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[High fidelity simulation training for medical oncology announcement consultation].

Identifieur interne : 000054 ( Main/Exploration ); précédent : 000053; suivant : 000055

[High fidelity simulation training for medical oncology announcement consultation].

Auteurs : Elise Deluche [France] ; Henri Salle [France] ; Teeva Facchini-Joguet [France] ; Sophie Leobon [France] ; Alexandre Troussel [France] ; Nicole Tubiana-Mathieu [France] ; François Caire [France] ; Laurent Fourcade [France]

Source :

RBID : pubmed:32245605

Descripteurs français

English descriptors

Abstract

INTRODUCTION

Medical oncology bad news consultation is a particularly stressful situation for both the patient and the physician. High-fidelity simulation is a learning option that has never been evaluated in France in this field.

MATERIALS AND METHODS

This is a feedback from simulated announcement consultations carried out from January 2018 to May 2019. Residents from the medical oncology and radiotherapy departments performed high-fidelity simulations at the announcement consultation with an announcement nurse, a psychologist, a certified coach and an oncologist. A competency assessment was completed in pre-test, immediate post-test and after 5 months.

RESULTS

Fourteen of the 16 eligible interns participated. The pre-test competency assessment showed that interns over 5 semesters reported being more comfortable at the consultation (P=0.04) and thought they were clearly explaining the disease (P=0.03). However, all residents, regardless of the semester, felt stressed before a consultation. The evolution of parameters skills after the simulation was positive for all criteria, particularly for adaptation to patient reactions, use of appropriate vocabulary and reduction of stress (P<0.05). This evolution was independent of the gender, curriculum, semester, or previous completion of a medical oncology internship. More than 80% of the students were ready to repeat this type of training.

CONCLUSION

This training demonstrates the value of simulation training for medical oncology advertising consultation.


DOI: 10.1016/j.bulcan.2020.02.007
PubMed: 32245605


Affiliations:


Links toward previous steps (curation, corpus...)


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<term>Truth Disclosure</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>INTRODUCTION</b>
</p>
<p>Medical oncology bad news consultation is a particularly stressful situation for both the patient and the physician. High-fidelity simulation is a learning option that has never been evaluated in France in this field.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MATERIALS AND METHODS</b>
</p>
<p>This is a feedback from simulated announcement consultations carried out from January 2018 to May 2019. Residents from the medical oncology and radiotherapy departments performed high-fidelity simulations at the announcement consultation with an announcement nurse, a psychologist, a certified coach and an oncologist. A competency assessment was completed in pre-test, immediate post-test and after 5 months.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Fourteen of the 16 eligible interns participated. The pre-test competency assessment showed that interns over 5 semesters reported being more comfortable at the consultation (P=0.04) and thought they were clearly explaining the disease (P=0.03). However, all residents, regardless of the semester, felt stressed before a consultation. The evolution of parameters skills after the simulation was positive for all criteria, particularly for adaptation to patient reactions, use of appropriate vocabulary and reduction of stress (P<0.05). This evolution was independent of the gender, curriculum, semester, or previous completion of a medical oncology internship. More than 80% of the students were ready to repeat this type of training.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>This training demonstrates the value of simulation training for medical oncology advertising consultation.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">32245605</PMID>
<DateCompleted>
<Year>2020</Year>
<Month>05</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>05</Month>
<Day>06</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1769-6917</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>107</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2020</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Bulletin du cancer</Title>
<ISOAbbreviation>Bull Cancer</ISOAbbreviation>
</Journal>
<ArticleTitle>[High fidelity simulation training for medical oncology announcement consultation].</ArticleTitle>
<Pagination>
<MedlinePgn>417-427</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0007-4551(20)30143-0</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bulcan.2020.02.007</ELocationID>
<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Medical oncology bad news consultation is a particularly stressful situation for both the patient and the physician. High-fidelity simulation is a learning option that has never been evaluated in France in this field.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">This is a feedback from simulated announcement consultations carried out from January 2018 to May 2019. Residents from the medical oncology and radiotherapy departments performed high-fidelity simulations at the announcement consultation with an announcement nurse, a psychologist, a certified coach and an oncologist. A competency assessment was completed in pre-test, immediate post-test and after 5 months.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Fourteen of the 16 eligible interns participated. The pre-test competency assessment showed that interns over 5 semesters reported being more comfortable at the consultation (P=0.04) and thought they were clearly explaining the disease (P=0.03). However, all residents, regardless of the semester, felt stressed before a consultation. The evolution of parameters skills after the simulation was positive for all criteria, particularly for adaptation to patient reactions, use of appropriate vocabulary and reduction of stress (P<0.05). This evolution was independent of the gender, curriculum, semester, or previous completion of a medical oncology internship. More than 80% of the students were ready to repeat this type of training.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This training demonstrates the value of simulation training for medical oncology advertising consultation.</AbstractText>
<CopyrightInformation>Copyright © 2020 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Deluche</LastName>
<ForeName>Elise</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Service d'oncologie médicale, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France; Faculté de médecine de Limoges, département universitaire d'enseignement numérique en santé, 2, rue du Docteur-Marcland, 87025 Limoges cedex, France. Electronic address: elise.deluche@chu-limoges.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Salle</LastName>
<ForeName>Henri</ForeName>
<Initials>H</Initials>
<AffiliationInfo>
<Affiliation>Hôpital Dupuytren, service de neurochirurgie, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France; Faculté de médecine de Limoges, département universitaire d'enseignement numérique en santé, 2, rue du Docteur-Marcland, 87025 Limoges cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Facchini-Joguet</LastName>
<ForeName>Teeva</ForeName>
<Initials>T</Initials>
<AffiliationInfo>
<Affiliation>We Care &+Consulting, 6, rue Perrault, 75001 Paris cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Leobon</LastName>
<ForeName>Sophie</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Service d'oncologie médicale, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Troussel</LastName>
<ForeName>Alexandre</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Service d'oncologie médicale, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Tubiana-Mathieu</LastName>
<ForeName>Nicole</ForeName>
<Initials>N</Initials>
<AffiliationInfo>
<Affiliation>Service d'oncologie médicale, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Caire</LastName>
<ForeName>François</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Hôpital Dupuytren, service de neurochirurgie, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France; Faculté de médecine de Limoges, département universitaire d'enseignement numérique en santé, 2, rue du Docteur-Marcland, 87025 Limoges cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Fourcade</LastName>
<ForeName>Laurent</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Hôpital des Enfants, service de chirurgie viscérale pédiatrique, 8, avenue Dominique-Larrey, 87042 Limoges cedex, France; Faculté de médecine de Limoges, département universitaire d'enseignement numérique en santé, 2, rue du Docteur-Marcland, 87025 Limoges cedex, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>fre</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<VernacularTitle>Simulation haute-fidélité à la consultation d’annonce en oncologie médicale.</VernacularTitle>
<ArticleDate DateType="Electronic">
<Year>2020</Year>
<Month>03</Month>
<Day>31</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>France</Country>
<MedlineTA>Bull Cancer</MedlineTA>
<NlmUniqueID>0072416</NlmUniqueID>
<ISSNLinking>0007-4551</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002983" MajorTopicYN="N">Clinical Competence</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000070856" MajorTopicYN="N">High Fidelity Simulation Training</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
<QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007396" MajorTopicYN="Y">Internship and Residency</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008495" MajorTopicYN="N">Medical Oncology</DescriptorName>
<QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009859" MajorTopicYN="N">Oncology Nursing</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016544" MajorTopicYN="Y">Patient Simulation</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011584" MajorTopicYN="N">Psychology</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D018787" MajorTopicYN="N">Radiation Oncology</DescriptorName>
<QualifierName UI="Q000193" MajorTopicYN="N">education</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011878" MajorTopicYN="N">Radiotherapy</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012647" MajorTopicYN="N">Self-Assessment</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014342" MajorTopicYN="Y">Truth Disclosure</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Cancer</Keyword>
<Keyword MajorTopicYN="N">Education</Keyword>
<Keyword MajorTopicYN="N">Formation</Keyword>
<Keyword MajorTopicYN="N">Pédagogie</Keyword>
<Keyword MajorTopicYN="N">Simulation</Keyword>
<Keyword MajorTopicYN="N">Training</Keyword>
</KeywordList>
</MedlineCitation>
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<History>
<PubMedPubDate PubStatus="received">
<Year>2019</Year>
<Month>11</Month>
<Day>10</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2020</Year>
<Month>01</Month>
<Day>11</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2020</Year>
<Month>02</Month>
<Day>07</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2020</Year>
<Month>4</Month>
<Day>5</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline">
<Year>2020</Year>
<Month>5</Month>
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<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2020</Year>
<Month>4</Month>
<Day>5</Day>
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<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">32245605</ArticleId>
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<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Limousin</li>
<li>Nouvelle-Aquitaine</li>
<li>Île-de-France</li>
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<settlement>
<li>Limoges</li>
<li>Paris</li>
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<tree>
<country name="France">
<region name="Nouvelle-Aquitaine">
<name sortKey="Deluche, Elise" sort="Deluche, Elise" uniqKey="Deluche E" first="Elise" last="Deluche">Elise Deluche</name>
</region>
<name sortKey="Caire, Francois" sort="Caire, Francois" uniqKey="Caire F" first="François" last="Caire">François Caire</name>
<name sortKey="Facchini Joguet, Teeva" sort="Facchini Joguet, Teeva" uniqKey="Facchini Joguet T" first="Teeva" last="Facchini-Joguet">Teeva Facchini-Joguet</name>
<name sortKey="Fourcade, Laurent" sort="Fourcade, Laurent" uniqKey="Fourcade L" first="Laurent" last="Fourcade">Laurent Fourcade</name>
<name sortKey="Leobon, Sophie" sort="Leobon, Sophie" uniqKey="Leobon S" first="Sophie" last="Leobon">Sophie Leobon</name>
<name sortKey="Salle, Henri" sort="Salle, Henri" uniqKey="Salle H" first="Henri" last="Salle">Henri Salle</name>
<name sortKey="Troussel, Alexandre" sort="Troussel, Alexandre" uniqKey="Troussel A" first="Alexandre" last="Troussel">Alexandre Troussel</name>
<name sortKey="Tubiana Mathieu, Nicole" sort="Tubiana Mathieu, Nicole" uniqKey="Tubiana Mathieu N" first="Nicole" last="Tubiana-Mathieu">Nicole Tubiana-Mathieu</name>
</country>
</tree>
</affiliations>
</record>

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