Trial reportJournal of palliative medicine2012
Improving residents' code status discussion skills: a randomized trial.
Trial report in Journal of palliative medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Online Digital Education for Postregistration Training of Medical Doctors: Systematic Review by the Digital Health Education Collaboration.Journal of medical Internet research · 2019Pooled it
- Educational interventions to train healthcare professionals in end-of-life communication: a systematic review and meta-analysis.BMC medical education · 2016Pooled it
- Pragmatic trial evaluating the impact of simulation training on high-risk prescribing to older adults by junior physicians.Journal of the American Geriatrics Society · 2024Trial
- Trial
- Unpacking resident-led code status discussions: results from a mixed methods study.Journal of general internal medicine · 2014Trial
- Trial
- How Internal Medicine Physicians Learn to Conduct Goals-of-Care Discussions: A Qualitative Study Across the Training Continuum.Journal of general internal medicine · 2026Article
- Challenges in perioperative code status management: a national survey among Swiss anaesthetists.Resuscitation plus · 2026Article
- Education modalities for serious illness communication training: A scoping review on the impact on clinician behavior and patient outcomes.Palliative medicine · 2024Article
- Preparing Preclinical Medical Students for Routine Code Status Discussions: A Mixed-Methods Study.Journal of pain and symptom management · 2024Article
- Identifying Factors Associated With Code Status Changes After Emergency General Surgery.The Journal of surgical research · 2024Article
- The Perspective of the General Population in Saudi Arabia towards Do-Not-Resuscitate (DNR) Orders: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2023Article
- Effect of Palliative Care Curriculum on Serious Illness Conversation Preparedness.ATS scholar · 2021Article
- Teaching and assessing communication skills in the postgraduate medical setting: a systematic scoping review.BMC medical education · 2021Article
- Training Residents in Advance Care Planning: A Task-Based Needs Assessment Using the 4-Component Instructional Design.Journal of graduate medical education · 2021Article
- Complex conversations in a healthcare setting: experiences from an interprofessional workshop on clinician-patient communication skills.BMC medical education · 2021Article
- 'It's not magic': A qualitative analysis of geriatric physicians' explanations of cardio-pulmonary resuscitation in hospital admissions.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Effectiveness of face-to-face, blended and e-learning in teaching the application of local anaesthesia: a randomised study.BMC medical education · 2021Article
- NeoAct: A Randomized Prospective Pilot Study on Communication Skill Training of Neonatologists.Frontiers in pediatrics · 2021Article
- Barriers and Facilitators to Discussing Goals of Care among Nephrology Trainees: A Qualitative Analysis and Novel Educational Intervention.Journal of palliative medicine · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInpatient Code Status Discussions (CSDs) are commonly facilitated by resident physicians, despite inadequate training. We studied the efficacy of a CSD communication skills training intervention for internal medicine residents.
methodsThis was a prospective, randomized controlled trial of a multimodality communication skills educational intervention for postgraduate year (PGY) 1 residents. Intervention group residents completed a 2 hour teaching session with deliberate practice of communication skills, online modules, self-reflection, and a booster training session in addition to assigned clinical rotations. Control group residents completed clinical rotations alone. CSD skills of residents in both groups were assessed 2 months after the intervention using an 18 item behavioral checklist during a standardized patient encounter. Average scores for intervention and control group residents were calculated and between-group differences on the CSD skills assessment were evaluated using two-tailed independent sample t tests.
resultsIntervention group residents displayed higher overall scores on the simulated CSD (75.1% versus 53.2%, p<0.0001) than control group residents. The intervention group also displayed a greater number of key CSD communication behaviors and facilitated significantly longer conversations. The training, evaluation, and feedback sessions were rated highly.
conclusionA focused, multimodality curriculum can improve resident performance of simulated CSDs. Skill improvement lasted for at least 2 months after the intervention. Further studies are needed to assess skill retention and to set minimum performance standards.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.