Teaching advance care planning to medical students with a computer-based decision aid.

Journal of Cancer Education : the Official Journal of the American Association for Cancer Education
Michael J Green, Benjamin H Levi

Abstract

Discussing end-of-life decisions with cancer patients is a crucial skill for physicians. This article reports findings from a pilot study evaluating the effectiveness of a computer-based decision aid for teaching medical students about advance care planning. Second-year medical students at a single medical school were randomized to use a standard advance directive or a computer-based decision aid to help patients with advance care planning. Students' knowledge, skills, and satisfaction were measured by self-report; their performance was rated by patients. 121/133 (91%) of students participated. The Decision-Aid Group (n = 60) outperformed the Standard Group (n = 61) in terms of students' knowledge (p < 0.01), confidence in helping patients with advance care planning (p < 0.01), knowledge of what matters to patients (p = 0.05), and satisfaction with their learning experience (p < 0.01). Likewise, patients in the Decision Aid Group were more satisfied with the advance care planning method (p < 0.01) and with several aspects of student performance. Use of a computer-based decision aid may be an effective way to teach medical students how to discuss advance care planning with cancer patients.

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Citations

Apr 20, 2012·Journal of Palliative Medicine·Jane R SchubartMichael J Green
Nov 2, 2013·Journal of Palliative Medicine·Benjamin H LeviMichael J Green
Mar 7, 2014·Journal of the American Medical Directors Association·Carmen H M HoubenDaisy J A Janssen
Nov 13, 2012·Nursing Outlook·Michael J Green, Benjamin H Levi
Dec 30, 2015·Journal of Palliative Medicine·Kirsten OstherrEduardo Bruera
Dec 30, 2014·Journal of Pain and Symptom Management·Michael J GreenBenjamin H Levi
Mar 14, 2018·The American Journal of Hospice & Palliative Care·Jeff MyersTara Walton
Dec 1, 2017·The American Journal of Hospice & Palliative Care·Michael J GreenBenjamin H Levi
Jul 20, 2018·The Cochrane Database of Systematic Reviews·France LégaréNorbert Donner-Banzhoff
Dec 14, 2018·Journal of Oncology Practice·Jane R SchubartMichael J Green
Mar 27, 2019·The American Journal of Hospice & Palliative Care·Sarah E NussbaumStacie Levine
Sep 16, 2014·The Cochrane Database of Systematic Reviews·France LégaréNorbert Donner-Banzhoff
Jul 17, 2019·The American Journal of Hospice & Palliative Care·Jack DonneKristin Lo
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Jan 13, 2021·The Journal of Continuing Education in the Health Professions·Wendy PearseFlorin Oprescu
Mar 4, 2019·Medical Science Educator·Lauren Jodi Van ScoyRebecca Volpe

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