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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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End-of-Life Care: A Multimodal and Comprehensive Curriculum for Graduating Medical Students Utilizing Experiential

Justin M Jeffers1, Sharon Bord2, Jody E Hooper3

  • 1Assistant Professor, Department of Pediatrics, Division of Pediatric Emergency Medicine, Johns Hopkins University School of Medicine.

Mededportal : the Journal of Teaching and Learning Resources
|April 30, 2021
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Summary

This study highlights an educational gap in end-of-life (EOL) care for medical professionals. The Johns Hopkins TRIPLE curriculum effectively prepared students in EOL communication and care skills, receiving high ratings.

Keywords:
Critical CareEnd-of-Life CarePalliative CareSimulationStandardized Patients

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Area of Science:

  • Medical Education
  • Palliative Care
  • Physician Training

Background:

  • End-of-life (EOL) care is a critical skill for healthcare providers, yet medical education often lacks comprehensive training in this area.
  • A significant educational gap exists in the literature regarding essential EOL care competencies for physicians.
  • Graduating medical students require robust preparation for patient care responsibilities beyond technical medical skills.

Purpose of the Study:

  • To evaluate the effectiveness of a dedicated End-of-Life (EOL) care module within a broader medical school curriculum.
  • To assess the impact of the Transition to Residency, Internship, and Preparation for Life Events (TRIPLE) curriculum on preparing students for EOL care scenarios.
  • To determine student and instructor satisfaction with the EOL module's content and delivery.

Main Methods:

  • The study involved a two-half-day End-of-Life (EOL) module integrated into the TRIPLE curriculum.
  • Training incorporated standardized patient encounters for goals-of-care conversations and death disclosure, alongside simulations for resuscitation cessation.
  • Anonymous online surveys were used for end-of-day and end-of-course evaluations.

Main Results:

  • In 2019, 120 students and 26 instructors participated in the TRIPLE curriculum's EOL module.
  • Students rated the EOL module with an average score of 4.6 out of 5 (SD = 0.6).
  • Instructors also received an average rating of 4.6 out of 5 (SD = 0.6) from students.

Conclusions:

  • A comprehensive and diverse curriculum utilizing varied modalities can enhance learner preparedness for end-of-life care issues.
  • The skills acquired in EOL care modules can be generalized to improve overall patient and family care.
  • Effective EOL training is crucial for equipping future physicians with essential communication and clinical skills for sensitive patient situations.