Resident education and management of end-of-life care: the resident's perspective

Journal of Surgical Education
Zara CooperSelwyn O Rogers

Abstract

Twenty percent of Americans die in the intensive care unit of our nation's hospitals. Many of those individuals die after life-sustaining therapy has been withdrawn or withheld. Surgeons should be competent in discussing the withholding and withdrawal of life sustaining therapy (WWLST) with their patients. We surveyed surgical residents to learn their perspectives and training experience with discussing end-of-life care and WWLST with patients. We mailed a survey to residents in all accredited surgical residency programs in New England. Nonresponders were contacted by mail at 3 and 6 weeks after the initial mailing. Nineteen of 20 (95%) programs participated in this study. Three hundred thirty-five residents were surveyed and 141 residents responded (response rate, 42%). Ninety-two percent (n = 129) of respondents had cared for patients where WWLST had occurred, and 74% (n = 104) had initiated a discussion about WWLST themselves. Most (n = 81, 60%) respondents felt competent to discuss WWLST, whereas 14% rarely (n = 13) or never (n = 6) felt comfortable discussing WWLST. Most (n = 119, 85%) respondents believed that they would be adequately trained at the end of their residencies; however, 39% (n = 53) felt they were inadequate...Continue Reading

References

Apr 1, 1992·Social Science & Medicine·J H Muller
Nov 1, 1996·Journal of General Internal Medicine·D P SulmasyJ M Mitchell
Oct 27, 1997·American Journal of Surgery·M T DowningD A Caniano
Oct 14, 1998·American Journal of Respiratory and Critical Care Medicine·T J PrendergastJ M Luce
Apr 6, 2000·The American Journal of Emergency Medicine·J LiM Martinez
May 24, 2000·The Journal of Trauma·G J JurkovichF P Rivara
Oct 3, 2003·Journal of the American College of Surgeons·Edward E WhangMichael J Zinner
Apr 20, 2004·Critical Care Medicine·Derek C AngusUNKNOWN Robert Wood Johnson Foundation ICU End-Of-Life Peer Group
Apr 19, 2005·The Surgical Clinics of North America·Joan L Huffman
Jun 28, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·Todd E GormanYoanna Skrobik
Mar 8, 2007·Annals of Surgical Oncology·Daniel D KlaristenfeldThomas J Miner
Apr 28, 2007·Journal of Surgical Education·Jeffrey G ChipmanSusan C Seatter
Jan 10, 2008·The American Journal of Hospice & Palliative Care·Ciarán T Bradley, Karen J Brasel

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Citations

Dec 21, 2017·The Journal of Trauma and Acute Care Surgery·Melissa A HornorAvery B Nathens
Jan 8, 2019·The American Journal of Hospice & Palliative Care·Holly B CunninghamHerb A Phelan
Apr 13, 2018·Journal of Palliative Medicine·Pasithorn A SuwanabolArden M Morris
May 18, 2018·Journal of Burn Care & Research : Official Publication of the American Burn Association·Holly B CunninghamHerb A Phelan
Apr 18, 2019·Journal of General Internal Medicine·Jason D Young
Dec 10, 2017·Journal of Pain and Symptom Management·Pasithorn A SuwanabolArden M Morris

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