The effect of stepwise instruction and simulation of goals of care communication skills on performance in the clinical setting: faculty and patient/family perspectives

  • Montalvo, Jessica A (PD/PI)

Project: Research project

Project Details


Our proposed project focuses on 38 categorical internal medicine residents for a yearlong period that begins in the spring of their second year. Prior to this time all residents will have received simulation training in basic GOC communication skills and completed a simulated patient encounter that requires them to apply these skills in tandem. Our proposed project consists of several components to enable this cohort of residents to master higher level GOC communication skills including: a) discussing prognosis and uncertainty; and b) recommending a medical care plan. First, an expert panel consisting of palliative care and graduate medical education faculty will be convened to develop behavioral checklists for the patient-centered GOC communication skills we are focusing on. Members of our faculty have expertise in this area as they have developed and published other communication skills checklists for breaking bad news, responding to emotion and code status discussions. The GOC communication skills checklists will be piloted with at least 10 non-study subjects and tested for data reliability. Pilot performance data will be used by the expert panel in conjunction with accepted standard setting techniques to set a minimum passing score (MPS) for each checklist.
Effective start/end date8/1/162/28/18


  • Arnold P. Gold Foundation (CH-16-003)


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