TABLE 6.

Changes in Practice Patterns

	12 Months After Course
I use NURSE (Name, Understand, Respect, Support, Explore) and SPIKES (Setting, Perception, Invitation, Knowledge, Empathy, Summarize) communication strategies to connect with my patients more frequently than I did prior to the training	30.8%
I provide palliative care to my patients more frequently than I did prior to the training	84.6%
I refer my patients to palliative care more frequently than I did prior to the training	23.1%
I address goals of care more frequently than I did prior to the training	88.5%
I refer patients to hospice more frequently than I did prior to the training	19.2%
I screen for distress using the NCCN’s Distress Thermometer or the Patient Health Questionnaire (PHQ‐9) more frequently than I did prior to the training	38.5%
I use screens such as the Edmonton Symptom Assessment System (ESAS) to assess my patients’ symptoms more frequently than I did prior to the training	26.9%
I practice self‐care more frequently than I did prior to the training	26.9%
I have a greater sense of meaning	38.5%

Data represent the percentage of providers who incorporated course learnings into general practice, 12 months after course survey (n = 26).

Abbreviation: NCCN, National Comprehensive Cancer Network.