Cultures of Practice: Specialty-Specific Differences in End-of-Life Conversations.

ABSTRACT: Importance: Goals of care discussions at the end of life give opportunity to affirm the autonomy and humanity of dying patients. Best practices exist for communication around goals of care, but there is no research on differences in approach taken by different specialties engaging these conversations. Objective: To describe the communication practices of internal medicine (IM), emergency medicine (EM), and critical care (CC) physicians in a high-fidelity simulation of a terminally ill patient with stable and defined end-of-life preferences. Design, Setting, and Participants: Mixed-methods secondary analysis of transcripts obtained from a multicenter study simulating high stakes, time-limited end-of-life decision making in a cohort of 88 volunteer p

SUBMITTER: Morales A 

PROVIDER: S-EPMC8043084 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature