The use of realistic simulation in teaching communication skills in medical courses: a scoping review

Authors

  • Carlos Daniel Spindola Melo Author
  • Edilberto Ferreira Veras Junior Author
  • João Lucas Gomes Carvalho Author
  • Lúcio Eugênio Cerqueira Lopes Author
  • Marcos Vinícius de Meneses Gomes Author

DOI:

https://doi.org/10.69849/a5n1vh46

Keywords:

Simulation Training, Health Communication, Education, Medical

Abstract

INTRODUCTION: Effective communication between physician and patient is a fundamental competence in medical education, being associated with therapeutic adherence, diagnostic accuracy, and humanization of care. Realistic simulation emerges as an innovative pedagogical strategy for teaching these skills, allowing practice in a controlled and safe environment. OBJECTIVE: To map and synthesize the available evidence on the use of realistic simulation in teaching communication skills in medical courses. METHODS: A scoping review conducted according to the Joanna Briggs Institute protocol, with a search in the PubMed database using the descriptors "Simulation Training", "Health Communication", and "Education, Medical". Studies published between 2018 and 2025 in Portuguese, English, and Spanish were included, totaling 16 articles selected for analysis. RESULTS: The studies demonstrated that realistic simulation is effective for developing communication skills, especially in breaking bad news, present in 81.2% of the publications. Debriefing and structured feedback emerged as central pedagogical components. Different simulation modalities were identified, including standardized patients, trained actors, and virtual patients. CONCLUSION: Realistic simulation constitutes a valuable pedagogical strategy for teaching communication skills in medicine, with consistent benefits for self-confidence, technical competence, and patient-centered approach. Further studies with greater methodological rigor are needed to assess the transfer of skills to real clinical practice.

References

LAVALLÉE, J. F. et al. Preparation for Practice: Facilitating the Transition From Student to Physician Associate. The Clinical Teacher, v. 22, n. 5, p. e70176, 2025.

BOSSHARD, Michel et al. Improving breaking bad news communication skills through stress arousal reappraisal and worked examples. Medical Education, v. 59, n. 8, p. 853-861, 2025.

BOSSHARD, Michel et al. From threat to challenge—Improving medical students’ stress response and communication skills performance through the combination of stress arousal reappraisal and preparatory worked example-based learning when breaking bad news to simulated patients: study protocol for a randomized controlled trial. BMC psychology, v. 11, n. 1, p. 153, 2023.

MOURA, Diana et al. Communication skills preparedness for practice: Is there a key ingredient in undergraduate curricula design?. Patient Education and Counseling, v. 105, n. 3, p. 756-761, 2022.

MACLAINE, Thomas Dale; LOWE, Nicholas; DALE, Jeremy. The use of simulation in medical student education on the topic of breaking bad news: A systematic review. Patient Education and Counseling, v. 104, n. 11, p. 2670-2681, 2021.

KARNIELI-MILLER, Orit et al. The associations between reflective ability and communication skills among medical students. Patient education and counseling, v. 104, n. 1, p. 92-98, 2021.

VERMYLEN, Julia H. et al. Promoting readiness for residency: embedding simulation-based mastery learning for breaking bad news into the medicine subinternship. Academic Medicine, v. 95, n. 7, p. 1050-1056, 2020.

SCHMITZ, Felix Michael et al. Learning how to break bad news from worked examples: Does the presentation format matter when hints are embedded? Results from randomised and blinded field trials. Patient education and counseling, v. 103, n. 9, p. 1850-1855, 2020.

CARRARD, Valerie et al. Virtual patient simulation in breaking bad news training for medical students. Patient education and counseling, v. 103, n. 7, p. 1435-1438, 2020.

CARRARD, Valerie et al. Undergraduate training in breaking bad news: A continuation study exploring the patient perspective. Psycho‐Oncology, v. 29, n. 2, p. 398-405, 2020.

SERVOTTE, Jean-Christophe et al. Efficacy of a short role-play training on breaking bad news in the emergency department. Western Journal of Emergency Medicine, v. 20, n. 6, p. 893, 2019.

VERMYLEN, Julia H. et al. Development of a simulation-based mastery learning curriculum for breaking bad news. Journal of pain and symptom management, v. 57, n. 3, p. 682-687, 2019.

BROUWERS, Marianne et al. Training undergraduates skills in breaking bad news: how students value educators’ feedback. Journal of Cancer Education, v. 34, n. 6, p. 1103-1106, 2019.

PALMER, Brian A. et al. Effect of in-class vs online education on sexual health communication skills in first-year medical students: a pilot study. Academic Psychiatry, v. 43, n. 2, p. 175-179, 2019.

SCHMITZ, Felix Michael et al. The learning effects of different presentations of worked examples on medical students’ breaking-bad-news skills: A randomized and blinded field trial. Patient education and counseling, v. 101, n. 8, p. 1439-1451, 2018.

YAKHFOROSHHA, Afsaneh et al. Effectiveness of integrating simulation with art-based teaching strategies on oncology fellows’ performance regarding breaking bad news. Journal of Cancer Education, v. 34, n. 3, p. 463-471, 2019.

SANTOS, Adonay Felipe Pereira et al. Simulação realística no curso de medicina: o ensino da farmacologia. Revista Brasileira de Educação Médica, v. 49, n. 02, p. e077, 2025.

MOLITERNO, Nathalia Veiga et al. A percepção do estudante de medicina sobre a simulação realística em pediatria. Revista Brasileira de Educação Médica, v. 48, n. 1, 2024.

MARCIDELLI, Júlia Gomes et al. O USO DE SIMULAÇÕES REALÍSTICAS NO ENSINO PRÁTICO DE MÁS NOTÍCIAS PARA ACADÊMICOS DE MEDICINA: RELATO DE EXPERIÊNCIA. COORTE-Revista Científica do Hospital Santa Rosa, n. 18, 2024.

DAL SASSO BESSA, Bruna et al. A IMPORTÂNCIA DA SIMULAÇÃO REALÍSTICA E DOS SERIOUS GAMES NO ENSINO MÉDICO: UM RELATO DE EXPERIÊNCIA. RES-Revista Eletrônica em Saúde, v. 5, n. 1, 2024.

GORSKI, Stanislaw et al. The use of simulated patients is more effective than student role playing in fostering patient‐centred attitudes during communication skills training: a mixed method study. BioMed research international, v. 2022, n. 1, p. 1498692, 2022.

Published

2026-03-11

How to Cite

Melo, C. D. S., Veras Junior, E. F., Carvalho, J. L. G., Lopes, L. E. C. ., & Gomes, M. V. de M. . (2026). The use of realistic simulation in teaching communication skills in medical courses: a scoping review. Revista Ft, 30(156), 01-26. https://doi.org/10.69849/a5n1vh46