was supported by a grant from the Courts Foundation, Atlanta, Ga. We wish to thank Tanisha J. Sullivan, BA for coordinating the workshop.

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Torke, A.M., Quest, T.E., Kinlaw, K. et al. A workshop to teach medical students communication skills and clinical knowledge about end-of-life care. J GEN INTERN MED 19, 540–544 (2004). https://doi.org/10.1111/j.1525-1497.2004.30115.x

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  • DOI: https://doi.org/10.1111/j.1525-1497.2004.30115.x

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