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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Process Rounds to Elevate Psychological Skills in Palliative Care.

Danielle Chammas1,2, Leah B Rosenberg3, Amanda Moment4

  • 1Department of Medicine, Division of Palliative Medicine, University of California San Francisco, San Francisco, California, USA.

Journal of Palliative Medicine
|September 10, 2025
PubMed
Summary
This summary is machine-generated.

Process Rounds, a new psychotherapeutic supervision group, enhanced palliative care clinicians' skills in serious illness communication. This longitudinal learning approach improved comfort with psychological concepts and clinical impact.

Keywords:
Process Roundseducationpalliative carepsychotherapyserious illness communicationsupervision

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Area of Science:

  • Palliative Care Medicine
  • Psychology
  • Medical Education

Background:

  • A prior workshop improved palliative care clinicians' integration of psychological concepts in serious illness communication.
  • The workshop highlighted a need for ongoing, longitudinal learning opportunities.

Purpose of the Study:

  • To pilot "Process Rounds," a four-session, case-based psychotherapeutic supervision group.
  • To reinforce key concepts like formulation, countertransference, and mindful intervention in serious illness communication.

Main Methods:

  • 25 palliative care clinicians from four cohorts participated in the pilot.
  • The program consisted of four 60-minute sessions delivered over 6-8 weeks.
  • Data were collected via post-workshop surveys and facilitator interviews.

Main Results:

  • Participants reported high satisfaction with Process Rounds.
  • Attendees showed greater improvement in comfort teaching formulation compared to non-attendees (p = 0.013).
  • Process Rounds participants reported a stronger clinical impact (p = 0.028).

Conclusions:

  • Process Rounds, an adapted psychotherapeutic supervision model, is acceptable to palliative care clinicians.
  • This intervention effectively deepened learning in psychologically informed serious illness communication.