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An Authentic Learning Experience for Medical Students on Conducting a Family Meeting.

Mariana Khawand-Azoulai1, Elisse Kavensky1,2,3, Julia Sanchez1

  • 1Division of Geriatrics and Palliative Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.

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Summary

Medical students received training in serious illness conversations through a simulated family meeting. The curriculum improved preparedness for end-of-life discussions, with high student satisfaction.

Keywords:
communication skillsend-of-life carefamily meetingflipped classroommedical educationmedical studentsrole playserious illness communicationwithdrawal of medical interventions

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Area of Science:

  • Medical Education
  • Palliative Care
  • Communication Skills

Background:

  • Medical schools often lack structured training for serious illness conversations.
  • End-of-life discussions are critical but challenging for trainees.
  • A curriculum was developed to address this gap in medical education.

Purpose of the Study:

  • To evaluate a curriculum designed to train medical students in serious illness conversations.
  • To assess student preparedness and reception of end-of-life discussion training.
  • To provide an overview of the curriculum and its outcomes.

Main Methods:

  • A flipped classroom format was used, with students reviewing materials beforehand.
  • Students participated in a Zoom-based, interprofessional team simulation of a family meeting.
  • Role-playing involved discussing a complex patient case, goals of care, and ventilator withdrawal.

Main Results:

  • Eighty students participated in the training over two years.
  • Pre-session surveys indicated students anticipated challenges with prognosis and emotions.
  • Post-session evaluations were highly positive, averaging 4.7-4.9/5.

Conclusions:

  • Pre-session reflection enhanced student preparation for simulated serious illness conversations.
  • The serious illness conversation curriculum was well-received by medical students.
  • This training aims to better prepare residents for critical patient and family discussions.