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Korean J Med Educ > Volume 18(1); 2006 > Article
Korean Journal of Medical Education 2006;18(1): 55-63. doi: https://doi.org/10.3946/kjme.2006.18.1.55
SPIKES 프로토콜을 바탕으로 한 “나쁜 소식 전달” 교육 – 일개 가정의학과 임상 실습 학생을 대상으로
김수현1, 최윤선1, 이영미2, 김대균1, 김정아1
1고려대학교 의과대학 가정의학교실
2고려대학교 의과대학 의학교육학교실
Teaching 'Breaking Bad News' Based on SPIKES Protocol during Family Medicine Clerkship
Su Hyun Kim1, Youn Seon Choi1, Young Mee Lee2, Dae Gyeun Kim1, Jeong A Kim1
1Department of Family Medicine, Korea University, Korea.
2Department of Medical Education, Korea University, Korea.
Corresponding Author: Youn Seon Choi, Tel: 02)818-6886, Fax: 02)837-0613, Email: younseon@korea.ac.kr
PURPOSE: We taught medical students how to break bad news to medical students using the SPIKES protocol and investigated its efficacy. METHODS: After developing the program, we taught the 16 medical students doing their family medicine rotation. We surveyed their self-reported performance prior to the teaching and their satisfaction and change in confidence level after the teaching. Using standardized patients(SP), we also analyzed the difference in clinical performance between educated and non-educated groups. RESULTS: Students were satisfied with the education program and 12 students showed increased confidence levels. However, there was no difference in clinical performance between eduated and non-educated group, even after categorization of the exam. CONCLUSION: Self-confidence for delivering bad news increased but there was no evidence of improvement in clinical performance. Communication skills training should be repeatedly performed in each medical educational curriculum.
Keywords: Breaking bad news;Communication skills;Education;Undergraduate;SPIKES
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