ePoster
Abstract Title | Proper Beraking Bad News Practice for Medical Student; A qualitative Research

Authors

  1. Wallapa Bunpromma M.D.
  2. Jiratha Budkaew M.D.

Theme

8AA Communication skills

INSTITUTION

Khonkaen Hospital - Psychiatry - khon Kaen - Thailand
Khonkaen Hospital - Community Medicine - khon Kaen - Thailand

Background

 Bad news is a sensitive issue and affect both patients and their families.

 

 Medical doctors should have appropriate skills for telling the truth.

 

 Medical students could not practice breaking bad news skill appropriately.

Summary of Work

►  An action research

►  40 fifth-year medical students, Khon Kaen medical education center, in 2014

 

Take-home Messages

 The module should be modified to promote communication skills practice for medical student.

 

 Encouraging of medical students to practice communication skills with their friends should be added.

Summary of Results

►  The students concerned: 

       ♦ Lack of skills in the real practice:

              » Basic communication skills, students said

"I understand the theory but I don't know how to implement in my practice"

 

              » Empathic skills; ​

I copy the empathic words from lecture to response patient but I don't really understand them" 

 

​​►  The students needed:

       ♦ To observe communication skills from teachers as a good role model, they said

"I don't have opportunity to observe my teacher practice"

   

       ♦ To practice with simulated patients continuously; 

"Practicing with simulated patients makes me feel like being in a real situation"

 

       ♦ To giving feedback by their teachers;​

"Getting feedback from teacher makes me more understanding communication skills and more confidence" 

Conclusion

  Main problems of inappropriate breaking bad news skills:

       ♦ Teaching style; emphasized more lectures than practices

 

       ♦ Do not have opportunity to observe a good role model in communication skills practice

 

       ♦ Few opportunities to giving feedback by their teacher

 

  Appropriate breaking bad news practices for medical students:

       ♦ To practice communication skills with simulated patients and their friends continuously 

 

       ♦ More giving feedback by their teacher 

 

       ♦ To observe a good role model practicing  communication skills

Acknowledgement

 Collaborative Project to Increase Product of Rural Doctor (CPIRD), Ministry of Public Health, Thailand.

Background

►  This study aimed to explore what the main problems in

breaking bad news practice.

Summary of Work

►  Using methodological triangulation technique for data 

collection.

 

►  The data were analyzed by using Steps for Coding And

 Theorization (SCAT).

Take-home Messages
Summary of Results
Conclusion

Be careful, In real practice must be concern the patient rights.

Acknowledgement

  Khon Kaen Medical Education Center, Khon Kaen Hospital.

 

            º  Surachai Saranritthichai,M.D., Pediatric Surgeon.

 

            º  Kanokwan Sriraksa,M.D., Pediatrician.

 

            º  Thammasorn Piriyasupong,M.D., Ph.D.

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