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Formal Training Improves Resident Understanding and Communication Regarding Brain Death/Death by Neurologic Criteria.
Afif, Iman N; Goldberg, Amy J; Zhao, Huaqing; O'Shaughnessy, Gweneth D; Kling, Sarah M; Nathan, Howard M; Hasz, Richard D; Dauer, Elizabeth D.
Afiliación
  • Afif IN; Department of Surgery, Temple University Hospital, Philadelphia, Pennsylvania. Electronic address: Iman.Afif@tuhs.temple.edu.
  • Goldberg AJ; Department of Surgery, Temple University Hospital, Philadelphia, Pennsylvania.
  • Zhao H; Department of Clinical Sciences, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania.
  • O'Shaughnessy GD; Gift of Life Donor Program, Philadelphia, Pennsylvania.
  • Kling SM; Department of Surgery, Temple University Hospital, Philadelphia, Pennsylvania.
  • Nathan HM; Gift of Life Donor Program, Philadelphia, Pennsylvania.
  • Hasz RD; Gift of Life Donor Program, Philadelphia, Pennsylvania.
  • Dauer ED; Gift of Life Donor Program, Philadelphia, Pennsylvania.
J Surg Educ ; 79(1): 198-205, 2022.
Article en En | MEDLINE | ID: mdl-34507909
OBJECTIVE: Residents often are involved in discussions with families regarding brain death/death by neurologic criteria (BD/DNC); however, they receive no standardized training on this topic. We hypothesized that residents are uncomfortable with explaining BD/DNC and that formal didactic and simulated training will improve residents' comfort and skill in discussions surrounding BD/DNC. DESIGN: We partnered with our organ procurement organization (OPO) to create an educational program regarding BD/DNC consisting of a didactic component, and role-play scenarios with immediate individualized feedback. Residents completed pre- and post-training surveys. SETTING: This study included participants from 16 academic and community institutions across New Jersey, Pennsylvania, and Delaware that are within our OPO's region. PARTICIPANTS: Subjects were recruited using convenience sampling based on the institution and training programs' willingness to participate. A total of 1422 residents at participated in the training from 2009 to 2020.  1389 (97.7%) participants competed the pre-intervention survey, while 1361 (95.7%) completed the post-intervention survey. RESULTS: Prior to the training, only 56% of residents correctly identified BD/DNC as synonymous with death. Additionally, 40% of residents had explained BD/DNC to families at least once, but 41% of residents reported never having been taught how to do so. The biggest fear reported in discussing BD/DNC with families was being uncomfortable in explaining BD/DNC (48%). After participating in the training, 99% of residents understood the definition of BD/DNC and 92% of residents felt comfortable discussing BD/DNC with families. CONCLUSIONS: Participation in a standardized curriculum improves residents' understanding of BD/DNC and their comfort in discussing BD/DNC with families.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Entrenamiento Simulado / Internado y Residencia Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: J Surg Educ Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Entrenamiento Simulado / Internado y Residencia Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Humans Idioma: En Revista: J Surg Educ Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos