Workshop Increases Confidence in End-of-Life Conversations
Author Information
Author(s): Chang Chelsea, Cano Jose, Lopez-Alvarenga Juan, Rodriguez-Paez Josenny, Montes Sonya, White Rosa, Rao Meghana
Primary Institution: University of Texas Rio Grande Valley, School of Medicine
Hypothesis
The workshop would increase residents’ knowledge and confidence in advance care planning discussions.
Conclusion
A resident and palliative fellow-led advance directive workshop for internal medicine residents was feasible and effective in increasing resident confidence.
Supporting Evidence
- The workshop was well-received by participants.
- Pre and post surveys showed statistically significant increases in confidence.
- 80% of invited residents completed the pre-survey.
- 65% of residents completed the post-survey.
Takeaway
The workshop helped doctors feel more comfortable talking to patients about their end-of-life wishes.
Methodology
Two one-hour workshops were conducted, one led by residents and the other by a palliative care fellow, with pre and post surveys to assess confidence.
Limitations
Survey responses were not matched to individuals, which lowered statistical efficiency, and the study was conducted at a single site.
Participant Demographics
Internal Medicine Residents, primarily from the University of Texas Rio Grande Valley.
Statistical Information
P-Value
0.024 for Q1, <0.001 for Q2
Confidence Interval
(2.7, 3.3) for Q1 pre-test, (3.6, 4.0) for Q1 post-test
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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