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Enabling physicians to communicate bad news to children

The movement toward humanization of medicine stimulated new studies about inclusion of controversial subjects in the curriculum of the medical courses and alternative strategies for qualifying the future professionals. The present study investigated the opinion of physicians that attend children with respect to how they convey information about diseases of uncertain prognosis. The study also analyzed how these professionals were equipped to exercise this function, aiming to include in the curriculum strategies that help future doctors to cope with these situations. Fifty-three pediatricians responded a semi-structured questionnaire. The majority of the sample believed that children have the right to such information; 70% had already been exposed to this kind of situation. Independently how long ago they graduated, 48% had discussed the subject during medical school and residency but only 30% acknowledged having had specific training on this subject. Older physicians reported that they had learned by observing professionals with whom they worked. The article discusses the need of considering new teaching strategies such as role-playing for issues that, in addition to the scientific knowledge, involve emotional, ethical and legal aspects.

Communication; Doctor-patient relation; Education, medical; Child, hospitalized


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