Table 1.
Question Number | Precurriculum Mean Score | Postcurriculum Mean Score | P Value | |
---|---|---|---|---|
1* | I feel comfortable discussing code status with a new (previously unknown) patient on admission when they are calm. | 4.22 | 4.68 | 0.027 |
2 | I feel comfortable discussing code status with a new (previously unknown) patient on admission when they are anxious. | 3.36 | 4.22 | 0.002 |
3 | I feel confident readdressing goals-of-care and code status with patients when their health situation changes. | 3.95 | 4.22 | 0.016 |
4 | I feel confident discussing goals-of-care with emotional patients. | 3.36 | 3.90 | 0.060 |
5 | I understand what a Health Care Proxy (HCP) form is. | 4.00 | 4.72 | 0.001 |
6* | I feel comfortable filling out and filing a Health Care Proxy (HCP) form with a patient. | 3.59 | 4.45 | 0.005 |
7 | I understand what a MOLST form is. | 3.72 | 4.68 | 0.002 |
8* | I feel comfortable filling out and filing a MOLST form with a patient. | 3.36 | 4.40 | 0.002 |
9 | I feel confident in my abilities to explain different life sustaining measures, like CPR, dialysis, feeding tubes, artificial hydration, and ventilation, to patients and their families. | 4.00 | 4.36 | 0.090 |
10 | I feel well prepared to deliver serious news, like a new diagnosis of cancer or life-threatening progression of CHF, to a patient. | 3.27 | 4.22 | 0.008 |
11* | It is my responsibility to have the initial serious illness conversation with a patient. | 4.13 | 4.31 | 0.038 |
12 | I feel confident in my abilities to respond to patients’ and families’ emotions during advance care planning conversations. | 3.77 | 4.04 | 0.034 |
13 | I feel comfortable identifying which patients have needs for palliative care services. | 3.77 | 4.13 | 0.022 |
Definition of abbreviations: CHF = congestive heart failure; CPR = cardiopulmonary resuscitation; MOLST = Medical Orders for Life Sustaining Treatment.
Questions were selected a priori for analysis.