Training in difficult conversations: a national survey of pediatric hematology-oncology and pediatric critical care physicians

Training in difficult conversations: a national survey of pediatric hematology-oncology and pediatric critical care physicians

Kersun L; Gyi L; Morrison WE

Journal Of Palliative Medicine

2009

Female; Humans; Male; Pediatrics; Health Care Surveys; Education; Communication; Physicians; Truth Disclosure; Medical Oncology; Critical Care; Fellowships and Scholarships; Hematology; Teaching; Medical

BACKGROUND: In pediatric oncology and critical care, physicians give difficult news, including discussions regarding palliative care and comfort measures, but there are minimal data regarding fellowship program preparation for this task. PURPOSE: We surveyed graduates of pediatric hematology/oncology and critical care fellowships regarding communication training to describe teaching methods, assess which were helpful, and determine whether comfort level is related to training experiences. METHODS: A 12-question Web survey was sent to physicians completing fellowship in the previous 5 years. RESULTS: Of 345 fellows identified, 171 (50%) responded. Prior training included observing senior physicians (100%), being observed (78%), reading (56%), lectures (46%), role-play (20%), workshops (16%), simulation (13%), and videos (13%). Observing senior physicians was thought most helpful. More years since training (p

2009

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