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ACare: A communication training program for shared decision making along a life-limiting illness

Published online by Cambridge University Press:  12 May 2005

JOSEPH S. WEINER  and
STEVEN A. COLE
JOSEPH S. WEINER
Affiliation:
Long Island Jewish Medical Center, New Hyde Park, New York
STEVEN A. COLE
Affiliation:
Stony Brook Health Sciences Center, School of Medicine, Stony Brook, New York
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Abstract

Objective: This article describes an innovative 8-h training program that provides clinicians with the competencies necessary to conduct efficient, effective, and compassionate advance care planning discussions throughout the trajectory of life-limiting illnesses.

Method: The Advance Care Training Program (ACare) includes 6 h of group workshops and 2 h of one-on-one faculty–learner interaction. In this article, we describe the (1) objectives of ACare; (2) structure, training procedures, and educational rationale of ACare training; and (3) educational outcome studies in progress.

Results: ACare training in various forms has already been provided to over 100 medical professionals (medical students, medical residents, oncology and geriatric fellows, medical attendings, social workers, and nurses). Formative outcome data indicate considerable trainee satisfaction. Emerging summative outcome data indicate improved skills.

Significance of results: Widespread adoption of the program could increase the frequency and quality of advance care planning discussions between patients with life-limiting illnesses, their health care providers, and families.

Keywords

Advance directivesAdvance care planningPhysician–patient communicationShared decision-makingHealth personnel attitudes
Type
Research Article
Information
Palliative & Supportive Care , Volume 2 , Issue 3 , September 2004 , pp. 231 - 241
Copyright
© 2004 Cambridge University Press

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