Clinical Experience Is Not a Proxy for Competence: Comparing Fellow and Medical Student Performance in a Breaking Bad News Simulation-Based Mastery Learning Curriculum.

Melanie M Smith, Katharine E Secunda,Elaine R Cohen,Diane B Wayne,Julia H Vermylen,Gordon J Wood

The American journal of hospice & palliative care（2023）

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摘要

Despite higher confidence and BBN clinical experience, fellows performed worse than untrained M4s, confirming that experience is not a proxy for skill. Programs must develop competency-based assessments to ensure entrustment of communication skills.

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breaking bad news,communication,graduate medical education,palliative care

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