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Efficacy of Half-Day Workshops for Internal Medicine Interns in Educating Breaking-Bad-News Discussions
Colin Thomas1, Christine Kurian1, Sarah Houtmann1
1Department of Internal Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Abstract:
Adequate end-of-life (EOL) care/breaking-bad-news (BBN) discussions with patients are becoming increasingly essential to adequate patient care. Whether a half-day workshop would lead to improved confidence in EOL/BBN care discussions for internal medicine interns. Internal medicine interns (n = 43) were assigned to participate in a half-day workshop at Thomas Jefferson University Hospital. The workshop involved two standardized patient (SP) interactions involving delivering news of a terminal illness/initiating goals of care discussion with the intervention of SP feedback, a didactic and lecture on proper EOL/BBN discussion. Voluntary anonymous surveys before and after the workshop were utilized to assess impact. A majority of interns felt more comfortable with leading EOL care/BBN discussions after the workshop and had a positive experience. A half-day curriculum is efficacious in educating EOL/BBN communication to internal medicine interns, but should be further assessed in a larger more standardized study involving an objective assessment.
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