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Approach to an Initial Oncologic Patient Encounter: A Simulation-Based Training for First-Year Medical Students
Allan John R Barcena1, Marvin R Bernardino2, Dominic Karl M Bolinas3
1Postdoctoral Fellow, Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center.
Mededportal : the Journal of Teaching and Learning Resources
|April 27, 2026
Summary
This simulation training effectively prepares medical students for challenging cancer patient encounters. Students reported improved empathy and communication skills for delivering difficult news and care plans.
Area of Science:
- Medical Education
- Oncology
- Simulation-Based Learning
Background:
- Effective communication and empathy are crucial for oncologic encounters.
- Early-level medical students often lack sufficient training in these sensitive interactions.
- Developing these skills early enhances patient care and provider confidence.
Purpose of the Study:
- To evaluate a novel simulation-based training program for first-year medical students.
- To enhance students' ability to communicate care plans and deliver bad news empathetically.
- To prepare students for initial oncologic patient visits.
Main Methods:
- A 2-hour simulation session included a didactic component and two standardized patient encounters (lymphoma, rectal cancer).
- Medical students rotated through various roles (provider, family member, observer).
- Faculty-led debriefings and mixed-methods feedback collection were utilized.
Main Results:
- 91% of participants (49/54) completed the evaluation, with highly positive feedback.
- 100% agreed the simulation enhanced practical application and future use of skills.
- Qualitative feedback emphasized improved communication, empathy, adaptability, and value of debriefing.
Conclusions:
- The simulation effectively prepares medical students for complex initial oncologic patient encounters.
- It offers a safe space to practice and refine essential clinical and interpersonal skills.
- The training fosters a more empathetic and competent approach to cancer patient care.

