Communication skills training in oncology. Description and preliminary outcomes of workshops on breaking bad news and managing patient reactions to illness.

摘要: BACKGROUND Cancer clinicians do not receive routine training in the psychosocial aspects of patient care such as how to communicate bad news or respond patients who have unrealistic expectations cure. Postgraduate workshops may be an effective way increase interpersonal skills managing these stressful encounters. METHODS The authors conducted 2 half-day for oncology faculty, one on breaking and dealing with “problem situations.” Participants met a large group didactic presentations then small groups which they used role-play discussion problem-solve difficult cases from their practices. The were assisted work by trained physician facilitators. evaluated means follow-up satisfaction questionnaire well self-efficacy measure, was administered before after workshops. RESULTS Twenty-seven faculty fellows participated programs. Satisfaction questionnaires showed that programs educational objectives considered useful relevant participants. Self-efficacy revealed confidence communicating problem situation workshop. majority attendees welcomed opportunity discuss colleagues. A number resolved implement newly learned approaches common problems encountered frequently. CONCLUSIONS Communication modality provide oncologists physician-patient relationship. Further research is needed assess whether long term benefits accrue [See editorial pages 738-40, this issue.] Cancer 1999;86:887–97. © 1999 American Society.