Breaking bad news in neurology: assessing training, perceptions, and preparedness among residency programs in Brazil
ABSTRACT Objective We aimed to evaluate how breaking bad news training was implemented in neurology residency programs in Brazil and to assess the perception and preparedness of trainees and program directors. Methods We performed a cross-sectional descriptive study. Neurology trainees and progr...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2023-04-01
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| Series: | Einstein (São Paulo) |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082023000100208&lng=en&tlng=en |
| _version_ | 1797844886848798720 |
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| author | Thaiza Agostini Córdoba de Lima Fernando Pereira Bruno Fernanda Gushken Luiza Helena Degani-Costa Natalia Pelizari Novaes |
| author_facet | Thaiza Agostini Córdoba de Lima Fernando Pereira Bruno Fernanda Gushken Luiza Helena Degani-Costa Natalia Pelizari Novaes |
| author_sort | Thaiza Agostini Córdoba de Lima |
| collection | DOAJ |
| description | ABSTRACT Objective We aimed to evaluate how breaking bad news training was implemented in neurology residency programs in Brazil and to assess the perception and preparedness of trainees and program directors. Methods We performed a cross-sectional descriptive study. Neurology trainees and program directors were recruited from the Brazilian Academy of Neurology registry through convenience sampling. Participants answered a survey evaluating the breaking bad news training at their institution and their preparedness and perception towards the topic. Results We collected 172 responses from 47 neurology institutions from all five socio-demographic regions of Brazil. More than 77% of trainees were dissatisfied with their breaking bad news training, and around 92% of program directors believed their programs required substantial improvement. Approximately 31% of neurology trainees reported never having a lecture about communicating bad news, 66% reported never having a simulated training, and nearly 61% never received feedback regarding their communication abilities. Moreover, 59% of program directors acknowledged that feedback was not a standard practice and nearly 32% reported the absence of any specific training. Conclusion This study suggested that the breaking bad news training in neurology residencies across Brazil is deficient and highlighted challenges to achieve this core competency. Program directors and trainees recognized the importance of the topic, and program directors acknowledged that many factors hinder the ability to implement formal training. Given the relevance of such a skill to patient care, every effort should be made to provide structured training opportunities during residency. |
| first_indexed | 2024-04-09T17:29:37Z |
| format | Article |
| id | doaj.art-bad11101202c4783979f37bc2d2c5053 |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-04-09T17:29:37Z |
| publishDate | 2023-04-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-bad11101202c4783979f37bc2d2c50532023-04-18T07:33:49ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852023-04-012110.31744/einstein_journal/2023ao0036Breaking bad news in neurology: assessing training, perceptions, and preparedness among residency programs in BrazilThaiza Agostini Córdoba de Limahttps://orcid.org/0000-0001-6694-5259Fernando Pereira Brunohttps://orcid.org/0000-0002-4561-5290Fernanda Gushkenhttps://orcid.org/0000-0001-5723-3807Luiza Helena Degani-Costahttps://orcid.org/0000-0001-5968-7853Natalia Pelizari Novaeshttps://orcid.org/0000-0002-4663-5437ABSTRACT Objective We aimed to evaluate how breaking bad news training was implemented in neurology residency programs in Brazil and to assess the perception and preparedness of trainees and program directors. Methods We performed a cross-sectional descriptive study. Neurology trainees and program directors were recruited from the Brazilian Academy of Neurology registry through convenience sampling. Participants answered a survey evaluating the breaking bad news training at their institution and their preparedness and perception towards the topic. Results We collected 172 responses from 47 neurology institutions from all five socio-demographic regions of Brazil. More than 77% of trainees were dissatisfied with their breaking bad news training, and around 92% of program directors believed their programs required substantial improvement. Approximately 31% of neurology trainees reported never having a lecture about communicating bad news, 66% reported never having a simulated training, and nearly 61% never received feedback regarding their communication abilities. Moreover, 59% of program directors acknowledged that feedback was not a standard practice and nearly 32% reported the absence of any specific training. Conclusion This study suggested that the breaking bad news training in neurology residencies across Brazil is deficient and highlighted challenges to achieve this core competency. Program directors and trainees recognized the importance of the topic, and program directors acknowledged that many factors hinder the ability to implement formal training. Given the relevance of such a skill to patient care, every effort should be made to provide structured training opportunities during residency.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082023000100208&lng=en&tlng=enCommunicationEducationInternship and residencyLearningMentoringNeurologySurveys and questionnaires |
| spellingShingle | Thaiza Agostini Córdoba de Lima Fernando Pereira Bruno Fernanda Gushken Luiza Helena Degani-Costa Natalia Pelizari Novaes Breaking bad news in neurology: assessing training, perceptions, and preparedness among residency programs in Brazil Einstein (São Paulo) Communication Education Internship and residency Learning Mentoring Neurology Surveys and questionnaires |
| title | Breaking bad news in neurology: assessing training, perceptions, and preparedness among residency programs in Brazil |
| title_full | Breaking bad news in neurology: assessing training, perceptions, and preparedness among residency programs in Brazil |
| title_fullStr | Breaking bad news in neurology: assessing training, perceptions, and preparedness among residency programs in Brazil |
| title_full_unstemmed | Breaking bad news in neurology: assessing training, perceptions, and preparedness among residency programs in Brazil |
| title_short | Breaking bad news in neurology: assessing training, perceptions, and preparedness among residency programs in Brazil |
| title_sort | breaking bad news in neurology assessing training perceptions and preparedness among residency programs in brazil |
| topic | Communication Education Internship and residency Learning Mentoring Neurology Surveys and questionnaires |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082023000100208&lng=en&tlng=en |
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