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Hilkert SM, Cebulla CM, Jain SG, et al. Breaking bad news: A communication competency for ophthalmology training programs. Surv Ophthalmol. 2016;61(6):791-798doi: 10.1016/j.survophthal.2016.04.005.
Hilkert, S. M., Cebulla, C. M., Jain, S. G., Pfeil, S. A., Benes, S. C., & Robbins, S. L. (2016). Breaking bad news: A communication competency for ophthalmology training programs. Survey of ophthalmology, 61(6), 791-798. https://doi.org/10.1016/j.survophthal.2016.04.005
Hilkert, Sarah M, et al. "Breaking bad news: A communication competency for ophthalmology training programs." Survey of ophthalmology vol. 61,6 (2016): 791-798. doi: https://doi.org/10.1016/j.survophthal.2016.04.005
Hilkert SM, Cebulla CM, Jain SG, Pfeil SA, Benes SC, Robbins SL. Breaking bad news: A communication competency for ophthalmology training programs. Surv Ophthalmol. 2016 Nov - Dec;61(6):791-798. doi: 10.1016/j.survophthal.2016.04.005. Epub 2016 Apr 29. PMID: 27134009; PMCID: PMC5086298.
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Surv Ophthalmol. 2016 Nov - Dec;61(6):791-798. doi: 10.1016/j.survophthal.2016.04.005. Epub 2016 Apr 29.

Breaking bad news: A communication competency for ophthalmology training programs.

Survey of ophthalmology

Sarah M Hilkert, Colleen M Cebulla, Shelly Gupta Jain, Sheryl A Pfeil, Susan C Benes, Shira L Robbins

Affiliations

  1. Department of Ophthalmology and Visual Science, Havener Eye Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA; Department of Ophthalmology, University of California San Diego/Ratner Children's Eye Center, La Jolla, California, USA.
  2. Department of Ophthalmology and Visual Science, Havener Eye Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
  3. Department of Ophthalmology and Visual Science, Havener Eye Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. Electronic address: [email protected].
  4. Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
  5. Department of Ophthalmology, University of California San Diego/Ratner Children's Eye Center, La Jolla, California, USA.

PMID: 27134009 PMCID: PMC5086298 DOI: 10.1016/j.survophthal.2016.04.005

Abstract

As the ophthalmology accreditation system undergoes major changes, training programs must evaluate residents in the 6 core competencies, including appropriately communicating bad news. Although the literature is replete with recommendations for breaking bad news across various non-ophthalmology specialties, no formal training programs exist for ophthalmology. There are many valuable lessons to be learned from our colleagues regarding this important skill. We examine the historic basis for breaking bad news, explore current recommendations among other specialties, and then evaluate a pilot study in breaking bad news for ophthalmology residents. The results of this study are limited by a small number of residents at a single academic center. Future studies from multiple training programs should be conducted to further evaluate the need and efficacy of formal communication skills training in this area, as well as the generalizability of our pilot training program. If validated, this work could serve as a template for future ophthalmology resident training and evaluation in this core competency.

Copyright © 2016 Elsevier Inc. All rights reserved.

Keywords: breaking bad news; communication skills training; core competencies; resident education; the SPIKES protocol

Conflict of interest statement

The authors report no proprietary or commercial interest in any product mentioned or concept discussed in this article.

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