Bulletin du cancer · 2026
[Breaking bad news training in oncology: A French national survey on current practices and unmet needs among oncology residents].
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Duval Martin, Raynaud Charles, Huguet Florence, Thureau Sébastien, Laprie Anne, Tlemsani Camille, Massard Christophe, Curtit Elsa, Deluche Élise
Аннотация
INTRODUCTION: The consultation is a key moment in cancer care, requiring specific interpersonal skills. High-fidelity simulation (a learning method that aims to recreate a clinical situation in an environment that is as close as possible to routine practice) is gradually establishing itself as an important educational tool for training interns in these skills, but its accessibility remains uneven across the country at the postgraduate level.
METHODS: An anonymous online national survey (France) was conducted from March to July 2025 among DES oncology residents (medical oncology and radiation oncology). The questionnaire (4 sections, 43 items) explored the residents' experiences, training methods, satisfaction, and expectations regarding training in cancer diagnosis. Descriptive and comparative analyses were performed using R (v4.5.1).
RESULTS: Of 508 eligible interns, 301 responded (59%). Almost all (97%) had already attended a consultation to break bad news and had conducted at least one (either independently or with support). A total of 80% reported having received training in breaking bad news, most often during their second semester. The training was mainly local and face-to-face (hospital, faculty, or region), combining role-playing/simulations (86%) and theoretical teaching (56%). Respondents were in favor of using actors (37%) or patient partners (40%) to play the role of the patient in simulations. Among the 20% of respondents who had never been trained, 75% would be willing to travel outside their training subdivision to access training in breaking bad news.
DISCUSSION: This first national survey highlights generally high but uneven access to training in breaking bad news, with strong demand for standardized and interactive formats. National structuring, increased use of patient partners and/or actors, and regular sessions are levers for enhancing educational effectiveness and equity of access.
METHODS: An anonymous online national survey (France) was conducted from March to July 2025 among DES oncology residents (medical oncology and radiation oncology). The questionnaire (4 sections, 43 items) explored the residents' experiences, training methods, satisfaction, and expectations regarding training in cancer diagnosis. Descriptive and comparative analyses were performed using R (v4.5.1).
RESULTS: Of 508 eligible interns, 301 responded (59%). Almost all (97%) had already attended a consultation to break bad news and had conducted at least one (either independently or with support). A total of 80% reported having received training in breaking bad news, most often during their second semester. The training was mainly local and face-to-face (hospital, faculty, or region), combining role-playing/simulations (86%) and theoretical teaching (56%). Respondents were in favor of using actors (37%) or patient partners (40%) to play the role of the patient in simulations. Among the 20% of respondents who had never been trained, 75% would be willing to travel outside their training subdivision to access training in breaking bad news.
DISCUSSION: This first national survey highlights generally high but uneven access to training in breaking bad news, with strong demand for standardized and interactive formats. National structuring, increased use of patient partners and/or actors, and regular sessions are levers for enhancing educational effectiveness and equity of access.