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Training medical trainees in serious illness conversations using the Serious Illness Care Program (SICP) improved their confidence and documentation. This approach is valued by early learners and shows promise for enhancing patient care communication.

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Area of Science:

  • Medical Education
  • Communication Skills Training
  • Palliative Care

Background:

  • Clinicians face challenges initiating conversations about patients' goals and values.
  • The Serious Illness Care Program (SICP) aids clinicians in conducting these crucial discussions.
  • Previous SICP implementation focused on practicing clinicians, not trainees.

Purpose of the Study:

  • To adapt and evaluate the SICP for medical students and interns.
  • To assess the impact of SICP training on trainees' communication skills and practice.
  • To determine the feasibility and reception of SICP among early learners.

Main Methods:

  • Developed a 2.5-hour SICP workshop tailored for medical students and interns.
  • Incorporated large/small group activities, role-playing with an actor, and interdisciplinary facilitators.
  • Collected anonymous quantitative and qualitative feedback from 81 students and 156 interns.

Main Results:

  • Over 86% of students and 91% of residents rated the training "very good" or "excellent".
  • More than 90% intended to apply the training or recommend it.
  • Significant increase in resident documentation of serious illness conversations post-training.

Conclusions:

  • The adapted SICP training is highly rated by medical trainees and leads to practice change.
  • Early learners demonstrated greater adaptability to the SICP approach compared to practicing clinicians.
  • This training represents a new, valued paradigm for teaching serious illness communication skills.