Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 3 , ISSUE 4 ( October-December, 2009 ) > List of Articles

REVIEW ARTICLE

Delivering Bad News: Aspects to Consider When Training Medical Students and Residents

Jose Leonardo Loaiza, Ana Maria Arroyave

Keywords : Ultrasound,bad news,deliver,communication

Citation Information : Loaiza JL, Arroyave AM. Delivering Bad News: Aspects to Consider When Training Medical Students and Residents. Donald School J Ultrasound Obstet Gynecol 2009; 3 (4):65-68.

DOI: 10.5005/jp-journals-10009-1039

License: CC BY-NC 4.0

Published Online: 01-12-2009

Copyright Statement:  Copyright © 2009; The Author(s).


Abstract

Ultrasound advances have made a tremendous impact in the field of obstetrics and gynecology. The routinely use of this technology has allowed doctors to diagnose medical conditions in real time. When ultrasound reveals a serious diagnosis or a finding of concern (i.e. fetal demise, fetal malformation, a suspicious mass), communicating bad news to the patient and family represents a challenge that most doctors don't feel comfortable doing. In the following section we will present a clinical vignette, that involves a fetus with multiple structural malformations diagnosed by ultrasound, to show some general principles that can help physicians to break bad news. We also highlight the importance of incorporating formal training in medical school to help students become familiar and more comfortable delivering bad news.

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  1. Medical residents’ first clearly remembered experiences of giving bad news. J Gen Intern Med 2002;17:825-40.
  2. Oncologists’ attitudes toward and practices in giving bad news: An exploratory study. J Clin Oncol 2002;20:2189-96.
  3. perifacts.com/pdf/Bad_news_DISCLOSURE.pdf.: Rochester.
  4. The doctorpatient relationship and malpractice: Lessons from plaintiff deposicion 1994;2002;154:1365-70.
  5. Patient communication: What to teach to radiology residents. AJR Am J Roentgenol 2001;177:41-43.
  6. American college of Radiology/Society of Breast Imaging curriculum for resident and fellow education in breast imaging. J Am Coll Radiol 2006;3:279-884.
  7. Behavioral Medicine in Primary Care. McGraw Hill Companies 2003;17-22.
  8. Br Med J 1984;288:1597-99.
  9. JAMA 1996;276:496-502.
  10. New York: Putnam 2000.
  11. Influence of physician communication on newly diagnosed breast patients’ psychologic adjustment and decision-making. Cancer 1994;74:336-41.
  12. Loss During Pregnancy or in the Newborn Period (Ed). Woods J, Philadelphia: Jannetti Publishers 1997.
  13. Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Med Care 1989;27(suppl):S110-27.
  14. Oncologist 2000;5:302-11.
  15. American Family Physician 2001;64(12):1975-78.
  16. What Do I say and How Do I Say? Communicating Intended and Unintended Events In Obstetrics. 1993 San Francisco: Jossy Bass.
  17. Breaking bad news: Use of cancer survivors in roleplaying exercises. Journal of Palliative medicine 2008;11(6).
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