关于传达坏消息的医学培训：文献综述。
Medical training for communication of bad news: A literature review.
作者信息
Alelwani Somia M, Ahmed Yasar A
机构信息
Department of Pediatrics Hematology/Oncology, Department of Training and Medical Education, Comprehensive Cancer Center, King Fahad Medical City, Saudi Arabia.
Adult Medical Oncology, King Abdulaziz Medical City, National Guard Health Affair, Saudi Arabia.
出版信息
J Educ Health Promot. 2014 Jun 23;3:51. doi: 10.4103/2277-9531.134737. eCollection 2014.
Abstract
In recent years, medical guidelines for communicating bad news to patients have been published. Training for this task was included in the curricula of undergraduate medical courses, specialization, and continuing medical education. The objective of this review is to evaluate the existing evidence in the literature on the effectiveness of such training. Only seven controlled trials were found, four of which were randomized, and these four indicate an improvement in the trainees. These findings suggest that training undergraduate and postgraduate doctors in skills for communicating bad news may be beneficial but there are important limitations to reach a definitive conclusion. These limitations are discussed in this article.
摘要
近年来，已发布了向患者传达坏消息的医学指南。本科医学课程、专科培训和继续医学教育的课程中都包含了此项任务的培训。本综述的目的是评估文献中关于此类培训效果的现有证据。仅发现了七项对照试验，其中四项是随机试验，这四项试验表明受训者有进步。这些发现表明，培训本科和研究生医生传达坏消息的技能可能是有益的，但要得出明确结论存在重要局限性。本文将讨论这些局限性。
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