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Delivering Bad News

Delivering Bad News

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The Obstetric and Gynecology Residency Training program offers a course in Delivering Bad News using Simulated patients. Scenarios are developed using actual situations that occur within the specialty of OB/GYN. The residents’ encounters are videotaped using “time out” and “re-wind” methodology. The course director may call a “time out” during the scenario and offer suggestions and “re-wind” the scenario to present a different outcome.

Learning Objectives

  1. Exhibit effective patient/physician communications
  2. Model empathy in patient interactions
  3. Use the GRIEV-ING communication tool to deliver bad news

Expected Outcomes

  1. Communicate to the couple that their baby is dead
  2. Discusses the labor and delivery process
  3. Use the GRIEV-ING tool to help couple navigate through the discussions of autopsy, genetic testing and disposal of the body
G Gather (Ensured that all important survivors were presented prior to delivery of the death notification.)
R Resources (Facilitated access to support resources.)
I Identify (Clearly stated the name of the patient; clearly stated his/her role in the care of the patient.)
Check for Understanding (Determine the level of knowledge the survivors possessed prior to their arrival in the waiting room.)
E Educate (Clearly indicated the cause of death in an understandable manner.)
V Verify (Avoided using euphemisms.)
Space (Paused to allow the family to assimilate the information before discussing details.)
I Inquire (Encouraged the survivor to summarize important information to check for understanding.
N Nuts and Bolts(Explained the addressed post-mortem details, including organ donation.
G Established personal availability and provided contact information to answer questions for the survivor at a later time.

Communication Skills

The Gastroenterology Fellowship Program of West Penn Allegheny Health System developed a course to enhance physician/patient communication skills.

Course Objectives

  1. Demonstrate the ability to integrate knowledge, professionalism, communication and interpersonal skills into a physical assessment.
  2. Utilize effective communication skills to address patient pain, symptom management and establish a patient-centered system of care that assists patients to understand the nature of their illness and make informed decisions about their care.
  3. Demonstrate the ability to provide care that addresses the control of distressing physical, psychological and spiritual symptoms, considering different cultural backgrounds to meet the needs of the patient and family.
  4. Recognize the stress associated with a serious illness and its’ impact on patients and their families.
  5. Identify the need to address and effectively deal with the emotional aspects of a serious illness on the patient and family and offer timely referrals to interdisciplinary team members to meet these identified needs.