High fidelity simulation training for medical oncology announcement consultation

被引：7

作者：

Deluche, Elise ^{[1
,5
]}

Salle, Henri ^{[2
,5
]}

Facchini-Joguet, Teeva ^{[3
]}

Leobon, Sophie ^{[1
]}

Troussel, Alexandre ^{[1
]}

Tubiana-Mathieu, Nicole ^{[1
]}

Caire, Francois ^{[2
,5
]}

Fourcade, Laurent ^{[4
,5
]}

机构：

[1] Serv Oncol Med, 2 Ave Martin Luther King, F-87042 Limoges, France

[2] Hop Dupuytren, Serv Neurochirurg 2, 2 Ave Martin Luther King, F-87042 Limoges, France

[3] We Care & Consulting, 6 Rue Perrault, F-75001 Paris, France

[4] Hop Enfants, Serv Chirurg Viscerale Pediat, 8 Ave Domin Larrey, F-87042 Limoges, France

[5] Fac Med Limoges, Dept Univ Denseignement Numer Sante, 2 Rue Docteur Mardand, F-87025 Limoges, France

来源：

BULLETIN DU CANCER | 2020年 / 107卷 / 04期

关键词：

Cancer; Simulation; Training; Education; BREAKING BAD-NEWS; OF-THE-ART; EUROPEAN EXPERTS; COMMUNICATION; SKILLS; DIAGNOSIS; STRESS; CANCER; STUDENTS; IMPROVE;

D O I：

10.1016/j.bulcan.2020.02.007

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Introduction > Medical oncology bad news consultation is a particularly stressful situation for both the patient and the physician. High-fidelity simulation is a learning option that has never been evaluated in France in this field. Materials and Methods > This is a feedback from simulated announcement consultations carried out from January 2018 to May 2019. Residents from the medical oncology and radiotherapy departments performed high-fidelity simulations at the announcement consultation with an announcement nurse, a psychologist, a certified coach and an oncologist. A competency assessment was completed in pre-test, immediate post-test and after 5 months. Results > Fourteen of the 16 eligible interns participated. The pre-test competency assessment showed that interns over 5 semesters reported being more comfortable at the consultation (P = 0.04) and thought they were clearly explaining the disease (P = 0.03). However, all residents, regardless of the semester, felt stressed before a consultation. The evolution of parameters skills after the simulation was positive for all criteria, particularly for adaptation to patient reactions, use of appropriate vocabulary and reduction of stress (P < 0.05). This evolution was independent of the gender, curriculum, semester, or previous completion of a medical oncology internship. More than 80% of the students were ready to repeat this type of training. Conclusion > This training demonstrates the value of simulation training for medical oncology advertising consultation.

引用

页码：417 / 427

页数：11

共 38 条

[1] A controlled trial of a short course to improve residents' communication with patients at the end of life [J].

Alexander, Stewart C. ;

Keitz, Sheri A. ;

Sloane, Richard ;

Tulsky, James A. .

ACADEMIC MEDICINE, 2006, 81 (11) :1008-1012

[2] Place of simulation in the initial training of french emergency physicians: national observational and descriptive study [J].

Allain, M. ;

Kuczer, V ;

Longo, C. ;

Batard, E. ;

Le Conte, P. .

ANNALES FRANCAISES DE MEDECINE D URGENCE, 2018, 8 (02) :75-82

[3] Efficacy of communication skills training for giving bad news and discussing transitions to palliative care [J].

Back, Anthony L. ;

Arnold, Robert M. ;

Baile, Walter F. ;

Fryer-Edwards, Kelly A. ;

Alexander, Stewart C. ;

Barley, Gwyn E. ;

Gooley, Ted A. ;

Tulsky, James A. .

ARCHIVES OF INTERNAL MEDICINE, 2007, 167 (05) :453-460

[4]

Baile W F, 2000, Oncologist, V5, P302, DOI 10.1634/theoncologist.5-4-302

[5] Simulation training for urinary drainage improves skill retention [J].

Ballouhey, Q. ;

Cros, J. ;

Lescure, V. ;

Clermidi, P. ;

Romain, J. ;

Guigonis, V. ;

Bonnetblanc, J. -M. ;

Fourcade, L. .

PROGRES EN UROLOGIE, 2015, 25 (09) :516-522

[6] Professional burnout in European young oncologists: results of the European Society for Medical Oncology (ESMO) Young Oncologists Committee Burnout Survey [J].

Banerjee, S. ;

Califano, R. ;

Corral, J. ;

de Azambuja, E. ;

De Mattos-Arruda, L. ;

Guarneri, V. ;

Hutka, M. ;

Jordan, K. ;

Martinelli, E. ;

Mountzios, G. ;

Ozturk, M. A. ;

Petrova, M. ;

Postel-Vinay, S. ;

Preusser, M. ;

Qvortrup, C. ;

Volkov, M. N. M. ;

Tabernero, J. ;

Olmos, D. ;

Strijbos, M. H. .

ANNALS OF ONCOLOGY, 2017, 28 (07) :1590-1596

[7] Videotaped simulated interviews to improve medical students' skills in disclosing a diagnosis of cancer [J].

Bonnaud-Antignac, Angelique ;

Campion, Loic ;

Pottier, Pierre ;

Supiot, Stephane .

PSYCHO-ONCOLOGY, 2010, 19 (09) :975-981

[8] Communication skills training for healthcare professionals in oncology over the past decade: a systematic review of reviews [J].

Bos-van den Hoek, Danique W. ;

Visser, Leonie N. C. ;

Brown, Richard F. ;

Smets, Ellen M. A. ;

Henselmans, Inge .

CURRENT OPINION IN SUPPORTIVE AND PALLIATIVE CARE, 2019, 13 (01) :33-45

[9] Is Simulation in Pediatric Surgery Mandatory? State of the Art and Futures Outcomes [J].

Breaud, J. ;

Lacreuse, I. ;

de Vries, P. ;

Essartier, E. ;

Fourcade, L. ;

Fournier, J. P. ;

Chami, L. ;

Chevallier, D. .

E-MEMOIRES DE L ACADEMIE NATIONALE DE CHIRURGIE, 2014, 13 (04) :25-30

[10] Doctors' Stress Responses and Poor Communication Performance in Simulated Bad-News Consultations [J].

Brown, Rhonda ;

Dunn, Stewart ;

Byrnes, Karen ;

Morris, Richard ;

Heinrich, Paul ;

Shaw, Joanne .

ACADEMIC MEDICINE, 2009, 84 (11) :1595-1602

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