Enhancing Advance Care Planning Communication: An Interactive Workshop With Role-Play for Students and Primary Care Clinicians

Introduction Increased clinician training on advance care planning (ACP) is needed. Common barriers to ACP include perceived lack of confidence, skills, and knowledge necessary to engage in these discussions. Furthermore, many clinicians feel inadequately trained in prognostication. Evidence exists...

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Autores principales:	Ben A. Blomberg, Catherine Quintana, Jingwen Hua, Leslie Hargis-Fuller, Jeff Laux, Margaret A. Drickamer
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Advance Care Planning Prognosis Role-Play Workshop Communication Communication Skills Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/0a48dbdf30ee4f3293eb9a6dd471b416
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spelling	oai:doaj.org-article:0a48dbdf30ee4f3293eb9a6dd471b4162021-11-19T14:46:41ZEnhancing Advance Care Planning Communication: An Interactive Workshop With Role-Play for Students and Primary Care Clinicians10.15766/mep_2374-8265.109732374-8265https://doaj.org/article/0a48dbdf30ee4f3293eb9a6dd471b4162020-09-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10973https://doaj.org/toc/2374-8265Introduction Increased clinician training on advance care planning (ACP) is needed. Common barriers to ACP include perceived lack of confidence, skills, and knowledge necessary to engage in these discussions. Furthermore, many clinicians feel inadequately trained in prognostication. Evidence exists that multimodality curricula are effective in teaching ACP and can be simultaneously targeted to trainees and practicing clinicians with success. Methods We developed a 3-hour workshop incorporating lecture, patient-oriented decision aids, prognostication tools, small-group discussion, and case-based role-play to communicate a values-based approach to ACP. Cases included discussion of care goals for a patient with severe chronic obstructive pulmonary disease and one with mild cognitive impairment. The workshop was delivered to fourth-year medical students, then adapted in two primary care clinics. In the clinics, we added an interprofessional case applying ACP to management of dental pain in advanced dementia. We evaluated the workshops using pre-post surveys. Results Thirty-four medical students and 14 primary care providers participated. Self-reported knowledge and comfort regarding ACP significantly improved; attitudes toward ACP were strongly positive both before and after. The workshop was well received. On a 7-point Likert scale (1 = unacceptable, 7 = outstanding), the median overall rating was 6 (excellent). Discussion We developed an ACP workshop applicable to students and primary clinicians and saw improvements in self-reported knowledge and comfort regarding ACP. Long-term effects were not studied. Participants found the role-play especially valuable. Modifications for primary care clinics focused on duration rather than content. Future directions include expanding the workshop's content.Ben A. BlombergCatherine QuintanaJingwen HuaLeslie Hargis-FullerJeff LauxMargaret A. DrickamerAssociation of American Medical CollegesarticleAdvance Care PlanningPrognosisRole-PlayWorkshopCommunicationCommunication SkillsMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Advance Care Planning Prognosis Role-Play Workshop Communication Communication Skills Medicine (General) R5-920 Education L
spellingShingle	Advance Care Planning Prognosis Role-Play Workshop Communication Communication Skills Medicine (General) R5-920 Education L Ben A. Blomberg Catherine Quintana Jingwen Hua Leslie Hargis-Fuller Jeff Laux Margaret A. Drickamer Enhancing Advance Care Planning Communication: An Interactive Workshop With Role-Play for Students and Primary Care Clinicians
description	Introduction Increased clinician training on advance care planning (ACP) is needed. Common barriers to ACP include perceived lack of confidence, skills, and knowledge necessary to engage in these discussions. Furthermore, many clinicians feel inadequately trained in prognostication. Evidence exists that multimodality curricula are effective in teaching ACP and can be simultaneously targeted to trainees and practicing clinicians with success. Methods We developed a 3-hour workshop incorporating lecture, patient-oriented decision aids, prognostication tools, small-group discussion, and case-based role-play to communicate a values-based approach to ACP. Cases included discussion of care goals for a patient with severe chronic obstructive pulmonary disease and one with mild cognitive impairment. The workshop was delivered to fourth-year medical students, then adapted in two primary care clinics. In the clinics, we added an interprofessional case applying ACP to management of dental pain in advanced dementia. We evaluated the workshops using pre-post surveys. Results Thirty-four medical students and 14 primary care providers participated. Self-reported knowledge and comfort regarding ACP significantly improved; attitudes toward ACP were strongly positive both before and after. The workshop was well received. On a 7-point Likert scale (1 = unacceptable, 7 = outstanding), the median overall rating was 6 (excellent). Discussion We developed an ACP workshop applicable to students and primary clinicians and saw improvements in self-reported knowledge and comfort regarding ACP. Long-term effects were not studied. Participants found the role-play especially valuable. Modifications for primary care clinics focused on duration rather than content. Future directions include expanding the workshop's content.
format	article
author	Ben A. Blomberg Catherine Quintana Jingwen Hua Leslie Hargis-Fuller Jeff Laux Margaret A. Drickamer
author_facet	Ben A. Blomberg Catherine Quintana Jingwen Hua Leslie Hargis-Fuller Jeff Laux Margaret A. Drickamer
author_sort	Ben A. Blomberg
title	Enhancing Advance Care Planning Communication: An Interactive Workshop With Role-Play for Students and Primary Care Clinicians
title_short	Enhancing Advance Care Planning Communication: An Interactive Workshop With Role-Play for Students and Primary Care Clinicians
title_full	Enhancing Advance Care Planning Communication: An Interactive Workshop With Role-Play for Students and Primary Care Clinicians
title_fullStr	Enhancing Advance Care Planning Communication: An Interactive Workshop With Role-Play for Students and Primary Care Clinicians
title_full_unstemmed	Enhancing Advance Care Planning Communication: An Interactive Workshop With Role-Play for Students and Primary Care Clinicians
title_sort	enhancing advance care planning communication: an interactive workshop with role-play for students and primary care clinicians
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/0a48dbdf30ee4f3293eb9a6dd471b416
work_keys_str_mv	AT benablomberg enhancingadvancecareplanningcommunicationaninteractiveworkshopwithroleplayforstudentsandprimarycareclinicians AT catherinequintana enhancingadvancecareplanningcommunicationaninteractiveworkshopwithroleplayforstudentsandprimarycareclinicians AT jingwenhua enhancingadvancecareplanningcommunicationaninteractiveworkshopwithroleplayforstudentsandprimarycareclinicians AT lesliehargisfuller enhancingadvancecareplanningcommunicationaninteractiveworkshopwithroleplayforstudentsandprimarycareclinicians AT jefflaux enhancingadvancecareplanningcommunicationaninteractiveworkshopwithroleplayforstudentsandprimarycareclinicians AT margaretadrickamer enhancingadvancecareplanningcommunicationaninteractiveworkshopwithroleplayforstudentsandprimarycareclinicians
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Enhancing Advance Care Planning Communication: An Interactive Workshop With Role-Play for Students and Primary Care Clinicians

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