{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T19:49:20Z","timestamp":1769284160503,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T00:00:00Z","timestamp":1749168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T00:00:00Z","timestamp":1749168000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;amp;R"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>By the end of residency, physical medicine and rehabilitation (PM&amp;R) residents are expected to align patient values with treatments using goals of care (GOC) discussions. Like other procedural skills, GOC communication skills are best learned through simulation training and deliberate practice and feedback rather than lectures. However, educational resources to effectively impart these skills are often lacking. How can educators design effective GOC communication curricula with limited time and resources? This article presents two teaching techniques grounded in adult learning theory that educators can apply to increase teaching effectiveness. Additionally, a 2\u2010hour GOC curriculum for PM&amp;R residents is outlined, its feasibility and acceptability are discussed, and preliminary efficacy data are shared.<\/jats:p>","DOI":"10.1002\/pmrj.13428","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T06:19:23Z","timestamp":1749190763000},"page":"95-100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Applying adult learning theory to goals of care training for physical medicine and rehabilitation residents"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0294-1193","authenticated-orcid":false,"given":"Kendall","family":"Downer","sequence":"first","affiliation":[{"name":"University of Pittsburgh Medical Center Health System, Department of Medicine, Section of Palliative Care and Medical Ethics UPMC Montefiore Hospital  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debbie","family":"Tan","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation University of Pittsburgh Medical Center  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Childers","sequence":"additional","affiliation":[{"name":"University of Pittsburgh Medical Center Health System, Department of Medicine, Section of Palliative Care and Medical Ethics UPMC Montefiore Hospital  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000001381"},{"key":"e_1_2_9_3_1","unstructured":"Accreditation Council for Graduate Medical Education (ACGME).ACGME program requirements for graduate medical education in physical medicine and rehabilitation.2023Accessed January 8 2024.https:\/\/www.acgme.org\/globalassets\/pfassets\/programrequirements\/340_physicalmedicinerehabilitation_2023.pdf"},{"key":"e_1_2_9_4_1","unstructured":"Accreditation Council for Graduate Education.The physical medicine and rehabilitation milestone project.2020Accessed November 14 2023.https:\/\/www.acgme.org\/globalassets\/PDFs\/Milestones\/PMRMilestones.pdf"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000002072"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2022.0606"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e318217e119"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318288c40b"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/01421590500046924"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033\u2010295X.100.3.363"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2010.06.010"},{"key":"e_1_2_9_12_1","first-page":"560","volume-title":"Teach Like a Champion 3.0: 63 Techniques that Put Students on the Path to College","author":"Lemov D","year":"2021"},{"key":"e_1_2_9_13_1","volume-title":"Practice Perfect: 42 Rules for Getting Better at Getting Better","author":"Lemov D","year":"2012"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.13428","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.13428","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.13428","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T10:08:54Z","timestamp":1769162934000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.13428"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,6]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/pmrj.13428"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.13428","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,6]]},"assertion":[{"value":"2024-02-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}