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Preparing Preclinical Medical Students for Routine Code Status Discussions: A Mixed-Methods Study.

Katherine A Rowe1, Kei Ouchi2, Maura Kennedy3

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Summary
This summary is machine-generated.

A new workshop effectively trained medical students in conducting code status discussions (CSDs), improving their confidence and knowledge. This preclinical training prepares students for patient-centered care during clinical clerkships.

Keywords:
Code statusage-friendlygeriatricsgoals of carehealthcare proxypalliativeperson-centered careundergraduate medical educationwhat matters

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Area of Science:

  • Medical Education
  • Palliative Care
  • Communication Skills Training

Background:

  • Medical students require competency in discussing patients' goals of care.
  • Formal training in conducting routine code status discussions (CSDs) is often lacking before clinical clerkships.

Purpose of the Study:

  • To address the training gap by developing and evaluating a curriculum for preclinical medical students on routine CSDs.
  • To enhance students' preparedness for discussing code status with patients.

Main Methods:

  • An interactive workshop was designed using Kern's Six Steps to Curriculum Design.
  • Preclinical medical students (n=135) participated in the workshop.
  • A mixed-methods approach with pre- and postsurveys analyzed knowledge and comfort levels.

Main Results:

  • Students significantly increased the number of code status options they could name post-workshop (1.3 to 4.3, P < 0.01).
  • Comfort levels improved, with "somewhat" or "extremely comfortable" rising from 19% to 64% (P < 0.01).
  • Discomfort decreased significantly (53% to 18%, P < 0.01), though concerns about knowledge and communication persisted.

Conclusions:

  • A preclinical workshop on CSDs can be integrated into medical education curricula.
  • The training enhanced students' confidence and knowledge, preparing them for person-centered care.
  • This intervention supports the development of essential skills for effective patient communication.