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AB1703 EVALUATION OF A TRAINING COURSE ON BREAKING BAD NEWS IN RHEUMATOLOGY

2023; BMJ; Linguagem: Inglês

10.1136/annrheumdis-2023-eular.3543

1468-2060

G. Khaldi, S. Miladi, Wafa Abdelghaffar, A. Fazaa, H. Boussaa, Yasmine Makhlouf, K. Ben Abdelghani, R. Rafrafi, Mohamed Ahmed Laatar,

Empathy and Medical Education

Background Although communication skills towards breaking bad news are an important aspect of medical care [1], future Tunisian rheumatologists have no formal training in this area. The gaps in communication skills are significant to date in the field of rheumatology. Objectives The aim of this study was to evaluate the impact of a training workshop on the disclosure of bad news in rheumatology. Methods We conducted a prospective, multicenter, interventional study over a six-month period during the academic year 2021-2022. 31 residents were recruited on a voluntary basis. Two groups were individualized: The training group A (N=16) and the control group B (N=15). The training session included interactive lectures, video-case studies, role-playing and peer-to-peer discussions. A self-administered survey was used to assess residents' abilities to deliver bad news before and three months after the training. Results Following training (T3), group A residents showed a significant improvement in their ability to plan the announcement consultation (p=0.004), prepare the patient for the announcement of bad news (p=0.009), deliver the bad news itself (p=0.003), as well as in their self-assigned skill level (p=0.003). Their post-training ratings were significantly better than those of control group B. However, the training group's progress in handling patients' emotions was not statistically significant (p=0.488), and there was no distinction between the two groups after the training. Although both groups of residents were quite adept at managing their stress, their reactions to the announcement were primarily negative (sorrow and sadness). The inclusion of this training in the rheumatology curriculum received "extremely important" or "important" ratings from all residents (100%). when looking at the determinants of a successful announcement, the year of residency was the only factor that showed a statistically significant association with enhanced theoretical knowledge (p = 0.049). Conclusion This study highlighted the improvement of the residents' competencies as well as their self-assigned skill level related to the use of role-play in the acquisition of competencies related to a particular situation such as the announcement of bad news. The training seminar on breaking bad news was beneficial and had a positive impact on the residents' performance. It enabled them to pick up several new abilities. Reference [ 1] Kurer MA, Zekri JM. Breaking bad news: can we get it right? Libyan J Med. 2008 Dec;3(4):200-3. Acknowledgements: NIL. Disclosure of Interests None Declared.