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- Title
Development and Evaluation of a Program to Strengthen First Year Residents’ Proficiency in Leading End-of-Life Discussions.
- Authors
Williams, Donna M.; Fisicaro, Tamara; Veloski, J. Jon; Berg, Dale
- Abstract
Purpose: Multiple interventions have been developed to teach and improve internal medicine residents’ end-of-life communication skills, but have not been easily adaptable to other institutions. The purpose of this study was to develop and evaluate a program to enhance physicians’ end-of-life communication with families of dying patients using a format that could be incorporated into an existing curriculum for first-year internal medicine residents. Methods: An end-of-life educational program was developed and evaluated in the context of educating first-year residents at an urban academic medical center during the 2008-2009 academic year. The program consisted of three sessions including an interactive workshop flanked by pre- and post-workshop evaluations in simulated encounter and clinical vignette formats. Simulated encounters were recorded on video and residents’ performances were rated by two independent observers using a 23 point checklist. Results: Complete data were available for 24 (73%) of 33 residents who participated in the program. The residents’ checklist scores increased significantly from a mean of 48.1 at baseline to 73.9 at follow-up. The increase in the scores on the clinical vignettes was also statistically significant, but of lesser magnitude. Conclusions: A short, focused intervention can have significant impact on residents’ communication skills in the setting of an end-of-life objective structured clinical examination (OSCE).
- Subjects
PENNSYLVANIA; TERMINAL care &; psychology; HOSPITAL medical staff; ACADEMIC medical centers; ANALYSIS of variance; CANCER patients; CASE method (Teaching); COMMUNICATION education; STATISTICAL correlation; PHYSICIAN-patient relations; SIMULATED patients; TERMINAL care; VIDEO recording; ADULT education workshops; HUMAN services programs; PRE-tests &; post-tests; EDUCATIONAL outcomes; EVALUATION of human services programs; EDUCATION
- Publication
American Journal of Hospice & Palliative Medicine, 2011, Vol 28, Issue 5, p328
- ISSN
1049-9091
- Publication type
Article
- DOI
10.1177/1049909110391646