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Related Experiment Videos

Improving knowledge and communication through an advance directives objective structured clinical examination.

Sari Gilman Aronson1, Robert W Kirby

  • 1Department of Psychiatry, University of Illinois College of Medicine at Urbana-Champaign, Urbana, Illinois, USA. saronson@uiuc.edu

Journal of Palliative Medicine
|April 11, 2003
PubMed
Summary

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Physicians often lack end-of-life care education. An Objective Structured Clinical Examination (OSCE) improved resident knowledge of advance directives and communication, though challenges remain in discussing complex psychological factors.

Area of Science:

  • Medical Education
  • Palliative Care
  • Bioethics

Background:

  • Limited physician training in end-of-life (EOL) care discussions is a significant gap.
  • Physician-patient communication regarding EOL wishes is often inadequate.
  • Formal education is needed to equip physicians for sensitive EOL conversations.

Purpose of the Study:

  • To evaluate the effectiveness of an educational intervention on end-of-life care discussions.
  • To assess resident knowledge and communication skills regarding advance directives.
  • To identify areas for improvement in end-of-life (EOL) residency education.

Main Methods:

  • Implementation of the National End of Life Residency Education Project.
  • Development and administration of an advance directives Objective Structured Clinical Examination (OSCE).
Keywords:
Death and EuthanasiaEmpirical ApproachProfessional Patient Relationship

Related Experiment Videos

  • Assessment of resident performance on differentiating advance directives and discussing communication barriers.

    • Main Results:

    • Residents demonstrated proficiency in distinguishing advance directive types.
    • Residents recognized psychosocial factors and fear as communication barriers.
    • Residents struggled with discussing the impact of coping styles and psychological defensiveness on patient wishes.

    Conclusions:

    • The Advance Directives OSCE serves as an effective initial assessment tool for EOL knowledge.
    • Educational initiatives can improve resident understanding of advance directives and basic EOL communication.
    • Further training is needed to address complex psychological influences on patient end-of-life decisions.