Mastering Communication Codes and Emotional Responses Quiz

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Questions and Answers

How many participants were there in each Oncotalk workshop?

  • 25
  • 15
  • 10
  • 20 (correct)

What was the basis for selecting participants for the Oncotalk workshop?

  • Clinical experience
  • Interest in communication (correct)
  • Academic performance
  • Research experience

How many standardized patient encounters were there per participant in the Oncotalk workshop?

  • 3
  • 2
  • 4 (correct)
  • 5

Which type of physician trainees were involved in the study?

<p>Medical oncology fellows (D)</p> Signup and view all the answers

What was the duration of the Oncotalk workshop?

<p>4 days (C)</p> Signup and view all the answers

How many medical oncology fellows participated in the study?

<p>115 (C)</p> Signup and view all the answers

What were the primary outcomes measured in the study?

<p>Participant communication skills (D)</p> Signup and view all the answers

What topics were covered in the Oncotalk workshop?

<p>Palliative care (C)</p> Signup and view all the answers

What percentage of participants used the word 'cancer' when giving bad news after the workshop?

<p>54% (B)</p> Signup and view all the answers

Which type of study design was used in this study?

<p>Cohort study (D)</p> Signup and view all the answers

What is a notable strength of this study?

<p>The diversity of participants (B)</p> Signup and view all the answers

What is a limitation of the study?

<p>The use of simulated patients for evaluation (D)</p> Signup and view all the answers

What does the study primarily focus on?

<p>Verbal skills (C)</p> Signup and view all the answers

What remains to be determined about the effectiveness of Oncotalk?

<p>The impact on patient-level outcomes (C)</p> Signup and view all the answers

What should future studies of the Oncotalk teaching model address?

<p>Faculty development (A)</p> Signup and view all the answers

What is a potential factor that may have influenced the participants' performance in the study?

<p>The self-selection of participants (B)</p> Signup and view all the answers

Which step in the communication approach developed for transitions to palliative care involved proposing a care plan that addresses goals, values, and concerns?

<p>Step 3: Asking about worries, fears, and concerns (D)</p> Signup and view all the answers

What was the purpose of measuring whether participants included an empathic statement in their response to the question 'How much time do I have' during step 4 of the communication approach for transitions to palliative care?

<p>To assess participant skills in responding to patient emotion (C)</p> Signup and view all the answers

What acronym was used to measure participant use of verbal empathic expressions during the SP encounters?

<p>NURSE (B)</p> Signup and view all the answers

What was the purpose of coding participant dialogue during the SP encounters?

<p>To evaluate participant skills in responding to patient emotion (D)</p> Signup and view all the answers

What statistical test was used to compare the proportion of subjects who possessed a skill before and after the retreat?

<p>McNemar test (B)</p> Signup and view all the answers

Why was a control group not used in the study of the efficacy of Oncotalk for acquiring communication skills?

<p>To prevent secular trend (B)</p> Signup and view all the answers

Which type of physician trainees participated in the Oncotalk workshop?

<p>Medical oncology fellows (D)</p> Signup and view all the answers

What were the primary outcomes measured in the study?

<p>Observable communication behaviors (A)</p> Signup and view all the answers

What was the duration of the Oncotalk workshop?

<p>4 days (C)</p> Signup and view all the answers

Which organization trained the professional actors to serve as simulated patients in the Oncotalk workshop?

<p>Center for Advancing Professional Excellence (B)</p> Signup and view all the answers

Which step in the SPIKES approach involves finding a quiet place to talk and verifying the information?

<p>Preparing the setting (C)</p> Signup and view all the answers

What was the purpose of the preretreat questionnaires completed by the participants?

<p>To gather demographic information about the participants (D)</p> Signup and view all the answers

What was the primary purpose of coding participant dialogue during the SP encounters?

<p>To measure participant use of verbal empathic expressions (A)</p> Signup and view all the answers

What was the primary reason for not using a control group in the study of the efficacy of Oncotalk?

<p>To measure whether oncology fellows who did not attend Oncotalk had improved their communication skills spontaneously (C)</p> Signup and view all the answers

What was the primary purpose of measuring whether participants included an empathic statement in their response to the question 'How much time do I have' during step 4 of the communication approach for transitions to palliative care?

<p>To evaluate participant skills for step 4 of the communication approach (B)</p> Signup and view all the answers

What is a limitation of the study?

<p>The study did not specifically test the skills in settings simulating patients from minority, disadvantaged, and low-literacy backgrounds (B)</p> Signup and view all the answers

What is a potential factor that may have influenced the participants' performance in the study?

<p>The participants were self-selected (D)</p> Signup and view all the answers

What should future studies of the Oncotalk teaching model address?

<p>All of the above (D)</p> Signup and view all the answers

What was the purpose of coding participant dialogue during the SP encounters?

<p>To measure verbal skills taught in the curriculum (D)</p> Signup and view all the answers

What was the basis for selecting participants for the Oncotalk workshop?

<p>Their previous training (A)</p> Signup and view all the answers

What is a notable strength of this study?

<p>The study achieved extremely high reliability in measuring skills (A)</p> Signup and view all the answers

Which type of study design was used in this study?

<p>Cohort study (A)</p> Signup and view all the answers

What were the primary outcomes measured in this study?

<p>Observable participant communication skills (B)</p> Signup and view all the answers

What was the duration of the Oncotalk workshop?

<p>3 days (C)</p> Signup and view all the answers

What was the purpose of the Oncotalk workshop?

<p>To provide training in communication skills for oncology fellows (B)</p> Signup and view all the answers

How were participants selected for the Oncotalk workshop?

<p>By sending brochures and emails to fellowship directors (A)</p> Signup and view all the answers

What were the learning activities in the Oncotalk curriculum?

<p>Case-based simulations (C)</p> Signup and view all the answers

What was the purpose of measuring whether participants could remain silent for at least 10 seconds during step 5 of the communication approach for transitions to palliative care?

<p>To determine if participants were attending to the patient's emotion (D)</p> Signup and view all the answers

What was the acronym used to measure participant use of verbal empathic expressions during the SP encounters?

<p>NURSE (D)</p> Signup and view all the answers

What statistical test was used to compare the proportion of subjects who possessed a skill at their preretreat session and postretreat session?

<p>McNemar test (C)</p> Signup and view all the answers

What is a potential limitation of the study?

<p>The study did not use real patients for evaluation. (B)</p> Signup and view all the answers

What was a focus of the coding system used in the study?

<p>Verbal skills (C)</p> Signup and view all the answers

What is a potential area for future study of the Oncotalk teaching model?

<p>Faculty development (A)</p> Signup and view all the answers

What was a notable strength of the study?

<p>The participants were diverse in program location, ethnicity, and previous training. (C)</p> Signup and view all the answers

What is a potential factor that may have influenced the participants' performance in the study?

<p>The participants were self-selected. (D)</p> Signup and view all the answers

What is a potential area for future study of the Oncotalk teaching model?

<p>Nonresidential settings (D)</p> Signup and view all the answers

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Study Notes

Oncotalk Workshop Details

  • 8 participants were in each Oncotalk workshop.
  • Participants were selected based on their willingness to participate and their current or planned involvement in oncology care.

Workshop Structure

  • Each participant had 4 standardized patient encounters.
  • The workshop lasted for 1 day.
  • 21 medical oncology fellows participated in the study.

Primary Outcomes

  • Measured participant's ability to communicate effectively with patients.
  • Measured participant's ability to use empathic expressions.

Oncotalk Curriculum

  • Covered topics such as breaking bad news, transitions to palliative care, and communication skills.

Post-Workshop Outcomes

  • 95% of participants used the word 'cancer' when giving bad news after the workshop.

Study Design

  • Used a pre-post study design.

Strengths and Limitations

  • Notable strength: used a standardized patient encounter to measure participant's communication skills.
  • Limitation: no control group was used.

Communication Approach

  • Step 4: responding to the question 'How much time do I have' with empathy.
  • Step 5: remaining silent for at least 10 seconds.

Statistical Analysis

  • Used the McNemar test to compare the proportion of subjects who possessed a skill before and after the workshop.

Future Studies

  • Should address the long-term effectiveness of the Oncotalk teaching model.
  • Should explore the impact of Oncotalk on patient outcomes.

Simulated Patients

  • Trained by the Actor's Fund.
  • Used to simulate real patient encounters.

SPIKES Approach

  • Step 1: setting up the conversation by finding a quiet place to talk and verifying the information.

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