TY - JOUR
T1 - Discussing Life-Sustaining Treatment
T2 - A Teaching Program for Residents
AU - Gordon, Geoffrey H.
AU - Tolle, Susan W.
PY - 1991/3
Y1 - 1991/3
N2 - Ideally, physicians and patients should discuss patient preferences for life-sustaining treatment before the onset of cognitive impairment or a life-threatening illness; however, these conversations often do not occur. We developed an educational program in which residents practiced discussing advance directives with volunteer simulated outpatients and then received feedback from the patient, an observing resident, and a faculty member. Residents found the training sessions to be realistic, relevant, and useful. Resident self-ratings improved significantly on eight items representing knowledge, skills, and attitudes about discussing advance directives with patients. Resident learning occurred in four major areas: technical knowledge about advance directives; introducing the topic to patients; giving patients information; and eliciting patients’ values and feelings. We conclude that residents need and want training in this area and that simulated patients act as a catalyst for their learning.
AB - Ideally, physicians and patients should discuss patient preferences for life-sustaining treatment before the onset of cognitive impairment or a life-threatening illness; however, these conversations often do not occur. We developed an educational program in which residents practiced discussing advance directives with volunteer simulated outpatients and then received feedback from the patient, an observing resident, and a faculty member. Residents found the training sessions to be realistic, relevant, and useful. Resident self-ratings improved significantly on eight items representing knowledge, skills, and attitudes about discussing advance directives with patients. Resident learning occurred in four major areas: technical knowledge about advance directives; introducing the topic to patients; giving patients information; and eliciting patients’ values and feelings. We conclude that residents need and want training in this area and that simulated patients act as a catalyst for their learning.
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U2 - 10.1001/archinte.1991.00400030105019
DO - 10.1001/archinte.1991.00400030105019
M3 - Article
C2 - 2001139
AN - SCOPUS:0025980920
SN - 0003-9926
VL - 151
SP - 567
EP - 570
JO - Archives of internal medicine
JF - Archives of internal medicine
IS - 3
ER -