DEATH, DYING AND DELIVERING BAD NEWS: CURRENT CURRICULAR OFFERINGS AND STUDENT ATTITUDES AT STANFORD UNIVERSITY SCHOOL OF MEDICINE.

2004 ◽  
Vol 52 ◽  
pp. S103
Author(s):  
P. J. Mosher ◽  
A. A. Murphy ◽  
J. M. Anderson ◽  
M. Coyle ◽  
J. McCauley ◽  
...  
Keyword(s):  
Student Attitudes ◽  
Bad News ◽  
Stanford University ◽  
School Of Medicine ◽  
Delivering Bad News

140 DEATH, DYING AND DELIVERING BAD NEWS: CURRENT CURRICULAR OFFERINGS AND STUDENT ATTITUDES AT STANFORD UNIVERSITY SCHOOL OF MEDICINE.

2004 ◽  
Vol 52 (Suppl 1) ◽  
pp. S103.3-S103
Author(s):  
P. J. Mosher ◽  
A. A. Murphy ◽  
J. M. Anderson ◽  
M. Coyle ◽  
J. McCauley ◽  
...  
Keyword(s):  
Student Attitudes ◽  
Bad News ◽  
Stanford University ◽  
School Of Medicine ◽  
Delivering Bad News

Using Advanced Pulmonary Hypertension Therapies in Children

2011 ◽  
Vol 10 (2) ◽  
pp. 117-124
Author(s):  
Erika Rosenzweig ◽  
Dunbar Ivy ◽  
Maurice Beghetti ◽  
Jeffrey Feinstein
Keyword(s):  
Pulmonary Hypertension ◽  
Guest Editor ◽  
Pediatric Cardiology ◽  
Associate Professor ◽  
University Hospital ◽  
Stanford University ◽  
New Therapies ◽  
University Of Toronto ◽  
University Of Colorado ◽  
School Of Medicine

On July 8, 2011, Editor-in-Chief Erika Rosenzweig convened a discussion among a group of physicians who work daily with pediatric PH patients to share their thoughts and experiences related to using new therapies with children. Contributing to the conversation were guest editor Dunbar Ivy, MD, Professor of Pediatrics, University of Colorado; Jeffrey A. Feinstein, MD, MPH, Associate Professor, Stanford University School of Medicine; Tilman Humpl, MD, PhD, Associate Professor, Pediatrics, University of Toronto; and Professor Maurice Beghetti, Head of Pediatric Subspecialties Division and Head of Pediatric Cardiology Unit, Children's University Hospital, Geneva, Switzerland.

scholarly journals Required Longitudinal Service-Learning and Its Effects on Medical Students’ Attitudes Toward the Underserved

2021 ◽  
Author(s):  
Monica Rose Arebalos ◽  
Faun Lee Botor ◽  
Edward Simanton ◽  
Jennifer Young
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Service Learning ◽  
Student Attitudes ◽  
Underserved Populations ◽  
Preclinical Phase ◽  
School Of Medicine ◽  
Students Attitudes ◽  
Medical Student Attitudes ◽  
The University

AbstractAlthough medical students enter medicine with altruistic motives and seek to serve indigent populations, studies show that medical students’ attitudes towards the undeserved tend to worsen significantly as they go through their medical education. This finding emphasizes the need for medical educators to implement activities such as service-learning that may help mitigate this negative trend.All students at the University of Nevada Las Vegas (UNLV) School of Medicine are required to participate in longitudinal service-learning throughout medical school, and a majority of students interact with the underserved at their service-learning sites. Using the previously validated Medical Student Attitudes Towards the Underserved (MSATU), independent sample T-tests showed that students who interact with underserved populations at their sites scored with significantly better attitudes towards the underserved at the end of their preclinical phase. Subjects included 58 medical students with 100% taking the MSATU. This result indicates that longitudinal service-learning, particularly when it includes interaction with the underserved, can be one method to combat the worsening of medical students’ attitudes as they complete their medical education.

Communication of Bad News

2018 ◽  
Author(s):  
Paul K Mohabir ◽  
Preethi Balakrishnan
Keyword(s):  
Bad News ◽  
Patient Anxiety ◽  
Patient Centered ◽  
Diagnosis And Prognosis ◽  
Centered Care ◽  
Physician Relationship ◽  
Complex Emotion ◽  
Based Medicine ◽  
Physician Job Satisfaction ◽  
Delivering Bad News

Delivering bad news is a critical part of the patient-physician relationship. Historically, physicians have withheld or incompletely related the diagnosis and prognosis of a patient’s disease. However, the trajectory of medical practice and patient expectations mandates a change in communicating bad news. Poor communication of bad news also affects physician job satisfaction and increases burnout. Empathy is crucial to communicating bad news well. It is a very complex emotion that requires the physician to identify the patient’s reaction to the news being delivered and to react to the patient in a supportive manner. Patients do not find it helpful when the physician underplays the bad part of the news. Emerging research shows that patients prefer pairing of bad news with hope to provide anchors in the overwhelming conversation but not to take away from the gravity of the news. Family and friends can help ameliorate or, unfortunately, augment patient anxiety. Physicians have to be cognizant of the dynamics family and friends bring to the interaction as well. A patient-centered approach—a combination of evidence-based medicine and patient goal-oriented medicine—to delivering bad news is most likely to benefit the patient-physician relationship and decision-making process. The SPIKES and the Expanded Four Habits Model can be used as guidelines for communicating bad news. This review contains 1 figure and 38 references. Key words: communicating bad news, empathy, Expanded Four Habits Model, patient-centered care, SPIKES

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