ArticleBMC medical education2016
Perspectives on death and dying: a study of resident comfort with End-of-life care.
Article in BMC medical education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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
26 citing papers in PubMed, 62 citations in OpenAlex.
- Knowledge Without Confidence: Internal Medicine Residents' Preparedness for Oncologic Emergencies and Goals-of-Care Communication.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- Communication and educational gaps in end-of-life care in Italian internal medicine wards: a cross-sectional study.BMC palliative care · 2026Article
- Educational interventions for training oncology residents in palliative medicine: a rapid review of the available evidence to inform training standards in cancer care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Review
- Using an Artificial Intelligence Conversational Agent in Virtual Reality to Teach Serious Illness Communication Skills to Residents.Journal of graduate medical education · 2026Article
- Death Literacy and Death Competence in Undergraduate Clinical and Allied Health Education: Protocol for a Mixed Methods Study.JMIR research protocols · 2026Article
- Factors in oncologists' attitudes on do-not-attempt-resuscitation orders for patients with cancer.International journal of clinical oncology · 2025Article
- Serious Illness Communication Training in Family Medicine Residencies: A National Study of Program Director Perspectives.Family medicine · 2025Article
- A longitudinal, multimodal palliative care curriculum for obstetrics and gynecology residents.Palliative & supportive care · 2025Article
- The Relationship between Attitudes toward Death and Emotional Intelligence, Personality, Resilience, and Justice Beliefs: A Cross-Sectional Study of Midwives in Greece.European journal of investigation in health, psychology and education · 2024Article
- Conceptualizations of "good death" and their relationship to technology: A scoping review and discourse analysis.Health science reports · 2023Article
- Interventions to support medical trainee well-being when dealing with patient death: a scoping review protocol.BMJ open · 2023Article
- Palliative Care and Neurology Needs in Patients With and Without COVID-19.The American journal of hospice & palliative care · 2023Article
- Palliative and end-of-life care in the emergency department.Clinical and experimental emergency medicine · 2022Article
- Difficulties Facing Junior Physicians and Solutions Toward Delivering End-of-Life Care for Patients with Cancer: A Nationwide Survey in Japan.Palliative medicine reports · 2022Article
- End-of-Life Care: A Multimodal and Comprehensive Curriculum for Graduating Medical Students Utilizing Experiential Learning Opportunities.MedEdPORTAL : the journal of teaching and learning resources · 2021Article
- Exploring and reconciling discordance between documented and preferred resuscitation preferences for hospitalized patients: a quality improvement study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021Article
- Delivery of Difficult News Among Residents at a Tertiary Hospital In Kenya Using a Short Training Video (UNMASKES).MedEdPublish (2016) · 2021Article
- Teaching Pediatric Palliative Care Communication Skills to Fourth-Year Medical Students Through Role-Play.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
- Prioritizing Communication in the Provision of Palliative Care for the Trauma Patient.Current trauma reports · 2020Review
- Advance care planning in Norwegian nursing homes - limited awareness of the residents' preferences and values? A qualitative study.BMC geriatrics · 2019Article
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 at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the benefits to early palliative care in the treatment of terminal illness, barriers to timely hospice referrals exist. Physicians who are more comfortable having end-of-life (EOL) conversations are more likely to refer to hospice. However, very little is known about what factors influence comfort with EOL care.
methodsAn anonymous survey was sent to all the residents and fellows at a single institution. Self-reported education, experience and comfort with EOL care was assessed. Using multivariate logistic regression analysis, variables that influenced comfort with EOL conversations were analyzed.
resultsMost residents (88.1%) reported little to no classroom training on EOL care during residency. EOL conversations during residency were frequent (50.6% reported > 10) and mostly unsupervised (61.9%). In contrast, EOL conversations during medical school were infrequent (3.7% reported >10) and mostly supervised (78.6%). Most (54.3%) reported little to no classroom training on EOL care during medical school. Physicians that reported receiving education on EOL conversations during residency and those who had frequent EOL conversations during residency had significantly higher comfort levels having EOL conversations (p = 0.017 and p = 0.003, respectively). Likewise, residents that felt adequately prepared to have EOL conversations when graduating from medical school were more likely to feel comfortable (p = 0.030).
conclusionsMost residents had inadequate education in EOL conversation skills during medical school and residency. Despite the lack of training, EOL conversations during residency are common and often unsupervised. Those who reported more classroom training during residency on EOL skills had greater comfort with EOL conversations. Training programs should provide palliative care education to all physicians during residency and fellowship, especially for those specialties that are most likely to encounter patients with advanced terminal disease.
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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.