End-of-Life Decision Making: How Patients, Substitutes, and Physicians Make Decisions
Abstract This tool was created to address a perceived gap in the education of our postgraduate internal medicine trainees around the practical aspects of end-of-life decision making. Based on an extensive up-to-date literature review of the topic, the PowerPoint presentation outlines several facets...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Association of American Medical Colleges
2011-06-01
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| Series: | MedEdPORTAL |
| Subjects: | |
| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.8163 |
| _version_ | 1819038818435596288 |
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| author | David Frost Robert Fowler |
| author_facet | David Frost Robert Fowler |
| author_sort | David Frost |
| collection | DOAJ |
| description | Abstract This tool was created to address a perceived gap in the education of our postgraduate internal medicine trainees around the practical aspects of end-of-life decision making. Based on an extensive up-to-date literature review of the topic, the PowerPoint presentation outlines several facets of end-of-life decision making: (1) components of these decisions and generally accepted definitions, (2) factors affecting patients' decisions, (3) substitute decision-maker accuracy, (4) physician-level factors affecting decision making, and (5) implications for everyday practice. The presentation is intended to be a springboard for an interactive discussion of experiences with end-of-life decisions and is best suited to an audience that has some experience with these situations (e.g., medical or surgical residents, ICU fellows, etc.). The session is 2 hours in duration, with a 10-minute break in the middle. It is possible to reduce the session to just 1 hour, but this will potentially curtail some of the discussion, which is likely to be the most stimulating and highest-rated component of the session. This session is unique in that it provides a forum for discussion, as well as an overview of the current state of the art in the factors known to influence end-of-life decision making. It has been presented as a 1-hour round for medical residents and students in two Toronto teaching hospitals. Although not formally evaluated, it was anecdotally highly rated by trainees at all levels. |
| first_indexed | 2024-12-21T08:43:21Z |
| format | Article |
| id | doaj.art-b9976d05fc8f42bf876628721b040b4a |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-12-21T08:43:21Z |
| publishDate | 2011-06-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-b9976d05fc8f42bf876628721b040b4a2022-12-21T19:09:53ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652011-06-01710.15766/mep_2374-8265.8163End-of-Life Decision Making: How Patients, Substitutes, and Physicians Make DecisionsDavid Frost0Robert Fowler11 University of Toronto Faculty of Medicine2 University of TorontoAbstract This tool was created to address a perceived gap in the education of our postgraduate internal medicine trainees around the practical aspects of end-of-life decision making. Based on an extensive up-to-date literature review of the topic, the PowerPoint presentation outlines several facets of end-of-life decision making: (1) components of these decisions and generally accepted definitions, (2) factors affecting patients' decisions, (3) substitute decision-maker accuracy, (4) physician-level factors affecting decision making, and (5) implications for everyday practice. The presentation is intended to be a springboard for an interactive discussion of experiences with end-of-life decisions and is best suited to an audience that has some experience with these situations (e.g., medical or surgical residents, ICU fellows, etc.). The session is 2 hours in duration, with a 10-minute break in the middle. It is possible to reduce the session to just 1 hour, but this will potentially curtail some of the discussion, which is likely to be the most stimulating and highest-rated component of the session. This session is unique in that it provides a forum for discussion, as well as an overview of the current state of the art in the factors known to influence end-of-life decision making. It has been presented as a 1-hour round for medical residents and students in two Toronto teaching hospitals. Although not formally evaluated, it was anecdotally highly rated by trainees at all levels.http://www.mededportal.org/doi/10.15766/mep_2374-8265.8163Decision MakingSubstitute Decision MakersCode Status DiscussionCritical Care |
| spellingShingle | David Frost Robert Fowler End-of-Life Decision Making: How Patients, Substitutes, and Physicians Make Decisions MedEdPORTAL Decision Making Substitute Decision Makers Code Status Discussion Critical Care |
| title | End-of-Life Decision Making: How Patients, Substitutes, and Physicians Make Decisions |
| title_full | End-of-Life Decision Making: How Patients, Substitutes, and Physicians Make Decisions |
| title_fullStr | End-of-Life Decision Making: How Patients, Substitutes, and Physicians Make Decisions |
| title_full_unstemmed | End-of-Life Decision Making: How Patients, Substitutes, and Physicians Make Decisions |
| title_short | End-of-Life Decision Making: How Patients, Substitutes, and Physicians Make Decisions |
| title_sort | end of life decision making how patients substitutes and physicians make decisions |
| topic | Decision Making Substitute Decision Makers Code Status Discussion Critical Care |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.8163 |
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