Journal article
Tough Conversations: Development of a Curriculum for Medical Students to Lead Family Meetings
American journal of hospice & palliative medicine, Vol.34(10), pp.907-911
12/2017
DOI: 10.1177/1049909116669783
PMID: 27650219
Abstract
Few educational interventions have been developed to teach Family Meeting (FM) communication skills at the undergraduate level. We developed an innovative curriculum to address this gap.
Fourth year medical students during 2011-2013 (n = 674) completed training for conducting a FM. To assess the effectiveness of this training, students completed a FM Objective Structured Clinical Exam (OSCE) that included 15 domains rated on a 1-5 point Likert scale. Tasks included discussing prognosis, establishing goals of care and demonstrating conflict resolution skills. Students received one-to-one feedback from standardized family members and faculty observers. Group debriefings with faculty were held after the OSCE.
Analysis of faculty feedback narratives revealed four themes in which students required improvement: 1) Discussing prognosis, 2) Explaining palliative care/hospice, 3) Avoiding medical jargon, and 4) Discussing cultural/religious preferences. Evaluation total mean score was 28.2 (Min 15, Max 63; SD 7.57), and identified student's need to; 1) Ask more about the degree of knowledge family members want, 2) Ask religious beliefs, and 3) Assess family members' level of education ( p < 0.001). Qualitative analysis of group debriefings suggested that student perception of the OSCE experience was positive overall. Students found the case to be realistic and immediate feedback to be helpful.
Conducting a FM is an advanced skill. This study shows that it is possible to train fourth year students to lead FMs and identify their strengths, needs using a FM OSCE.
Details
- Title: Subtitle
- Tough Conversations: Development of a Curriculum for Medical Students to Lead Family Meetings
- Creators
- Yuya Hagiwara - The University of Texas Health Science Center at San AntonioJeanette Ross - The University of Texas Health Science Center at San AntonioShuko Lee - South Texas Veterans Health Care SystemSandra Sanchez-Reilly - The University of Texas Health Science Center at San Antonio
- Resource Type
- Journal article
- Publication Details
- American journal of hospice & palliative medicine, Vol.34(10), pp.907-911
- DOI
- 10.1177/1049909116669783
- PMID
- 27650219
- ISSN
- 1049-9091
- eISSN
- 1938-2715
- Language
- English
- Date published
- 12/2017
- Academic Unit
- General Internal Medicine; Internal Medicine
- Record Identifier
- 9984359586602771
Metrics
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