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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
Death Certification: An Interactive Teaching Session
James H Wykowski1, Andrew M Luks2, Gabrielle Berger3
1Chief Resident, Department of Medicine, University of Washington School of Medicine.
Physicians improved death certificate completion skills after a virtual workshop, significantly reducing major errors. Further study is needed to assess long-term skill retention in this crucial physician competency.
Area of Science:
- Medical Education
- Public Health
- Epidemiology
Background:
- Accurate death certificate documentation is vital for epidemiology and public health funding.
- Physicians often lack the necessary skills for precise death certificate completion.
Purpose of the Study:
- To evaluate a virtual workshop designed to enhance physicians' death certificate completion skills.
- To assess the impact of the workshop on the accuracy of death certificate documentation.
Main Methods:
- A 45-minute virtual workshop was developed, covering the importance, components, and practical application of death certificates.
- Participants completed sample death certificates before and after the training to measure skill improvement.
Main Results:
- Post-workshop, the percentage of death certificates with errors decreased from 89% to 46%.
- Major errors in cause-of-death categorization dropped from 58% to 17% after the intervention.
- Participants acknowledged prior errors and expressed a need for ongoing education and resources.
Conclusions:
- The virtual workshop effectively improved physicians' skills in completing death certificates.
- While residual errors exist, they are mostly minor and unlikely to impact cause-of-death reporting.
- The long-term impact and durability of these skill improvements warrant further investigation.
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