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- Title
Addressing the competency of breaking bad news: What are Canadian general paediatric residency programs currently doing.
- Authors
Sarpal, Amrita; Gofton, Teneille E
- Abstract
Objective To describe how breaking bad news (BBN) is currently taught in Canadian general paediatric residency programs and the confidence level of fourth year paediatric residents (Ped-PGY4) in BBN and managing end-of-life-care (EOLC). Methods A prospective, cross-sectional survey of General Paediatric Residency Program Directors (PDs) and Ped-PGY4s was conducted. Results When learning to BBN, residents state faculty observation (22/23) and interactive workshops (14/23) are the most helpful, while PDs state interactive workshops (9/16) and deliberate practice (5/16) are ideal. Residents identified a knowledge gap and discomfort with providing anticipatory guidance, and symptom management, including prescribing opioids. Conclusions In the era of competency-based medical education, there is an opportunity to create a standardized national curriculum addressing universal competencies related to BBN and EOLC.
- Subjects
CANADA; EDUCATION of pediatricians; CLINICAL competence; DRUGS; HOSPITAL medical staff; INTERNSHIP programs; LEARNING; LONGITUDINAL method; MEDICAL education; NARCOTICS; PEDIATRICIANS; SURVEYS; TERMINAL care; ADULT education workshops; PROFESSIONAL practice; PSYCHOSOCIAL factors; CROSS-sectional method; ATTITUDES toward illness
- Publication
Paediatrics & Child Health (1205-7088), 2019, Vol 24, Issue 3, p173
- ISSN
1205-7088
- Publication type
Article
- DOI
10.1093/pch/pxy124