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Facilitating the Advance Care Planning Conversation with Patients: An Interactive Virtual 1.5-Hour Session
Suzanne Minor1, Marquita Samuels1, Sanaz Kashan1
1From the Florida International University Herbert Wertheim College of Medicine, and the University of Miami/Jackson Memorial Hospital Program, Miami, Florida.
Southern Medical Journal
|May 3, 2022
Summary
Medical students often hesitate to discuss end-of-life care but want to learn. An educational session using Five Wishes significantly improved their confidence and comfort in discussing advance directives with patients.
Area of Science:
- Medical Education
- Palliative Care
- Bioethics
Background:
- Medical school curricula must include end-of-life care education.
- Medical students express reluctance but a desire to learn about discussing end-of-life issues with patients.
Purpose of the Study:
- To assess the effectiveness of an educational session on facilitating advance care planning conversations using Five Wishes.
- To improve medical students' confidence and comfort in discussing advance directives.
Main Methods:
- A didactic session was developed, including a lecture on advance directives and video examples.
- Third- and fourth-year medical students participated in discussions and role-playing exercises.
- A post-course evaluation survey assessed student learning and confidence.
Main Results:
- 97 medical students participated; 86 completed the survey.
- 96% found the session relevant and met its objectives.
- 92% felt confident discussing advance directives, and 88% felt comfortable initiating and completing these conversations.
Conclusions:
- A brief, easily implemented didactic on advance directives is effective for medical students.
- The session significantly enhanced students' confidence and comfort in discussing advance care planning.
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