39% residents not trained to discuss end-of-life care
Residency Program Connection, August 2, 2010
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Thirty nine percent of residents report that they are not adequately trained in discussing the withholding and withdrawal of life-sustaining therapy (WWLST) with their patients, according to a recent study, “Resident education and management of end-of-life care: The resident’s perspective,” published in the March-April issue of the Journal of Surgical Education.
In a survey of 141 surgical residents in New England, most residents (60%) felt competent to discuss end-of-life care decisions, but 14% of them rarely or never felt comfortable in doing so.
“Almost all surgical residents will have to discuss WWLST with patients and their families, yet a significant number feel inadequately trained to do so,” the study states. “Steps should be taken to ensure that surgical residents can discuss WWLST as part of their core competencies, and this training should be reinforced throughout residency.”
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