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Related Experiment Video

Updated: Jan 19, 2026

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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Training Clinicians in Serious Illness Communication Using a Structured Guide: Evaluation of a Training Program in

Joanna Paladino1,2, Laurel Kilpatrick3, Nina O'Connor4

  • 1Ariadne Labs, Brigham and Women's Hospital, Harvard TH Chan School of Public Health, Boston, Massachusetts.

Journal of Palliative Medicine
|September 11, 2019
PubMed
Summary

A train-the-trainer model effectively improved clinicians' serious illness communication skills. This approach is a viable method for health systems to enhance workforce competency in these crucial conversations.

Keywords:
clinician educationclinician–patient communicationserious illness communicationworkforce training

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Area of Science:

  • Medical Education
  • Palliative Care
  • Healthcare Communication

Background:

  • Serious illness communication is vital but often lacking due to inadequate clinician training.
  • Effective communication of patient values and goals is crucial for serious illness care.

Purpose of the Study:

  • To evaluate a novel train-the-trainer model for serious illness communication.
  • To assess if this model improves clinicians' self-reported competencies.

Main Methods:

  • A multimethod evaluation of an educational program was conducted.
  • A train-the-trainer model equipped faculty trainers to teach serious illness communication.
  • Post-training questionnaires assessed clinicians' self-reported skill changes.

Main Results:

  • 297 clinicians were trained across three health systems.
  • Clinicians reported statistically significant improvements in communication skills.
  • 95% of participants rated the training as highly effective.

Conclusions:

  • The train-the-trainer model is highly acceptable for serious illness communication training.
  • This model leads to significant self-reported improvements in clinician competencies.
  • It offers a viable strategy for health systems to train their workforce.