We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Low-Cost, Low-Resource Training Model to Enhance and Sustain Serious Illness Conversation Skills for Internal Medicine Residents.
- Authors
Vergo, Maxwell T.; Cullinan, Amelia; Wilson, Matthew; Wasp, Garrett; Foster-Johnson, Lynn; Arnold, Robert M.
- Abstract
Background: Funding and limited resources are barriers to required training of residents in serious illness conversation (SIC) skills. Objectives: To examine the effectiveness of a low-cost, low-resource (LCLR) SIC training embedded within a required palliative care rotation. Design: Pre–post prospective cohort study design. Setting/Subjects: Second year internal medicine (IM) residents received an LCLR three-hour training in the SIC Guide (SICG) with a single-faculty member and paired-participant practice replacing actors during a required two-week palliative medicine rotation. Measures: SIC competence checklist measured within simulated patient encounters longitudinally. Results: Twenty resident average SIC checklist scores improved from 11 (95% confidence interval [CI] 9–13) at the beginning of rotation to 19 (95% CI 17–20) at the end of rotation and 18 (95% CI 16–20) at six months after the rotation. Conclusions: LCLR SIC training for IM residents significantly increased the sustained use of basic SIC skills, but was less effective for more complex skills.
- Subjects
NATIONAL competency-based educational tests; INTERNAL medicine; HOSPITAL medical staff; CONFIDENCE intervals; CHRONIC diseases; SIMULATED patients; CONVERSATION; INTERNSHIP programs; PRE-tests &; post-tests; PALLIATIVE medicine; PHILOSOPHY of education; DESCRIPTIVE statistics; COMMUNICATION education; PALLIATIVE treatment; EDUCATIONAL outcomes; LONGITUDINAL method
- Publication
Journal of Palliative Medicine, 2022, Vol 25, Issue 11, p1708
- ISSN
1096-6218
- Publication type
Article
- DOI
10.1089/jpm.2022.0247