The objective of this study is to verify if medical students acquired knowledge about delivering bad news to patients during their undergraduate clinical courses. A questionnaire was applied to two groups: Group 1, which had not studied the theme and Group 2, which had already studied it. 29.41% of Group 1 knew about the Spikes Protocol and 100% of Group 2 (p=0.0001) knew about it. 25.88% of Group 1 and 81.01% of Group 2 (p=0.0001) were partially prepared for communication. 17.65% of Group 1 and 83.54% of Group 2 (p=0.0001) felt more secure after the study. 90.59% of Group 1 attributed a maximum grade to the importance of learning and 87.34% of Group 2 (p=0.8166) did the same. It was concluded that all students recognized the importance of learning about delivering bad news and the wide difference of knowledge in favor of Group 2 highlights the effectiveness of its approach during undergraduation. ResumoComunicação de más notícias a pacientes na perspectiva de estudantes de medicina O objetivo deste estudo foi verificar se estudantes de medicina adquiriram conhecimento sobre comunicação de más notícias aos pacientes durante a graduação. Aplicou-se questionário para dois grupos: Grupo 1, que não havia cursado disciplinas sobre o tema, e Grupo 2, que já as havia cursado. Conheciam o protocolo Spikes 29,41% do Grupo 1 e 100% do Grupo 2 (p=0,0001). Consideraram-se parcialmente preparados para a comunicação 25,88% do Grupo 1 e 81,01% do Grupo 2 (p=0,0001). Sentiam-se mais seguros após o estudo 17,65% do Grupo 1 e 83,54% do Grupo 2 (p=0,0001). Atribuíram nota máxima à importância do aprendizado 90,59% do Grupo 1 e 87,34% do Grupo 2 (p=0,8166). Concluiu-se que todos reconheciam a relevância do ensino sobre comunicação de más notícias. Além disso, a ampla diferença de conhecimento do Grupo 2 destaca a eficácia da abordagem ao tema na graduação. Palavras-chave: Comunicação em saúde. Revelação da verdade. Relações médico-paciente. Aprendizagem. Bioética. Resumen Comunicación de malas noticias a los pacientes desde la perspectiva de estudiantes de medicinaEl objetivo de este estudio fue verificar si los estudiantes de medicina adquirieron conocimiento sobre comunicación de malas noticias a los pacientes durante el ciclo clínico de la carrera de grado en la universidad. Se aplicó un cuestionario a dos grupos: Grupo 1, que no había cursado disciplinas sobre el tema, y Grupo 2, que ya las había cursado. Conocían el Protocolo Spikes el 29,41% del Grupo 1 y el 100% del Grupo 2 (p=0,0001). Se consideraron parcialmente preparados para la comunicación el 25,88% del Grupo 1 y el 81,01% del Grupo 2 (p=0,0001). Se sentían más seguros después del estudio el 17,65% del Grupo 1 y el 83,54% del Grupo 2 (p=0,0001). Atribuyeron nota máxima a la importancia del aprendizaje el 90,59% del Grupo 1 y el 87,34% del Grupo 2 (p=0,8166). Se concluyó que todos reconocían la relevancia de la enseñanza de la comunicación de malas noticias. Además, la amplia diferencia de conocimiento del Grupo 2 destaca la eficacia del abordaje del tema durante la carr...

Communication is an essential component of the doctor-patient relationship, especially when disclosing the diagnosis of a serious illness. The aim of this study was to describe the attitude of oncology patients regarding the disclosure of their diagnosis by the attending physicians. A questionnaire with 21 questions was applied to 210 patients from the hospital oncology sector. Statistical analysis was performed using the Statistica ® 7.0 program (StatSoft) with application of Fisher's Exact Test and Pearson's Chi-square. The majority perceived that the doctor was calm (85.71%) and kind (90%). Regarding the way their diagnosis was disclosed, most were satisfied (92.43%), although there was a difference in attitudes, especially in the 50-59 age group, which showed less agreement (p = 0.0171). The majority (80.48%) considered that the physician was prepared to make the disclosure, with less agreement among participants of greater age group (p = 0.0338). Adequate disclosure of the diagnosis was considered an important behavior, more so by the age group up to 39 years (p = 0.037) and by women (p = 0.0084). However, 28.57% of the participants reported a lack of opportunity to ask questions, 14.28% considered the doctor anxious, 13.81% would have liked the diagnosis to occur differently, and 10% indicated that the doctor showed a lack of kindness. It is concluded that the majority of the patients agreed with the way in which the diagnosis was revealed by the physician, but that some failures point to the need to emphasize the teaching of how to communicate of bad news during medical school, post-graduate, and continuing education.