The surgical resident experience in serious illness communication: A qualitative needs assessment with proposed solutions.
Am J Surg
; 222(6): 1126-1130, 2021 Dec.
Article
em En
| MEDLINE
| ID: mdl-34565516
ABSTRACT
BACKGROUND:
Serious illness communication skills are important tools for surgeons, but training in residency is limited.METHODS:
Thirteen senior surgical residents at an academic center were interviewed about their experiences with serious illness communication. Conventional content analysis was performed using established communication frameworks and inductive development of themes.RESULTS:
Residents had frequent conversations and employed known communication strategies. Three themes highlighted challenges they face. Illness severity included factors attributed to the illness that made serious illness communication more challenging symptoms, poor prognosis, and urgency. Knowledge and feelings included the factual understanding and emotional experience of residents, patients, and families. Academic structure included hierarchy and the residents' dual role as learners and teachers. On reflection, residents identified needing greater experiential practice, analogous to learning procedural skills.CONCLUSIONS:
Surgical residents regularly face serious illness conversations with little training beyond observation of role models. Dedicated training may help meet this need.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Relações Médico-Paciente
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Cirurgia Geral
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Revelação da Verdade
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Comunicação
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Avaliação das Necessidades
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Internato e Residência
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article