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Breaking Bad News: the TAKE five program

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(1)

Breaking Bad News:

the TAKE five program

Isabelle VAN CAUWENBERGE

1

, Aline GILLET

2

,

Isabelle BRAGARD

3

, Alexandre GHUYSEN

1

1

Emergency Department, University Hospital Centre of Liege, Liege, Belgium

2

Medical Simulation Centre, University Hospital Centre of Liege, Liege, Belgium

(2)

Declaration of interest links with the health industries related to the theme

of the presentation

Employee, consultant or member of the scientific advisory

board of a health industry

Yes

No

Fees for lecture or redaction of articles or materials from a

health industry

Yes

No

Support for travel, accommodation or registration to

conferences and other events received from a health

industry

Yes

No

Research or clinical study investigator for a health industry

Yes

No

If “yes” move the green arrow and specify the organizations or firms here - or delete this field if “No”.

If “yes” move the green arrow and specify the organizations or firms here - or delete this field if “No”.

If “yes” move the green arrow and specify the organizations or firms here - or delete this field if “No”.

(3)

Background

• Bad news delivery’s impact : worldwide concern

• SMILE Centre : the TAKE 5 program

 Could it improve bad news delivery performances,

such as longer course programs?

(4)

Materials and method

• Preliminary study conducted in the Emergency Department

• Data extracted from a 5-month period between November

2015 and April 2016

• Three phases over 4 weeks

• Evaluation

– SPIKES competence form – short form

a

– IES-R scale

b

Phase 1 (week 1)

Phase 2 (week 2)

Phase 3 (week 4)

Video recorded individual

role-playing sessions

3-hour theoretical training group

session

Video recorded individual

role-playing sessions

a Park, I. et al. (2010). Breaking bad news education for emergency medicine residents: A novel training module using simulation with the SPIKES protocol. J

Emerg Trauma Shock, 3(4), 385-388.

(5)

Results (N=14)

Mean age

Gender

BN delivery duration T1

BN delivery duration T3

Trainees (n=10)

24

6♀ / 4♂

8’20’’

10’30’’

Junior physicians (n=4) 25

4♀

13’18’’

9’34’’

p<.001

p<.001

p=.006

0,00

5,00

10,00

15,00

SPIKES

IES-R

T1 junior physicians

T3 junior physicians

T1 Trainees

T3 Trainees

p=.01

p<.001

p=.009

p=.037

p=.001

0,00

0,50

1,00

1,50

S

P

I

K

E

S

T1

T3

Score

Score

(6)

Conclusions

• Preliminary results

– ↗communication skills

– ↘physicians’ stress

• A larger sample, measures of subjective and

objective stress, and double-blinded video

(7)

THANK YOU FOR YOUR ATTENTION

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