The SimCom-Method: Impact of Simulated Communication Teaching in Pediatric Resuscitation Scenarios

Abstract

BACKGROUND: Effective communication when breaking bad news to families is crucial, yet it is often lacking. This study evaluates the efficacy of a communication teaching session via simulation to improve the quality of breaking difficult news in a pediatric resuscitation setting. METHODS: This was a prospective randomized controlled trial at the Medical University of Vienna. Participants undergoing a pediatric high-fidelity resuscitation simulation resulting in the death of a 6-year-old patient were tasked with delivering the death notice to simulation parents. These conversations were video recorded for subsequent analysis. Prior to the resuscitation scenario the intervention group received a brief communication teaching session tailored to break bad news to pediatric relatives. RESULTS: This simulation included 46 medical students. The intervention group significantly outperformed the control group, with simulation parents rating participants' competence higher (p<.001) and video analysis confirming better structuring of conversations (p<.001). Participants in the intervention group used clearer language, avoiding jargon (p<.001), and even nonverbal communication skills were significantly enhanced (p<.001). Gender did not significantly influence outcomes. CONCLUSION: The SimCom-Method demonstrates the feasibility and efficacy of a brief, just-in-time communication teaching session delivered immediately before a pediatric resuscitation simulation to significantly improve communication when breaking bad news. Integrating such communication teaching sessions into resuscitation curricula should be prioritized to strengthen providers' ability to support families during emotionally charged situations.