Abstract
Introduction
Communication regarding serious illness is an integral part of Pulmonary and Critical Care Medicine (PCCM) fellows’ day-to-day practice, however routine communication skills training is not consistently built in PCCM fellowship curricula nationwide. Geritalk, a previously validated interactive curriculum, can be adapted to address unique communication challenges in critical illness.
Methods
In 2024, after performing a needs assessment among PCCM fellows at Mount Sinai Hospital, a two-part curriculum was adapted from Geritalk through collaborations between PCCM and palliative care specialists. The curriculum consisted of a one-hour didactic followed by a one-hour small group workshop with case discussion and role-play. Pre- and post-curricular surveys were conducted among the fellows to assess changes in self-reported comfort levels in different components of communication during a family meeting.
Results
Among 17 eligible PCCM fellows, a total of 14 (82.4%) fellows completed the pre-curricular survey, and 8 fellows (47.1%) completed the curriculum and post-curricular survey. Prior to the curriculum, fellows reported lower comfort levels in communicating prognosis (mean[SD] 3.8[1.0] on a 5-point Likert scale), responding to emotions (mean[SD] 4.0[0.8]), eliciting values (mean[SD] 3.8[0.8]), and describing comfort care (mean[SD] 3.9[1.0]). After the training, fellows reported moderate to significant increase in comfort levels, especially in responding to emotions (mean[SD] 4.3[0.7]) and eliciting values (mean[SD] 4.4[0.5]).
Conclusion
A two-part, critical care-focused curriculum adapted from Geritalk showed feasibility in communication training among PCCM fellows with improved self-assessed comfort levels in leading a family meeting. Future studies should incorporate objective assessment of competency and evaluate generalizability to other training programs.
Keywords
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Supplementary Material
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