Truth telling in medical practice: students' opinions versus their observations of attending physicians' clinical practice
Article first published online: 7 SEP 2012
Copyright © 2012 John Wiley & Sons, Ltd.
Volume 22, Issue 7, pages 1605–1610, July 2013
How to Cite
Tang, W.-R., Fang, J.-T., Fang, C.-K. and Fujimori, M. (2013), Truth telling in medical practice: students' opinions versus their observations of attending physicians' clinical practice. Psycho-Oncology, 22: 1605–1610. doi: 10.1002/pon.3174
- Issue published online: 5 JUL 2013
- Article first published online: 7 SEP 2012
- Manuscript Accepted: 16 AUG 2012
- Manuscript Revised: 1 AUG 2012
- Manuscript Received: 29 MAR 2012
- National Science Council in Taiwan. Grant Number: 100-2511-S-182-004
- truth telling;
- medical students;
- cultural difference
Truth telling or transmitting bad news is a problem that all doctors must frequently face. The purpose of this cross-sectional study was to investigate if medical students' opinions of truth telling differed from their observations of attending physicians' actual clinical practice.
The subjects were 275 medical clerks/interns at a medical center in northern Taiwan. Data were collected on medical students' opinions of truth telling, their observations of physicians' clinical practice, students' level of satisfaction with truth telling practiced by attending physicians, and cancer patients' distress level when they were told the truth.
Students' truth-telling awareness was significantly higher than the clinical truth-telling practice of attending physicians (p < 0.001), and the means for these parameters had a moderate difference, especially in three aspects: method, emotional support, and providing additional information (p < 0.001). Regardless of this difference, students were satisfied with the truth telling of attending physicians (mean ± SD = 7.33 ± 1.74). However, our data also show that when cancer patients were informed of bad news, they all experienced medium to above average distress (5.93 ± 2.19).
To develop the ability to tell the truth well, one must receive regular training in communication skills, including experienced attending physicians. This study found a significant difference between medical students' opinions on truth telling and attending physicians' actual clinical practice. More research is needed to objectively assess physicians' truth telling in clinical practice and to study the factors affecting the method of truth telling used by attending physicians in clinical practice. Copyright © 2012 John Wiley & Sons, Ltd.