Improved Resident Physician Confidence With Advance Care Planning After an Ambulatory Clinic Intervention

Ericka E. Tung; Mark L. Wieland; Brandon P. Verdoorn; Karen F. Mauck; Jason A. Post; Matthew R. Thomas; John B. Bundrick; Thomas M. Jaeger; Stephen S. Cha; Kris G. Thomas

doi:10.1177/1049909113485636

Improved Resident Physician Confidence With Advance Care Planning After an Ambulatory Clinic Intervention

Ericka E. Tung, Mark L. Wieland, Brandon P. Verdoorn, Karen F. Mauck, Jason A. Post, Matthew R. Thomas, John B. Bundrick, Thomas M. Jaeger, Stephen S. Cha, Kris G. Thomas

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Many primary care providers feel uncomfortable discussing end-of-life care. The aim of this intervention was to assess internal medicine residents' advance care planning (ACP) practices and improve residents' ACP confidence. Residents participated in a facilitated ACP quality improvement workshop, which included an interactive presentation and chart audit of their own patients. Pre- and postintervention surveys assessed resident ACP-related confidence. Only 24% of the audited patients had an advance directive (AD), and 28% of the ACP-documentation was of no clinical utility. Terminally ill patients (odds ratio 2.8, P < .001) were more likely to have an AD. Patients requiring an interpreter were less likely to have participated in ACP. Residents reported significantly improved confidence with ACP and identified important training gaps. Future studies examining the impact on ACP quality are needed.

Original language	English (US)
Pages (from-to)	275-280
Number of pages	6
Journal	American Journal of Hospice and Palliative Medicine
Volume	31
Issue number	3
DOIs	https://doi.org/10.1177/1049909113485636
State	Published - May 2014

Keywords

advance care planning
community health
end-of-life-care
primary care
quality improvement
resident education

ASJC Scopus subject areas

General Medicine

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10.1177/1049909113485636

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Tung, E. E., Wieland, M. L., Verdoorn, B. P., Mauck, K. F., Post, J. A., Thomas, M. R., Bundrick, J. B., Jaeger, T. M., Cha, S. S., & Thomas, K. G. (2014). Improved Resident Physician Confidence With Advance Care Planning After an Ambulatory Clinic Intervention. American Journal of Hospice and Palliative Medicine, 31(3), 275-280. https://doi.org/10.1177/1049909113485636

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title = "Improved Resident Physician Confidence With Advance Care Planning After an Ambulatory Clinic Intervention",

abstract = "Many primary care providers feel uncomfortable discussing end-of-life care. The aim of this intervention was to assess internal medicine residents' advance care planning (ACP) practices and improve residents' ACP confidence. Residents participated in a facilitated ACP quality improvement workshop, which included an interactive presentation and chart audit of their own patients. Pre- and postintervention surveys assessed resident ACP-related confidence. Only 24% of the audited patients had an advance directive (AD), and 28% of the ACP-documentation was of no clinical utility. Terminally ill patients (odds ratio 2.8, P < .001) were more likely to have an AD. Patients requiring an interpreter were less likely to have participated in ACP. Residents reported significantly improved confidence with ACP and identified important training gaps. Future studies examining the impact on ACP quality are needed.",

keywords = "advance care planning, community health, end-of-life-care, primary care, quality improvement, resident education",

author = "Tung, {Ericka E.} and Wieland, {Mark L.} and Verdoorn, {Brandon P.} and Mauck, {Karen F.} and Post, {Jason A.} and Thomas, {Matthew R.} and Bundrick, {John B.} and Jaeger, {Thomas M.} and Cha, {Stephen S.} and Thomas, {Kris G.}",

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AU - Post, Jason A.

AU - Thomas, Matthew R.

AU - Bundrick, John B.

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AU - Cha, Stephen S.

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Improved Resident Physician Confidence With Advance Care Planning After an Ambulatory Clinic Intervention

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