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Updated: Jan 13, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
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Difficult Conversation Case: Missed Testicular Cancer.

Joshua Ginsburg1, Sarah Zamamiri1, Marshall Howell1

  • 1University of Texas Southwestern Medical Center, Department of Emergency Medicine, Dallas, TX.

Journal of Education & Teaching in Emergency Medicine
|January 12, 2026
PubMed
Summary
This summary is machine-generated.

This emergency medicine case effectively prepared residents for breaking bad news, with 100% finding it improved understanding of the certifying exam and rated its quality highly.

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Communication Skills

Background:

  • Effective communication is crucial in emergency medicine for patient outcomes.
  • Residency training must emphasize communication skills, tested on the American Board of Emergency Medicine (ABEM) Certifying Exam.

Purpose of the Study:

  • To assess emergency medicine residents' ability to disclose a missed testicular cancer diagnosis.
  • To evaluate residents' skills in rapport building, empathy, and patient-centered care planning.

Main Methods:

  • A 10-minute Objective Structured Clinical Exam (OSCE) case was developed to simulate breaking bad news.
  • Residents were evaluated using a 15-point rubric based on ABEM objectives, focusing on communication frameworks like SPIKES and NURSE.

Main Results:

  • All 17 participating residents (100%) agreed the case improved their understanding of the certifying exam format.
  • Residents achieved a mean score of 13.35/15, with 100% rating the case quality as very good or excellent.

Conclusions:

  • The case effectively enhanced residents' understanding of certifying exam communication scenarios.
  • Residents performed well but may benefit from further training in disclosing sensitive information using structured communication frameworks.