Table 2.

Resident and Fellow Responses to Items Pertaining to Palliative Care Communication

		Residents			Fellows
Item	Domain	Median	Mode	(Range)	Median	Mode	(Range)	p Valuea
Discussing with patients and families the transition from a curative to a palliative approach	Training	2	1	(1–3)	2	2	(1–4)	0.044
	Experience-P	2	1	(1–4)	2	2	(1–5)	<0.001
	Experience-O	2	2	(1–4)	3	3	(1–5)	<0.001
	Knowledge	2	2	(1–4)	3	3	(1–5)	<0.001
	Competency	2	2	(1–3)	3	3	(1–4)	<0.001
	Comfort	2	2	(1–3)	2.5	2	(1–4)	<0.001
Conducting a family conference to discuss the new diagnosis of a life-threatening illness	Trainingb	2	2	(1–4)	2	2	(1–4)	0.142
	Experience-P	2	2	(1–4)	3	3	(1–5)	<0.001
	Experience-O	3	3	(1–5)	3	3	(1–5)	0.008
	Knowledge	2	2	(1–5)	3	3	(1–5)	<0.001
	Competency	2	2	(1–4)	3	3	(1–5)	<0.001
	Comfort	2	2	(1–4)	3	3	(1–5)	<0.001
Including children in discussions about preparing for death	Trainingb	1	1	(1–3)	2	2	(1–3)	0.087
	Experience-P	1	1	(1–3)	2	4	(1–5)	0.002
	Experience-O	2	1	(1–4)	2	4	(1–5)	0.003
	Knowledge	1.5	1	(1–3)	2	3	(1–4)	0.002
	Competency	1	1	(1–3)	2	2	(1–4)	0.003
	Comfort	1	1	(1–3)	2	2	(1–4)	0.007
Discussing code status with the family of a child with a life-threatening illness	Training	2	2	(1–5)	2	2	(1–4)	0.045
	Experience-P	2	1 & 2	(1–4)	3	3	(1–5)	<0.001
	Experience-O	2	2	(1–5)	3	3	(1–5)	<0.001
	Knowledge	2	2	(1–4)	3	3	(1–5)	<0.001
	Competency	2	2	(1–4)	3	3	(1–5)	<0.001
	Comfort	2	2	(1–4)	3	3	(1–4)	<0.001
Providing spiritual support for dying children and their families	Trainingb	1	1	(1–4)	2	2	(1–3)	0.141
	Experience-P	1	1	(1–4)	2	2	(1–4)	<0.001
	Experience-O	2	1	(1–4)	2	2	(1–4)	<0.001
	Knowledge	2	1	(1–4)	2	2	(1–4)	0.001
	Competency	2	2	(1–4)	2	2	(1–4)	<0.001
	Comfort	1	1	(1–4)	2	2	(1–4)	0.001

Values based on mean of Likert-scale responses (1 = none, 2 = minimal, 3 = moderate, 4 = good, 5 = exceptional).

^aObtained using two-sided Mann-Whitney Test comparing residents and fellows.

^bIndicates domain where the difference in mean responses between residents and fellows is not statistically significant.

P, participant; O, observer.