Annals of Clinical Research and Trials

Research Article

Resident Discomfort in Advance Care Planning: Insights from a Multicenter Survey

Ramy Sedhom, Daniel Sedhom, David Barile

Correspondence Address :

Ramy Sedhom
Department of Internal Medicine
Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey
USA
Tel: (917) 816-4858, Fax: (718) 494-0697
Email: sedhomr@gmail.com

Received on: June 22, 2017, Accepted on: July 01, 2017, Published on: July 07, 2017

Citation: Ramy Sedhom, Daniel Sedhom, David Barile (2017). Resident Discomfort in Advance Care Planning: Insights from a Multicenter Survey

Copyright: 2017 Ramy Sedhom, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract
Objectives: Despite growing mindfulness regarding the importance of advance care planning with terminally ill patients and families, many resident physicians remain uncomfortable and poorly trained for these discussions. To guide the development of future curricula, we assessed trainee attitudes, knowledge, perceived proficiency, and needs in providing quality end of life care.
Methods: A cross-sectional, self-administered survey-based study of internal medicine residents in the state of New Jersey. The survey was administered in February so that all participants had a minimum of 6 months of formal training.
Result: 83 residents participated in the study. The majority reported never caring for a dying patient as a medical student. 71.1% felt uncomfortable discussing advance care directives and a similar percentage felt uncomfortable leading a family meeting without attending supervision. Very few residents received any feedback regarding their competency in goal setting with ill patients.
Discussion: Young physicians are poorly trained to address the needs of an aging population with advanced comorbidities. Curricular changes are certainly needed to prepare physicians for the changing landscape of medicine, especially considering the growing shortage of geriatric and palliative care providers.