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. 2019 Feb;11(1):60–65. doi: 10.4300/JGME-D-18-00180.1

Table.

Case Scenario Topics for Trainees in Difficult Conversations Workshop (2010–2016)a

Interns Residents
  • Disclosing a new life-threatening/altering diagnosis

  • Disclosing a medical error

  • Discussing with parents the need to proceed with a child abuse evaluation

  • Informing parents of the need to escalate care (transferring a patient to the intensive care unit)

  • Reaching consensus on a child's plan of care after parents receive differing opinions from consulting medical services

  • Delivering a poor prognosis after parents witness resuscitation in the emergency department

  • Referring a child with dysmorphic features to a genetics workup at their well child checkup

  • Explaining the need to interview an adolescent in private

  • Disclosing a new life-threatening/altering diagnosis

  • Disclosing a medical error

  • Delivering difficult news by telephone

  • Talking to angry parents who have a child with an unclear diagnosis

  • Having a “do not resuscitate” conversation with parents who speak a different language

  • Discussing pain management with parents whose goals differ from those of the providers

  • Notifying a family of a death

a 

Copies of the scenarios are available upon request from the authors.