title: Teaching and evaluating breaking bad news: a pre-post evaluation study of a teaching intervention for medical students and a comparative analysis of different measurement instruments and raters.
abstract: OBJECTIVE
  To investigate changes of different domains of breaking bad news (bbn) competences after a teaching module for medical students, and to collage the results generated by different approaches of evaluation.
  
  
  METHODS
  Rating of medical student-SP interactions by means of a global rating scale and a detailed checklist used by SPs and independent raters.
  
  
  RESULTS
  Students improved their breaking bad news competency. However, the changes vary between the different domains of bbn competency. In addition, results generated by different evaluation instruments differ.
  
  
  CONCLUSIONS
  This study serves as a stimulus for further research on the training of specific elements of bbn and different approaches of evaluating bbn competency.
  
  
  CONCLUSIONS
  In light of the different facets of bbn competency, it is important to set priorities regarding the teaching aims and to provide a consistent approach.
authors.affiliation: Institute for Medical Ethics and History of Medicine, Ruhr-University Bochum, Germany. jan.schildmann@rub.de
authors.forename: Jan
authors.initials: J
authors.lastname: Schildmann
authors.forename: Stefanie
authors.initials: S
authors.lastname: Kupfer
authors.forename: Nicole
authors.initials: N
authors.lastname: Burchardi
authors.forename: Jochen
authors.initials: J
authors.lastname: Vollmann
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003142:Communication; D004504:Education, Medical, Undergraduate / Q000379:methods*; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000523:psychology; D016544:Patient Simulation; D010817:Physician-Patient Relations; D012381:Role Playing; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D014342:Truth Disclosure; D014741:Video Recording; D055815:Young Adult