EM Talk: Communication Skills Training for Emergency Medicine Patients with Serious Illness.
Grudzen CR, Emlet LL, Kuntz J, Shreves A, Zimny E, Gang M, Schaulis M, Schmidt S, Isaacs E, and Arnold R. EM Talk: communication skills training for emergency medicine patients with serious illness. BMJ Support Palliat Care 2016.
BMJ Support Palliat Care
The emergency department visit for a patient with serious illness represents a sentinel event, signalling a change in the illness trajectory. By better understanding patient and family wishes, emergency physicians can reinforce advance care plans and ensure the hospital care provided matches the patient's values. Despite their importance in care at the end of life, emergency physicians have received little training on how to talk to seriously ill patients and their families about goals of care. To expand communication skills training to emergency medicine, we developed a programme to give emergency medicine physicians the ability to empathically deliver serious news and to talk about goals of care. We have built on lessons from prior studies to design an intervention employing the most effective pedagogical techniques, including the use of simulated patients/families, role-playing and small group learning with constructive feedback from master clinicians. Here, we describe our evidence-based communication skills training course EM Talk using simulation, reflective feedback and deliberate practice.
Medical Subject Headings
Advance Care Planning; Attitude of Health Personnel; Emergency Medicine; Evidence-Based Medicine; Female; Health Communication; Humans; Male; Patient Simulation; Physician-Patient Relations; Terminal Care