| Residency training in advance care planning: can it be done in the outpatient clinic? | |
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MedLine Citation:
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PMID: 18573995 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Resident physicians are expected to assist their outpatients to understand and complete advance directives, but their efficacy in doing so remains uncertain. After receiving educational training, internal medicine residents identified at-risk patients and solicited them about advance directives. Residents completed pretest and posttest questionnaires that assessed their knowledge, skills, attitude, and comfort with advance directives. Patients were also surveyed about their attitudes regarding advance directives. Ten internal medicine residents and 88 patients participated. Residents' self-assessed knowledge rose from 6.0 to 9.2 on a 10-point Likert scale. Skills using advance directives increased from 4.0 to 7.9, attitudes improved from 6.0 to 8.4, and comfort rose from 5.4 to 8.9. Eighty-four percent of patients expressed interest in completing advance directives, and 16% actually completed documents. An educational intervention improved knowledge, skills, attitudes, and comfort with advance directives among internal medicine residents practicing in the outpatient setting. Meanwhile, patients demonstrated a strong interest in completing advance directives. |
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Authors:
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Jeffrey S Alderman; Baishali Nair; Mark D Fox |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: The American journal of hospice & palliative care Volume: 25 ISSN: 1938-2715 ISO Abbreviation: Am J Hosp Palliat Care Publication Date: 2008 Jun-Jul |
Date Detail:
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Created Date: 2008-06-24 Completed Date: 2009-02-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9008229 Medline TA: Am J Hosp Palliat Care Country: United States |
Other Details:
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Languages: eng Pagination: 190-4 Citation Subset: IM; N |
Affiliation:
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Palliative Care Program, Department of Internal Medicine, University of Oklahoma College of Medicine, Tulsa, OK 74135, USA. Jeffrey-Alderman@ouhsc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Advance Care Planning* Aged Aged, 80 and over Ambulatory Care Facilities* Attitude of Health Personnel Cohort Studies Female Health Knowledge, Attitudes, Practice Humans Internal Medicine / education Internship and Residency / methods* Male Middle Aged Oklahoma Patient Education as Topic / methods Program Development Program Evaluation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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