Novel approach to advance directive training: Hospice and palliative care fellow led workshop feasible and effective in increasing confidence in end of life conversations.
Despite the benefits of Advance directives, approximately only 1 in 3 U.S adults have documented advance directives. In medical school and residency, learners are often not taught or given very brief information on conducting end-of-life planning conversations with patients. Due to this deficiency,...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0300693 |
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| _version_ | 1841555482197622784 |
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| author | Chelsea Chang Jose Cano Juan Lopez-Alvarenga Josenny Rodriguez-Paez Sonya Montes Rosa White Meghana Rao |
| author_facet | Chelsea Chang Jose Cano Juan Lopez-Alvarenga Josenny Rodriguez-Paez Sonya Montes Rosa White Meghana Rao |
| author_sort | Chelsea Chang |
| collection | DOAJ |
| description | Despite the benefits of Advance directives, approximately only 1 in 3 U.S adults have documented advance directives. In medical school and residency, learners are often not taught or given very brief information on conducting end-of-life planning conversations with patients. Due to this deficiency, some institutions have conducted advance directive workshops but not many have been both palliative fellow and resident led, though some have been led by a geriatric fellow. Therefore, we approached advance directives with a resident and palliative fellow-led workshop. We aimed to develop and conduct a workshop on advance directives to assess feasibility and effectiveness in raising resident confidence in discussing advance directives. We sent a survey to 52 residents prior to two one-hour didactic sessions. For the first session, a small group of residents discussed common terminology and the tools available to help patients complete advanced directives in the outpatient setting. A hospice and palliative care fellow led the second session and focused on patient communication and approach. Our results showed that the workshop was well-received and improved resident confidence in discussing advance directives with patients. In conclusion, a resident and palliative fellow-led advance directive workshop for internal medicine residents was feasible and effective in increasing resident confidence. |
| format | Article |
| id | doaj-art-b12ae98cca1a4f8abae3edcc3ce0ee51 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-b12ae98cca1a4f8abae3edcc3ce0ee512025-01-08T05:32:52ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e030069310.1371/journal.pone.0300693Novel approach to advance directive training: Hospice and palliative care fellow led workshop feasible and effective in increasing confidence in end of life conversations.Chelsea ChangJose CanoJuan Lopez-AlvarengaJosenny Rodriguez-PaezSonya MontesRosa WhiteMeghana RaoDespite the benefits of Advance directives, approximately only 1 in 3 U.S adults have documented advance directives. In medical school and residency, learners are often not taught or given very brief information on conducting end-of-life planning conversations with patients. Due to this deficiency, some institutions have conducted advance directive workshops but not many have been both palliative fellow and resident led, though some have been led by a geriatric fellow. Therefore, we approached advance directives with a resident and palliative fellow-led workshop. We aimed to develop and conduct a workshop on advance directives to assess feasibility and effectiveness in raising resident confidence in discussing advance directives. We sent a survey to 52 residents prior to two one-hour didactic sessions. For the first session, a small group of residents discussed common terminology and the tools available to help patients complete advanced directives in the outpatient setting. A hospice and palliative care fellow led the second session and focused on patient communication and approach. Our results showed that the workshop was well-received and improved resident confidence in discussing advance directives with patients. In conclusion, a resident and palliative fellow-led advance directive workshop for internal medicine residents was feasible and effective in increasing resident confidence.https://doi.org/10.1371/journal.pone.0300693 |
| spellingShingle | Chelsea Chang Jose Cano Juan Lopez-Alvarenga Josenny Rodriguez-Paez Sonya Montes Rosa White Meghana Rao Novel approach to advance directive training: Hospice and palliative care fellow led workshop feasible and effective in increasing confidence in end of life conversations. PLoS ONE |
| title | Novel approach to advance directive training: Hospice and palliative care fellow led workshop feasible and effective in increasing confidence in end of life conversations. |
| title_full | Novel approach to advance directive training: Hospice and palliative care fellow led workshop feasible and effective in increasing confidence in end of life conversations. |
| title_fullStr | Novel approach to advance directive training: Hospice and palliative care fellow led workshop feasible and effective in increasing confidence in end of life conversations. |
| title_full_unstemmed | Novel approach to advance directive training: Hospice and palliative care fellow led workshop feasible and effective in increasing confidence in end of life conversations. |
| title_short | Novel approach to advance directive training: Hospice and palliative care fellow led workshop feasible and effective in increasing confidence in end of life conversations. |
| title_sort | novel approach to advance directive training hospice and palliative care fellow led workshop feasible and effective in increasing confidence in end of life conversations |
| url | https://doi.org/10.1371/journal.pone.0300693 |
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