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ABSTRACT: Background
We used a quality improvement framework to transform two-day and in-person advanced communication training (ACT) course into a remote ACT (Re-ACT) format to help clinicians improve serious illness conversation (SIC) skills.Measures
We assessed the reach, impact, and costs of Re-ACT and compared these measures to in-person ACT courses.Interventions
About 45-60 minutes of synchronous, remote sessions consisting of a didactic introduction to SIC skills, tailored to the SARS-Cov-2 (COVID-19) crisis, and a live demonstration of SICs with patient-actors.Outcomes
The transition to Re-ACT sessions resulted in reaching a greater number of clinicians in less time, although depth of content and opportunities for skill practice decreased. Although both formats were well received, Re-ACT respondents felt less prepared than ACT respondents to use SIC skills. The costs of Re-ACT were significantly less than in-person ACT courses.Conclusions/lessons learned
We provided effective and well-received SIC training during a time of crisis. Future work should further define the optimal mix of in-person and remote experiences to teach SIC skills.
SUBMITTER: Carroll T
PROVIDER: S-EPMC7474842 | biostudies-literature | 2020 Sep
REPOSITORIES: biostudies-literature
Carroll Thomas T Mooney Christopher C Horowitz Robert R
Journal of pain and symptom management 20200906 2
<h4>Background</h4>We used a quality improvement framework to transform two-day and in-person advanced communication training (ACT) course into a remote ACT (Re-ACT) format to help clinicians improve serious illness conversation (SIC) skills.<h4>Measures</h4>We assessed the reach, impact, and costs of Re-ACT and compared these measures to in-person ACT courses.<h4>Interventions</h4>About 45-60 minutes of synchronous, remote sessions consisting of a didactic introduction to SIC skills, tailored t ...[more]