Child Death Disclosure – Standardized Patient Case

Abstract Introduction Delivering a death disclosure is a routine yet high-stakes part of the practice of an emergency physician. However, this is a skill that is practiced with a wide range of competence by both residents and faculty, and one that can be improved through practice. This resource is a...

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Main Authors: Jeffrey Siegelman, Paul DeSandre, Tammie Quest
Format: Article
Language:English
Published: Association of American Medical Colleges 2015-03-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.10051
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author Jeffrey Siegelman
Paul DeSandre
Tammie Quest
author_facet Jeffrey Siegelman
Paul DeSandre
Tammie Quest
author_sort Jeffrey Siegelman
collection DOAJ
description Abstract Introduction Delivering a death disclosure is a routine yet high-stakes part of the practice of an emergency physician. However, this is a skill that is practiced with a wide range of competence by both residents and faculty, and one that can be improved through practice. This resource is a standardized patient scenario created to teach emergency medicine interns how to deliver a death disclosure in the case of a child. This case was created as part of a hands-on session for emergency medicine interns to increase their comfort and competence with death disclosures. Communication skills necessary for such a conversation are a focus of the Accreditation Council for Graduate Medical Education milestones in emergency medicine. Methods There is clear evidence describing validated methods of delivering this information to patients and families. However, there is a dearth of published cases to use for practice with standardized patients with faculty observing. This resource includes all necessary material needed to implement a standardized patient scenario. An assessment form is also included, and can be adapted for use by either a standardized patient or faculty rater. Results This case was implemented for interns in the final month of internship as part of a day-long session in death disclosure skills. Following implementation, feedback from interns was positive, in that most enjoyed the experience and found it to be a valuable use of resources. In addition, most were able to utilize the death disclosure construct that was taught in the morning didactic session. Discussion The session length was appropriate for the case and debriefing. While there is literature supporting certain methods of death disclosure, there are few published cases for implementation with standardized patients.
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spelling doaj.art-cd2c83d8059443f0a93bec180ddd85272022-12-21T19:39:55ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652015-03-011110.15766/mep_2374-8265.10051Child Death Disclosure – Standardized Patient CaseJeffrey Siegelman0Paul DeSandre1Tammie Quest21 Emory University School of Medicine2 Emory University School of Medicine3 Emory University School of MedicineAbstract Introduction Delivering a death disclosure is a routine yet high-stakes part of the practice of an emergency physician. However, this is a skill that is practiced with a wide range of competence by both residents and faculty, and one that can be improved through practice. This resource is a standardized patient scenario created to teach emergency medicine interns how to deliver a death disclosure in the case of a child. This case was created as part of a hands-on session for emergency medicine interns to increase their comfort and competence with death disclosures. Communication skills necessary for such a conversation are a focus of the Accreditation Council for Graduate Medical Education milestones in emergency medicine. Methods There is clear evidence describing validated methods of delivering this information to patients and families. However, there is a dearth of published cases to use for practice with standardized patients with faculty observing. This resource includes all necessary material needed to implement a standardized patient scenario. An assessment form is also included, and can be adapted for use by either a standardized patient or faculty rater. Results This case was implemented for interns in the final month of internship as part of a day-long session in death disclosure skills. Following implementation, feedback from interns was positive, in that most enjoyed the experience and found it to be a valuable use of resources. In addition, most were able to utilize the death disclosure construct that was taught in the morning didactic session. Discussion The session length was appropriate for the case and debriefing. While there is literature supporting certain methods of death disclosure, there are few published cases for implementation with standardized patients.http://www.mededportal.org/doi/10.15766/mep_2374-8265.10051Standardized PatientCommunication SkillsPalliative MedicineDeath Disclosure
spellingShingle Jeffrey Siegelman
Paul DeSandre
Tammie Quest
Child Death Disclosure – Standardized Patient Case
MedEdPORTAL
Standardized Patient
Communication Skills
Palliative Medicine
Death Disclosure
title Child Death Disclosure – Standardized Patient Case
title_full Child Death Disclosure – Standardized Patient Case
title_fullStr Child Death Disclosure – Standardized Patient Case
title_full_unstemmed Child Death Disclosure – Standardized Patient Case
title_short Child Death Disclosure – Standardized Patient Case
title_sort child death disclosure standardized patient case
topic Standardized Patient
Communication Skills
Palliative Medicine
Death Disclosure
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.10051
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