The Effectiveness of the Geritalk Communication Skills Course: A Real-Time Assessment of Skill Acquisition and Deliberate Practice

Gelfman, Laura P.; Lindenberger, Elizabeth; Fernandez, Helen; Goldberg, Gabrielle R.; Lim, Betty; Litrivis, Evgenia; O'Neill, Lynn Bunch; Smith, Cardinale B.; Kelley, Amy S.

doi:10.1016/j.jpainsymman.2013.12.231

Cited by 40 publications

(32 citation statements)

References 14 publications

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“…Again, the studies used different measurements of what constituted improved communication, which made direct comparison difficult. Those studies that reported some objective improvement in skill sets27 28 34 38 43–45 vary in technique and duration, and evaluation, leaving an agreement on the ideal scheme for communication skills development as yet unidentified.…”

Section: Discussionmentioning

confidence: 99%

Communication skills assessment in the final postgraduate years to established practice: a systematic review

Gillis

Morris

Ridgway

2014

Postgraduate Medical Journal

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Introduction Communication breakdown is a factor in the majority of all instances of medical error. Despite the importance, a relative paucity of time is invested in communication skills in postgraduate curricula. Our objective is to systematically review the literature to identify the current tools used to assess communication skills in postgraduate trainees in the latter 2 years of training and in established practice. Methods Two reviewers independently reviewed the literature identifying communication skill assessment tools, for postgraduate trainees in the latter 2 years of training and in established practice following Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework, and inclusion/exclusion criteria from January 1990 to 15 August 2014. Databases: PubMed/CINAHL/ERIC/EMBASE/PsycInfo/Psyc Articles/Cochrane. Results 222 articles were identified; after review, 34 articles fulfilled criteria for complete evaluation; the majority (26) had a high level of evidence scoring 3 or greater on the Best Evidence Medical Education guide. 22 articles used objective structured clinical examination/standardised patient (SP)-based formats in an assessment or training capacity. Evaluation tools included author-developed questionnaires and validated tools. Nineteen articles demonstrated an educational initiative. Conclusions The reviewed literature is heterogeneous for objectives and measurement techniques for communication. Observed interactions, with patients or SPs, is the current favoured method of evaluation using author-developed questionnaires. The role of self-evaluation of skill level is questioned. The need for a validated assessment tool for communication skills is highlighted.

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Section: Discussionmentioning

confidence: 99%

Communication skills assessment in the final postgraduate years to established practice: a systematic review

Gillis

Morris

Ridgway

2014

Postgraduate Medical Journal

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“…40,65 Strong communication skills are of utmost importance in creating open, trusting patient-provider relationships, and palliative care communication training has been shown to be effective. 66,67 A number of the heart failure-specific pilots and trials listed in Table 1 relied on at least some level of training for facilitators of palliative interventions. 8,9,11,15 One pre/post-test design study even validated an interdisciplinary instructional seminar for non-physician heart failure providers on heart failure treatment guidelines and effective communication techniques.…”

Section: The Logistics Of Team-based Palliative Care In Heart Failurementioning

confidence: 99%

Team-based Palliative and End-of-life Care for Heart Failure

Fendler

Swetz

Allen

2015

Heart Failure Clinics

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SYNOPSIS Clinical practice guidelines endorse the use of palliative care in patients with symptomatic heart failure. Palliative care is no longer seen as “giving up” or “accepting death,” but is now conceptualized as “supportive care” afforded to most patients with chronic, life-limiting illness. However, the optimal content and delivery of palliative care interventions remains unknown and its integration into existing heart failure disease management continues to be a challenge. Therefore, we will comment on the current state of multidisciplinary care for such patients, explore evidence supporting a team-based approach to palliative and end-of-life care for patients with heart failure, and identify high-priority areas for research. Ultimately, patients require a “heart failure medical home”, where various specialties may take a more central role in coordination of patient care at different times in the disease span, sometimes transitioning leadership from primary care to cardiology to palliative care.

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“…First, we identified an experienced social worker known to the hospital medicine service to lead the embedded hospital medicine primary palliative care model. The palliative care training for this social worker included the following: (1) palliative care social workers for three months, including joining interdisciplinary team (IDT) rounds and participating in goals-of-care discussions with patients and/or family members; and (3) participation in an intensive two-day Geritalk 14,15 course, an advanced communication skills training course based on Oncotalk. 16 Embedding the primary palliative care social worker into the hospital medicine service.…”

Section: Designmentioning

confidence: 99%

A Social Worker-Led Primary Palliative Care Model for Hospitalized Patients Admitted to the Hospital Medicine Service

Berglund

Chai

Moreno

et al. 2020

Palliative Medicine Reports

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Objective: To increase earlier access to palliative care, and in turn increase documented goals of care and appropriate hospice referrals for seriously ill patients admitted to hospital medicine. Background: Due to the growing number of patients with serious illness and the specialty palliative care workforce shortage, innovative primary palliative care models are essential to meet this population's needs. Methods: Patients with serious illness admitted to hospital medicine at a quaternary urban academic medical center in New York City and received an embedded palliative care social worker consultation in 2017. We used univariate analyses of sociodemographic, clinical, and utilization data to describe the sample. Results: Overall, 232 patients received a primary palliative care consultation (mean age of 69 years, 44.8% female, 34% white, median Karnofsky Performance Status of 40%), and 159 (69%) had capacity to participate in a goals-of -are conversation. Referrals were from palliative care solid tumor oncology trigger program (113 [49%]), specialty palliative care consultation team (42[18%]), and hospital medicine (34[14.6%]). Before the consultation, 10(4.3%) had documented goals of care and 207 (89%) did after the consultation. The percentage of those referred to hospice was 24.1%. Of those transferred to specialty palliative care consultation service, nearly half required symptom management. Discussion: Patients who received a primary palliative care consultation were seen earlier in their illness trajectory, based on their higher functional impairment, and the majority had capacity to participate in goals-of-care discussions, compared with those who were seen by specialty palliative care. The consultation increased goals-of-care documentation and the hospice referral rate was comparable with that of the specialty palliative consultation team.

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The Effectiveness of the Geritalk Communication Skills Course: A Real-Time Assessment of Skill Acquisition and Deliberate Practice

Cited by 40 publications

References 14 publications

Communication skills assessment in the final postgraduate years to established practice: a systematic review

Communication skills assessment in the final postgraduate years to established practice: a systematic review

Team-based Palliative and End-of-life Care for Heart Failure

A Social Worker-Led Primary Palliative Care Model for Hospitalized Patients Admitted to the Hospital Medicine Service

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