ArticleThe American journal of hospice & palliative care2015
Communication About Advance Directives and End-of-Life Care Options Among Internal Medicine Residents.
Article in The American journal of hospice & palliative care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Do Perceptions about Palliative Care Affect Emergency Decisions of Health Personnel for Patients with Advanced Dementia?International journal of environmental research and public health · 2022Article
- Palliative care training: a national study of internal medicine residency program directors in the United Arab Emirates.BMC palliative care · 2022Article
- Undergraduate palliative care education in the United Arab Emirates: a nationwide assessment of medical school deans.BMC medical education · 2021Article
- Why Should Palliative Care Faculty Attend on General Medicine Teaching Services?Journal of general internal medicine · 2021Article
- A mixed-methods exploration of faith, spirituality, and health program interest among older African Americans with HIV.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- Efficacy of Half-Day Workshops for Internal Medicine Interns in Educating Breaking-Bad-News Discussions.Palliative medicine reports · 2021Article
- Initial Development of a Computer Algorithm to Identify Patients With Breast and Lung Cancer Having Poor Prognosis in a Safety Net Hospital.The American journal of hospice & palliative care · 2016Article
- Defining Key Elements of a Clinical Experience in Hospice and Palliative Medicine for Medical Residents in the United States.Journal of medical education and curricular developmentArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundDespite increasing awareness about the importance of discussing end-of-life (EOL) care options with terminally ill patients and families, many physicians remain uncomfortable with these discussions.
objectiveThe objective of the study was to examine perceptions of and comfort with EOL care discussions among a group of internal medicine residents and the extent to which comfort with these discussions has improved over time.
methodsIn 2013, internal medicine residents at a large academic medical center were asked to participate in an on-line survey that assessed their attitudes and experiences with discussing EOL care with terminally-ill patients. These results were compared to data from a similar survey residents in the same program completed in 2006.
resultsEighty-three (50%) residents completed the 2013 survey. About half (52%) felt strongly that they were able to have open, honest discussions with patients and families, while 71% felt conflicted about whether CPR was in the patient's best interest. About half (53%) felt strongly that it was okay for them to tell a patient/family member whether or not CPR was a good idea for them. Compared to 2006 respondents, the 2013 cohort felt they had more lectures about EOL communication, and had watched an attending have an EOL discussion more often.
conclusionsModest improvements were made over time in trainees' exposure to EOL discussions; however, many residents remain uncomfortable and conflicted with having EOL care discussions with their patients. More effective training approaches in EOL communication are needed to train the next generation of internists.
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