Evidence map›Paper›PMID 34565516›Full record

ArticleAmerican journal of surgery2021

The surgical resident experience in serious illness communication: A qualitative needs assessment with proposed solutions.

Joseph A Lin, Cecilia J Im, Patricia O'Sullivan, Kimberly S Kirkwood, Allyson C Cook

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Enhancing Oncologists' Comfort with Serious Illness Conversations: The Impact of Serious Illness Conversation Guide (SICG) Training.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024
    Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Joseph A LinDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA; Division of Palliative Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA. Electronic address: Joseph.lin@ucsf.edu.
Cecilia J ImDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
Patricia O'SullivanDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
Kimberly S KirkwoodDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
Allyson C CookDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA; Division of Palliative Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA; Critical Care Medicine, University of California San Francisco, San Francisco, CA, USA.

Funding

Surgical Oncology Training GrantT32CA251070 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ESSERMAN, LAURA J · 2020 to 2024
$1.5M
NCI NIH HHS T32 CA251070
6 · The paper itself

Abstract

backgroundSerious illness communication skills are important tools for surgeons, but training in residency is limited.

methodsThirteen senior surgical residents at an academic center were interviewed about their experiences with serious illness communication. Conventional content analysis was performed using established communication frameworks and inductive development of themes.

resultsResidents had frequent conversations and employed known communication strategies. Three themes highlighted challenges they face. Illness severity included factors attributed to the illness that made serious illness communication more challenging: symptoms, poor prognosis, and urgency. Knowledge and feelings included the factual understanding and emotional experience of residents, patients, and families. Academic structure included hierarchy and the residents' dual role as learners and teachers. On reflection, residents identified needing greater experiential practice, analogous to learning procedural skills.

conclusionsSurgical residents regularly face serious illness conversations with little training beyond observation of role models. Dedicated training may help meet this need.

Indexed as

CommunicationInternship and ResidencyNeeds AssessmentPhysician-Patient RelationsTruth DisclosureClinical CompetenceFemaleGeneral SurgeryHumansInterviews as TopicMaleBreaking bad newsResident educationSerious illness communicationShared decision-making

Identifiers

PMID34565516
PMCPMC9365675

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.