Using the intensive care unit to teach end-of-life skills to rotating junior residents.
Am J Surg
; 197(6): 814-9, 2009 Jun.
Article
en En
| MEDLINE
| ID: mdl-18789413
ABSTRACT
BACKGROUND:
This study tested the effectiveness and perceived value of a palliative/end-of-life (P/EOL) curriculum for junior residents implemented during an intensive care unit (ICU) rotation.METHODS:
Residents rotating through the ICU over a 6-month period completed pre- and post-curriculum surveys evaluating their self-assessed efficacy in providing P/EOL care and attitudes towards P/EOL care. Scores were analyzed using a paired Student t test.RESULTS:
Seventeen of 19 (90%) residents completed both the pre- and post-curriculum evaluations. The P/EOL curriculum increased self-assessed efficacy ratings in the domains of pain management (P = .04), psychosocial knowledge (P = .001), communicator knowledge (P = .001), professional knowledge (P = .002), and manager knowledge (P < .001). The rotation was rated as being valuable in preparing residents to care for patients near the end-of-life (P < .05), with surgery residents indicating it to be the most valuable rotation in their training program for learning about P/EOL care.CONCLUSIONS:
An ICU P/EOL curriculum improves self-assessed efficacy scores across multiple domains in P/EOL care and is seen as a valuable educational experience.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Cuidado Terminal
/
Unidades de Cuidados Intensivos
/
Internado y Residencia
Idioma:
En
Revista:
Am J Surg
Año:
2009
Tipo del documento:
Article