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How Should Complex Communication Responsibilities Be Distributed in Surgical Education Settings?
Bradley M Dennis1, Allan B Peetz2
1A trauma and acute care surgeon at Vanderbilt University Medical Center in Nashville, Tennessee, where he is also the director of the trauma performance improvement program.
Abstract:
Part of any trauma surgeon's job is communicating effectively in difficult, often time-limited, situations. The ability to effectively discuss topics like goals of care in these settings has a direct effect on patient care. Many factors contribute to the complexity of these conversations, including patient, physician, surrogate, and system-specific factors. In responding to the case of Mr. D and Dr. J, we attempt to outline and analyze some of the moral challenges and ethical questions that this professional responsibility poses to trauma surgeons and trainees.
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