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Article

Code Status Communication Training in Postgraduate Oncology Programs: A Needs Assessment

1
Department of Oncology, McMaster University, Hamilton, ON, Canada
2
Department of Innovation in Medical Education, University of Ottawa, Ottawa, ON, Canada
3
Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada
4
School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2020, 27(6), 607-613; https://doi.org/10.3747/co.27.6221
Received: 8 September 2020 / Revised: 10 October 2020 / Accepted: 9 November 2020 / Published: 1 December 2020
Background: Discussions with patients with cancer about cardiopulmonary resuscitation directives (code status) are often led by residents. This study was carried out in Canada to identify current educational practices and gaps in training for this communication skill. Methods: Canadian medical and radiation oncology residents and program directors (pds) were surveyed about teaching practices, satisfaction with current education, and barriers to teaching code status discussion skills. Relative frequencies of categorical and ordinal responses were calculated. Results: Between November 2016 and February 2017, 95 (58.6%) of 162 residents and 17 (63%) of 27 pds completed surveys. Only 54.1% and 48.3% of medical and radiation oncology residents, respectively, had received any code status communication training before entering an oncology program. While 41% of residents expected to receive formal teaching on this topic during residency, 47.1% of pds endorsed inclusion of this topic in curricula. Only 20% of residents reported receiving formal evaluation of this skill while 41.2% of pds indicated that evaluations are provided. The importance of this communication skill in oncology was strongly supported. Among residents, 88% desired more training, and 82.3% of pds identified the need for new educational resources. Lack of time, resources, and evaluation tools were among the most commonly identified barriers to teaching. Conclusions: Oncology residency pds and trainees feel that code status communication is important, but teaching and evaluation of this skill are limited. Barriers to teaching and skill-building have been identified. Further work is underway to develop novel educational resources for code status communication training.
Keywords: postgraduate medical education; advanced directives postgraduate medical education; advanced directives
MDPI and ACS Style

Levine, O.H.; Dhesy-Thind, S.K.; McConnell, M.M.; Brouwers, M.C.; Mukherjee, S.D. Code Status Communication Training in Postgraduate Oncology Programs: A Needs Assessment. Curr. Oncol. 2020, 27, 607-613. https://doi.org/10.3747/co.27.6221

AMA Style

Levine OH, Dhesy-Thind SK, McConnell MM, Brouwers MC, Mukherjee SD. Code Status Communication Training in Postgraduate Oncology Programs: A Needs Assessment. Current Oncology. 2020; 27(6):607-613. https://doi.org/10.3747/co.27.6221

Chicago/Turabian Style

Levine, O. H., S. K. Dhesy-Thind, M. M. McConnell, M. C. Brouwers, and S. D. Mukherjee. 2020. "Code Status Communication Training in Postgraduate Oncology Programs: A Needs Assessment" Current Oncology 27, no. 6: 607-613. https://doi.org/10.3747/co.27.6221

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