Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2014 Jun 23:3:51.
doi: 10.4103/2277-9531.134737. eCollection 2014.

Medical training for communication of bad news: A literature review

Affiliations
Review

Medical training for communication of bad news: A literature review

Somia M Alelwani et al. J Educ Health Promot. .

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.

Keywords: Bad news; communication skills; medical education; physician-patient relations.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared

References

    1. Barnett MM, Fisher JD, Cooke H, James PR, Dale J. Breaking bad news: Consultants’ experien ce, previous education and views on educational format and timing. Med Educ. 2007;41:947–56. - PubMed
    1. Lino AC, Augusto KL, Oliveira RA, Feitosa LB, Caprara A. Using the Spikes protocol to teach skills in breaking bad news. Rev Bras Med Educ. 2011;35:52–7.
    1. Reiser SJ. Words those Scalpels: Words as scalpels: Transmitting evidence in the clinical dialogue. Ann Intern Med. 1980;92:837–42. - PubMed
    1. Charlton RC. Breaking bad news. Med J Aust. 1992;157:615–21. - PubMed
    1. Maguire P. Breaking bad news. Eur J Surg Oncol. 1998;24:188–91. - PubMed