{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T20:27:26Z","timestamp":1783024046392,"version":"3.54.6"},"reference-count":37,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:00:00Z","timestamp":1768435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:00:00Z","timestamp":1768435200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Medical training often omits systematic approaches to prognostication and goals of care (GOC) communication, leading to end\u2010of\u2010life (EOL) hospital care misaligned with patients\u2019 values, lower clinician self\u2010efficacy, and greater clinician distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This communication training intervention aimed to improve clinician knowledge and self\u2010efficacy and to reduce distress in conducting GOC discussions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We developed and implemented GOComm, a 4\u2010h serious illness communication training program across eight campuses of a large health system. Utilizing a train\u2010the\u2010trainer model, facilitators taught GOComm to inpatient clinicians, primarily hospitalists, intensivists, physician assistants (PAs), and trainees. Topics included prognosticating, conveying serious news, managing emotions, creating values\u2010informed medical recommendations, and discussing hospice. Simulations included a clinician and simulated patient (SP) role play and a family meeting, in which a clinical dyad encountered an SP dyad. Mixed methods evaluation included pre\u2010 and postsurveys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three hundred and ninety\u2010three clinicians participated: 322 provided demographics, with a mean of 5.57 years in practice; 71.7% were women, 50% were White, and 29.5% were Asian. Of 315 listing roles: 41% were physicians, 41% were PAs. Two hundred and forty\u2010two completed both pre\u2010 and postsurveys. Clinicians had statistically significant gains in GOC knowledge, self\u2010efficacy, and distress tolerance. GOComm had high clinician acceptability: 96.2% indicated they would recommend GOComm to a colleague, and 83.2% credited it with changing how they will manage patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>GOComm is an effective train\u2010the\u2010trainer curriculum for hospital\u2010based clinicians to gain knowledge and confidence in empathic communication skills. Clinician distress tolerance can be mitigated by enhancing skills training and social support through team simulations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhm.70241","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T10:31:03Z","timestamp":1768473063000},"page":"732-740","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["GOComm: A team\u2010based communication intervention to improve clinicians\u2019 skills and distress tolerance in family meetings"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8822-4911","authenticated-orcid":false,"given":"Kimberly","family":"Bloom\u2010Feshbach","sequence":"first","affiliation":[{"name":"Department of Medicine Weill Cornell Medical College New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2108-8796","authenticated-orcid":false,"given":"Evgenia","family":"Litrivis","sequence":"additional","affiliation":[{"name":"Department of Medicine Weill Cornell Medical College New York New York USA"},{"name":"Department of Medicine NewYork\u2010Presbyterian Queens Flushing New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Brondolo","sequence":"additional","affiliation":[{"name":"Department of Psychology St. John's University Queens New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Spinelli","sequence":"additional","affiliation":[{"name":"Department of Psychology St. John's University Queens New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Bozzo","sequence":"additional","affiliation":[{"name":"Department of Psychology St. John's University Queens New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2871-3750","authenticated-orcid":false,"given":"Melissa","family":"Patterson","sequence":"additional","affiliation":[{"name":"Department of Medicine Columbia University Irving Medical Center New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Crupi","sequence":"additional","affiliation":[{"name":"Department of Medicine Weill Cornell Medical College New York New York USA"},{"name":"Department of Medicine NewYork\u2010Presbyterian Queens Flushing New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia X.","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Medicine Weill Cornell Medical College New York New York USA"},{"name":"Department of Medicine NewYork\u2010Presbyterian Queens Flushing New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216314526443"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000717"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.5702"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2160"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.00018"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2019.06.011"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2015.08.023"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2012.11.006"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909120979977"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201702-105OC"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2016.0515"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1303295"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2016.018796"},{"key":"e_1_2_8_15_1","unstructured":"Breaking bad news using the GUIDE tool.vitaltalk.org accessed May 12025."},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951522000232"},{"key":"e_1_2_8_17_1","volume-title":"HospitalTalk: Delivering Goal\u2010Concordant Care and Bridging Inequity at the End\u2010of\u2010Life. 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