Table 2.
Question | Pre-sim median (IQR) | Post-sim median (IQR) | Median difference (95% CI) | P-value |
---|---|---|---|---|
1) The role of the emergency medicine physician in palliative care is important. | 71.5 (59–80) | 76 (68–89.5) | + 7.5 (3.5–11) | 0.0003 |
2) If I suspect a high risk of morbidity and/or mortality during an emergency department encounter, how often do I have this discussion with my patient? | 53.5 (46–74) | 66 (48–81) | + 3 (− 0.5–8.5) | 0.0792 |
3) I feel confident in my understanding of palliative care. | 65.0 (49.5–77) | 68.5 (56.5–80.5) | + 4 (− 1–11) | 0.1265 |
4) I feel confident in my ability to determine a patient’s decision-making capacity. | 63.5 (41.5–74) | 68.5 (57–78.5) | + 7 (2.5–12) | 0.0005 |
5) I feel confident with initiating palliative care discussions and treatment in the emergency department. | 59.5 (46–69.5) | 72 (63–77) | + 11 (5.5–17) | < 0.0001 |
6) Palliative care education is an important component to my residency training. | 67 (61–78) | 75 (68.5–86) | + 6.5 (2.5–10.5) | 0.0013 |
7) Simulation is an effective educational tool to learn palliative care skills. | 54 (48–77) | 74.5 (57.5–86) | + 9.5 (5–14) | < 0.0001 |
PGY post-graduate year, IQR interquartile range, CI confidence interval