REMAP: A Framework for Goals of Care Conversations

Area of Science:

• Oncology
• Medical Education
• Communication Skills

Background:

• Goals of care conversations in advanced cancer are frequently delayed.
• Oncologists report insufficient training for effective patient communication regarding end-of-life care.

Purpose of the Study:

• To introduce the REMAP framework for training oncologists in conducting goals of care discussions.
• To improve patient-centered decision-making and end-of-life care.

Main Methods:

• Development of the REMAP mnemonic: Reframe, Expect emotion, Map out patient goals, Align with goals, Propose a plan.
• Framework focuses on understanding patient values and shared decision-making.

Main Results:

• REMAP provides a structured approach for oncologists to discuss prognosis, patient emotions, and values.
• The framework facilitates aligning medical recommendations with patient values.

Conclusions:

• The REMAP framework enhances oncologists' ability to conduct effective goals of care conversations.
• Implementing REMAP promotes patient-centered decisions and improves end-of-life care outcomes.