Elad Oz-Cohen, Rotem Berkovich, Nachshon Meiran
Bumpy ride ahead: Anticipated effort as emotional evidence?
Cognitive, affective & behavioral neuroscience
fellows critical care medicine ccm routinely help patients families navigate complex decisions near end life late goals care lgoc discussions require rigorous skills training impact patient care innovation needed ensure fellow training leading discussions centered reproducible competencybased standards aims study 1 describe development simulationbased mastery learning sbml curriculum lgoc discussions 2 set defensible minimum passing standard mps ensure uniform skill acquisition among learners developed sbml curriculum ccm fellows structured around remap mnemonic outlining foundational components effective communication around serious illness multidisciplinary expert panel iteratively created lgoc discussion assessment tool pilot testing completed refine checklist set mps assess skill acquisition lgoc discussion assessment tool included 18item checklist 6 scaled items tool produced reliable data k 07 icc 07 using mastery angoff method panel set mps 87 ten ccm fellows participated pilot study performance checklist significantly improved median score 52 iqr 4472 pretest 96 iqr 8297 posttest p 0005 number learners met mps similarly improved 10 pretesting 70 posttesting p 002 describe development lgoc sbml curriculum ccm fellows includes robust communication skills assessment delineation defensible mps