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Related Experiment Video

Updated: May 21, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Published on: August 5, 2020

Improving residents' code status discussion skills: a randomized trial.

Eytan Szmuilowicz¹, Kathy J Neely, Rashmi K Sharma

¹Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA. eszmuilo@nmh.org

Journal of Palliative Medicine

|June 14, 2012

Summary

This summary is machine-generated.

Internal medicine residents who received communication skills training showed significantly improved performance in inpatient Code Status Discussions (CSDs). This focused intervention enhanced resident skills for at least two months.

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Last Updated: May 21, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

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Published on: August 5, 2020

Setup and Execution Of the Blindfolded Code Training Exercise

Setup and Execution Of the Blindfolded Code Training Exercise

Published on: March 29, 2019

Area of Science:

Medical Education
Communication Skills Training
Physician Training

Background:

Inpatient Code Status Discussions (CSDs) are frequently led by resident physicians with insufficient training.
There is a need to evaluate the effectiveness of communication skills interventions for residents.

Purpose of the Study:

To assess the efficacy of a multimodality communication skills training intervention for internal medicine residents in facilitating Code Status Discussions.

Main Methods:

A prospective, randomized controlled trial involving PGY-1 residents.
Intervention group received a 2-hour session, online modules, self-reflection, and booster training.
Control group received standard clinical rotations.
CSD skills were assessed using a standardized patient encounter and behavioral checklist.

Main Results:

Intervention group residents scored significantly higher (75.1%) on simulated CSDs compared to the control group (53.2%).
The intervention group demonstrated more key communication behaviors and longer conversations.
Training components received high ratings from participants.

Conclusions:

A focused, multimodality curriculum effectively improves resident performance in simulated Code Status Discussions.
Skill improvement was sustained for at least two months post-intervention.
Further research is needed to evaluate long-term skill retention and establish performance standards.