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"The Lack of Preparation Compounds Provider Grief": Results From a Needs Assessment on Grief Training Delivered to
1Division of Newborn Medicine, Department of Pediatrics, Washington University in St. Louis School of Medicine, Saint Louis, MO, USA.
Abstract:
Educational interventions to prepare pediatric residents to care for grieving people are rare. This study aimed to identify gaps in grief training and assess any changes in grief-related experience, attitudes, and skills during residency training. Pediatric residents completed a survey conducted from March to April 2022 that assessed their experience, attitudes, skills, and knowledge of organizational support related to caring for grieving patients and families. The survey achieved a 49% response rate. Residents reported increasing clinical experience with grief over time (r = 0.45, P = .001), yet formal training about grief was inadequate and did not improve with time (r = 0.14, P = .34). Despite improvements in competence with delivering difficult news with years in residency (r = 0.31, P = .03), only 35.7% felt competent by PGY3/4. Only 19.5% of residents overall believe adequate grief support exists within their training program. Pediatric residents care for grieving people throughout residency. Opportunities for residents to receive formal grief training are inadequate.
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