Assessing cultural competency skills in gastroenterology fellowship training

Table 3 Breaking bad news n (%)

Competency areas and specific skills	Distribution of responses n =11
	Not done	Partly done	Well done
Patient education
Gave results of colonoscopy effectively	3 (27)	7 (63)	1 (9)
Explained procedures already done during colonoscopy	0	8 (73)	3 (27)
Explained next necessary steps, how results fit into longer term plans	0	7 (63)	4 (36)
Checked patient's understanding of treatment options	4 (36)	7 (63)	0
Delivering bad news
Physically set the tone for receiving bad news	3 (27)	8 (73)	0
Assessed your readiness to receive news, gave warning shot	4 (36)	7 (63)	0
Gave opportunity for patient to respond emotionally	1 (9)	7 (63)	3 (27)
Responded to patient's emotions.	1 (9)	7 (63)	3 (27)
Accountability
Conveyed accountability, assured appropriate treatment and follow up	1 (9)	5 (45)	5 (45)
Shared decision making
Explored patient's beliefs, values, and preferences	1 (9)	7 (63)	3 (27)
Engaged patient in the decision making process	3 (27)	6 (55)	2 (18)
Allowed for explicitly deferred decision making	1 (9)	6 (55)	4 (36)
Assessment
Explained and apologized for complication	3 (27)	8 (73)	0
Engaged patient in a discussion about next steps	0	7 (63)	4 (36)
Elicited understanding that patient has different beliefs, negotiated common goals	4 (36)	a	7 (63)

^aScored by faculty observer as performed or not performed.