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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>British Journal of Medical and Health Research</journal-title>
        <abbrev-journal-title abbrev-type="publisher">BJMHR</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="epub">2394-2967</issn>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">BJMHR0312004</article-id>
      <title-group>
        <article-title>Class Room to Real Life: Medical Students Perception and Barriers regarding Breaking Bad News</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Jahan</surname>
            <given-names>Firdous</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Siddiqui</surname>
            <given-names>Muhammad A</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Mukhlif</surname>
            <given-names>Zaid</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Ismail</surname>
            <given-names>Heba Salim</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">Department of Family Medicine, Oman Medical College Sohar, Oman</aff>
      <aff id="aff2">Department of Diabetes and Endocrinology, Royal Victoria Infirmary, Newcastle, UK</aff>
      <pub-date pub-type="epub" iso-8601-date="2016-12-01">
        <month>12</month>
        <day>01</day>
        <year>2016</year>
      </pub-date>
      <volume>3</volume>
      <issue>12</issue>
      <abstract>
        <p>The objective of this study was to assess the perception, skills and comfort level of medical students in clinical years regarding breaking bad news and perceived attainment of objectives in communication skills module. This is a survey using quasi-experimental (pre- /post-intervention) study design. All students in the final year at OMC, consented to participate were included in the study. Questionnaires were provided prior and post-workshop. The commonly used 6-point SPIKES protocol for breaking bad news was discussed. Questionnaire was mainly comprised of demographic details, pre and post quesÂ¬tions, any previous training in communication skills, whether they had observed bad news being broken by a senior, how stressful they thought BBN was to them and SPIKES protocol, confidence levels among participants in communicating bad new and barriers of breaking bad news. Statistical analysis was performed using SPSS 20.v. Data were expressed in frequencies, mean and percentÂ¬ages, t test and man Whitney U test were used to evaluate the significant differences between pre and post responses. A total of 70 medical students were participated in the study in which 60 (85.7%) were female participants. Significant statistical difference was observed between pre and post response of participants involving communicating bad news (p - 0.025). Similarly, there was a significant difference in the responses of participants aged  25 and </p>
      </abstract>
      <kwd-group kwd-group-type="author">
        <kwd>Medical students</kwd>
        <kwd>breaking bad news</kwd>
        <kwd>Perception and Barriers</kwd>
        <kwd>Oman</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
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