{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:45:04Z","timestamp":1777931104686,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Medical schools often lack training for serious illness conversations with patients and caregivers. We developed a curriculum in our elective Transitioning to Residency medical student course, focused on end-of-life discussions. This paper provides an overview of the curriculum and outcomes from an advanced preparation assignment and student evaluations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The curriculum included a \u201chands-on\u201d skills session delivered via Zoom. Small groups of students (3-4) assumed roles on an interprofessional team (Intensivist, cardiologist, nurse, social worker). They met with two adult children, played by palliative\/geriatric clinical staff, of a 79-year-old patient with a complex cardiac history and on ventilator support to address: (1) the patient\u2019s status, (2) goals of care, and (3) withdrawal of ventilator support. Using a flipped classroom format, students reviewed the case, role assignments, a family meeting webinar, and other materials in advance. They completed a survey reflecting on the upcoming family meeting. Afterwards, students evaluated the session.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighty students (19.6%) participated in 2021 and 2022. The reflection survey shows students agreed the patient\u2019s prognosis was poor and decision-making should be shared. They anticipated difficulty accepting prognosis, discordance between family members and\/or the team, and challenging emotions. Results show a difference between the anticipated roles of the assigned physicians compared to the other disciplines. Post-session evaluations ranged from 4.7 to 4.9\/5 (1 = strongly disagree, 5 = strongly agree).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The pre-session reflection helped students prepare for their roles. The training was well received, and we hope it prepares students to take on serious illness discussions during residency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091241286089","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T04:28:47Z","timestamp":1726806527000},"page":"882-888","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["An Authentic Learning Experience for Medical Students on Conducting a Family Meeting"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8298-8769","authenticated-orcid":false,"given":"Mariana","family":"Khawand-Azoulai","sequence":"first","affiliation":[{"name":"Division of Geriatrics and Palliative Medicine, University of Miami Miller School of Medicine, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisse","family":"Kavensky","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Medicine, University of Miami Miller School of Medicine, Miami, FL, USA"},{"name":"Geriatrics and Palliative Medicine Physician, Conviva Care Center, Delray Beach, FL, USA"},{"name":"Florida Atlantic University, Boca Raton, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Medicine, University of Miami Miller School of Medicine, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ileana M.","family":"Leyva","sequence":"additional","affiliation":[{"name":"VITAS Healthcare, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinne","family":"Ferrari","sequence":"additional","affiliation":[{"name":"Sylvester Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcio","family":"Soares","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Medicine, University of Miami Miller School of Medicine, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khin M.","family":"Zaw","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Care, University of Miami Miller School of Medicine, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria H.","family":"van Zuilen","sequence":"additional","affiliation":[{"name":"Department of Medical Education, University of Miami Miller School of Medicine, Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,9,20]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-016-3597-2"},{"key":"e_1_3_4_3_2","volume-title":"Trends in Inpatient Hospital Deaths: National Hospital Discharge Survey, 2000\u20132010. NCHS Data Brief, No 118","author":"Hall MJ","year":"2013","unstructured":"Hall MJ, Levant S, DeFrances CJ. Trends in Inpatient Hospital Deaths: National Hospital Discharge Survey, 2000\u20132010. NCHS Data Brief, No 118. Hyattsville, MD: National Center for Health Statistics; 2013. https:\/\/www.cdc.gov\/nchs\/data\/databriefs\/db118.pdf. Accessed August 27, 2024."},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMvcm1913056"},{"key":"e_1_3_4_5_2","volume-title":"For Core EPAs for Entering Residency Pilot Program. Toolkits for the 13 Core Entrustable Professional Activities for Entering Residency","author":"Obeso V","year":"2017","unstructured":"Obeso V, Brown D, Aiyer M, eds. For Core EPAs for Entering Residency Pilot Program. Toolkits for the 13 Core Entrustable Professional Activities for Entering Residency. Washington, DC: Association of American Medical Colleges; 2017. https:\/\/www.aamc.org\/initiatives\/coreepas\/publicationsandpresentations. 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Family meetings: Improving family-clinician communication. The Schwartz center for compassionate healthcare compassionate in action webinar series. 2015. https:\/\/www.youtube.com\/watch?v=zYAYvN-nkU8. Accessed August 27 2024."},{"key":"e_1_3_4_18_2","unstructured":"Program for experience in the palliative approach (PEPA). Module 2: Communicating with people with life-limiting illnesses. https:\/\/pcc4u.org.au\/learning\/modules\/module2\/. Accessed August 27 2024."}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091241286089","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10499091241286089","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091241286089","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:30:53Z","timestamp":1777368653000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10499091241286089"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,20]]},"references-count":17,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1177\/10499091241286089"],"URL":"https:\/\/doi.org\/10.1177\/10499091241286089","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,20]]}}}