Introduction of Formal Training of Interns in Breaking Bad News in an Empathetic Manner through a Structured Module

Background: Due to lack of formal training, young doctors cannot deliver bad news in a way that is expected by patients and their attendants, thereby jeopardizing doctor-patient relationship. Aim: The aim of this study was to train interns about "breaking bad news" to the patients using a structured module. Materials and Methods: A workshop comprising interactive lectures and videos followed by debriefing, and discussion was conducted for interns. Pre/posttest, workshop feedback evaluation, and a group activity based on article case were conducted, followed by discussion. An assessment of skills based on a checklist was done after 15 days of workshop in simulated conditions. Results: There was a significant difference in scores of written tests taken by all 56 participants before and after the session (P < 0.0001). Almost all of them agreed that their ability to break bad news has improved, and they feel confident in breaking bad news after attending this session. During the assessment of the skill of breaking bad news, most of them fell into the category of beginner after attending the workshop with a median of 2. Conclusions: A structured module is an effective method in improving the skills of the interns in sharing bad news with the patients. Keywords: Breaking bad news, interns, training