Survey of Professional Skill Among Medical Residents of Tabriz University of Medical Science For Breaking Bad News

Bagher Matloubi-Sisi, Abdolhossein Kazemi, Zahra Mohammadzade-Vizhe, Mohammad Zirak, Mortaza Ghojazade, Mahasti Alizade


Lack of knowledge on scientific behaving with patients during giving bad news involves most of physicians even experienced physicians. Interestingly, this hurts physicians mind and in some cases causes sadness and depression or reaction on dealing with patient. In a cross sectional-descriptive study, 203 clinical assistant were included in study from 2009 to 2010 at Tabriz university of medical sciences. Comments of residents about giving bad news were registered on valid and reliable questionnaire. State of awareness by considering positive answers of statistical population were categorized into three groups; first group: weak awareness (true questions fewer than 50%), second group: medium awareness (true questions between 50 to75%), and third group: good awareness (true questions more than 75%). Validity of questionnaire was assessed by evaluating contents and reliability using Cronbach's alpha. Stratified sampling was used based on academic year. Mean age of residents was 32.01±3.25 years between the ranges of 26 to 43 years. Females were 76 individuals (37.4%) and 127 individuals (62.6%) males. Mean of physicians work experience was 2.1-2.9 (0-15 years range) at general period. Among residents, internal medicine residents agree on considering patients education before giving bad news much than other majors residents (P=0.004). Mean score for residents' awareness about patients' right for knowing disease were 4.81±1.58 (min=0, max=7); the mean for female residents was 4.9±1.49 and 4.75±1.64 for male residents. There is statistically significant differences between majors.

Present study, has shown that the knowledge of Tabriz University of Medical Sciences residents about breaking bad news are low. It seems that holding workshops about breaking bad news are necessary for educating medical students and residents.


Keywords: Breaking bad news; residents; knowledge; attitude

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