Pediatric Clerkship Experience and Performance in the Nebraska Education Consortium

Article Abstract:

Sending third-year pediatrics students to clerkships in private practices may be an acceptable replacement for the traditional clinic and inpatient experience. The traditional clerkship is no longer feasible as admissions of pediatric patients to hospitals have dropped significantly in recent years, and those who are admitted have considerably shorter stays than in times past. A pilot project with fourth-year students to assess the possibility of using private practices was done with some going to the University of Nebraska Medical Center and others to community practices. The results, judging by examination scores and survey of satisfaction, were approximately equal.

Training, Pediatrics, University of Nebraska. Medical Center (Omaha, Nebraska)

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Teaching Physicians How to Break Bad News

Article Abstract:

Pediatricians can be effectively trained to deliver bad news to parents. Using volunteers trained in role playing and communication to act as parents, seven pediatric intensive care fellows delivered a near-fatal diagnosis of a childhood illness. The mock parents then instructed the physicians on their communication skills, support, and their own perceptions. The physicians then repeated the process with new "parents." Videotaped sessions of the interactions were graded, and physicians were significantly more effective at delivering bad news in the second session, compared to the first.

United States, Education, Physician and patient, Physician-patient relations, Pediatricians

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