Effectiveness of Integrating Simulation with Art-Based Teaching Strategies on Oncology Fellows’ Performance Regarding Breaking Bad News

The task of breaking bad news (BBN) may be improved by incorporating simulation with art-based teaching methods. The aim of the present study was to assess the effect of an integrating simulation with art-based teaching strategies, on fellows’ performance regarding BBN, in Iran. The study was carrie...

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Bibliographic Details
Published in:Journal of cancer education 2019-06, Vol.34 (3), p.463-471
Main Authors: Yakhforoshha, Afsaneh, Emami, Seyed Amir Hossein, Shahi, Farhad, Shahsavari, Saeed, Cheraghi, Mohammadali, Mojtahedzadeh, Rita, Mahmoodi-Bakhtiari, Behrooz, Shirazi, Mandana
Format: Article
Language:English
Subjects:
Adult
Biomedical and Life Sciences
Biomedicine
Cancer Research
Check Lists
Clinical Competence - standards
Communication
Communication Skills
Educational Strategies
Fellowships and Scholarships - standards
Female
Humans
Iran
Male
Medical Oncology - education
Medicin och hälsovetenskap
Middle Aged
Oncology
Performance evaluation
Pharmacology/Toxicology
Simulation
Simulation Training - standards
Students, Medical - psychology
Teaching methods
Truth Disclosure
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Summary:The task of breaking bad news (BBN) may be improved by incorporating simulation with art-based teaching methods. The aim of the present study was to assess the effect of an integrating simulation with art-based teaching strategies, on fellows’ performance regarding BBN, in Iran. The study was carried out using quasi-experimental methods, interrupted time series. The participants were selected from medical oncology fellows at two teaching hospitals of Tehran University of Medical Sciences (TUMS), Iran. Participants were trained through workshop, followed by engaging participants with different types of art-based teaching methods. In order to assess the effectiveness of the integrating model, fellows’ performance was rated by two independent raters (standardized patients (SPs) and faculty members) using the BBN assessment checklist. This assessment tool measured seven different domains of BBN skill. Segmented regression was used to analyze the results of study. Performance of all oncology fellows ( n  = 19) was assessed for 228 time points during the study, by rating three time points before and three time points after the intervention by two raters. Based on SP ratings, fellows’ performance scores in post-training showed significant level changes in three domains of BBN checklist ( B  = 1.126, F  = 3.221, G  = 2.241; p  
ISSN:0885-8195
1543-0154
1543-0154
DOI:10.1007/s13187-018-1324-x