{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T08:42:34Z","timestamp":1792485754147,"version":"4.5.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"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":[[2026,12]]},"abstract":"\n Introduction<\/jats:title>\n \n Communication regarding serious illness is an integral part of Pulmonary and Critical Care Medicine (PCCM) fellows\u2019 day-to-day practice, however routine communication skills training is not consistently built in PCCM fellowship curricula nationwide.\n Geritalk<\/jats:italic>\n , a previously validated interactive curriculum, can be adapted to address unique communication challenges in critical illness.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n In 2024, after performing a needs assessment among PCCM fellows at Mount Sinai Hospital, a two-part curriculum was adapted from\n Geritalk<\/jats:italic>\n through collaborations between PCCM and palliative care specialists. The curriculum consisted of a one-hour didactic followed by a one-hour small group workshop with case discussion and role-play. Pre- and post-curricular surveys were conducted among the fellows to assess changes in self-reported comfort levels in different components of communication during a family meeting.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Among 17 eligible PCCM fellows, a total of 14 (82.4%) fellows completed the pre-curricular survey, and 8 fellows (47.1%) completed the curriculum and post-curricular survey. Prior to the curriculum, fellows reported lower comfort levels in communicating prognosis (mean[SD] 3.8[1.0] on a 5-point Likert scale), responding to emotions (mean[SD] 4.0[0.8]), eliciting values (mean[SD] 3.8[0.8]), and describing comfort care (mean[SD] 3.9[1.0]). After the training, fellows reported moderate to significant increase in comfort levels, especially in responding to emotions (mean[SD] 4.3[0.7]) and eliciting values (mean[SD] 4.4[0.5]).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n A two-part, critical care-focused curriculum adapted from\n Geritalk<\/jats:italic>\n showed feasibility in communication training among PCCM fellows with improved self-assessed comfort levels in leading a family meeting. Future studies should incorporate objective assessment of competency and evaluate generalizability to other training programs.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10499091251390778","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T11:15:53Z","timestamp":1760613353000},"page":"1305-1310","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Communication Skills Training Curriculum Customized for Pulmonary and Critical Care Medicine Fellows"],"prefix":"10.1177","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2849-727X","authenticated-orcid":false,"given":"Luyi","family":"Xu","sequence":"first","affiliation":[{"name":"New York University Grossman School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anup","family":"Bharani","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakshi","family":"Dua","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7049-0151","authenticated-orcid":false,"given":"Ankita","family":"Mehta","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.5271"},{"key":"e_1_3_7_3_2","unstructured":"Education ACfGM. ACGME program requirements for graduate medical education in pulmonary disease and critical care medicine. https:\/\/www.acgme.org\/globalassets\/pfassets\/programrequirements\/2025-reformatted-requirements\/156_pulmonarydiseasecriticalcaremedicine_2025_reformatted.pdf Accessed 14 October 2025."},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.34197\/ats-scholar.2019-0017RE"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2019.0027"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200409-1267OC"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318232d8c4"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202207-1262ST"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2016.08.046"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2010.07.004"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201501-039OC"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2014.11.016"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201501-040OC"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.34197\/ats-scholar.2022-0003IN"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03787.x"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2013.12.231"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2016.018796"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2013.0221"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13615"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.55.3.164"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2010.0493"},{"key":"e_1_3_7_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/10499091221106176"}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091251390778","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10499091251390778","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091251390778","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T08:33:39Z","timestamp":1792485219000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10499091251390778"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,16]]},"references-count":21,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["10.1177\/10499091251390778"],"URL":"https:\/\/doi.org\/10.1177\/10499091251390778","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,16]]}}}