{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T15:38:07Z","timestamp":1791905887012,"version":"4.3.4"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"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":["Journal of Palliative Medicine"],"abstract":"\n Background:<\/jats:title>\n Despite caring for patients with serious illnesses, gastroenterology (GI) fellows rarely receive training in serious illness conversations (SIC).<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To describe the development, implementation, and assessment of GITalk, a novel SIC training for GI fellows.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n GITalk was based on the REMAP framework and involved two simulated encounters. One case involved a patient with decompensated cirrhosis, and the other case was about feeding tube placement in someone with moderate to severe dementia.<\/jats:p>\n <\/jats:sec>\n \n Setting and Subjects:<\/jats:title>\n GI fellows in an academic medical center in the USA.<\/jats:p>\n <\/jats:sec>\n \n Measurements:<\/jats:title>\n Demographics of the participants, evaluation of the course content, and self-assessed preparedness for SIC.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n A total of 23 GI fellows participated over 4 consecutive years. Participants had significantly higher mean post-training self-assessed preparedness scores compared to pre-training across all 9 survey questions. 91% of participants strongly agreed with the statement: \u201cI would recommend this training to other fellows.\u201d<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Participants in GITalk reported substantial improvement in self-assessed preparedness for navigating SIC.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10966218251376431","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T11:12:22Z","timestamp":1766142742000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["GITalk: Communication Skills Training for Gastroenterology Fellows Improves Self-Assessed Preparedness for Serious Illness Conversations"],"prefix":"10.1177","author":[{"given":"Alan","family":"Noll","sequence":"first","affiliation":[{"name":"Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arpan A.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Digestive Diseases, David Geffen School of Medicine, University of California, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rene","family":"Claxton","sequence":"additional","affiliation":[{"name":"Section of Palliative Care and Medical Ethics, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Arnold","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mt Sinai, New York, NY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari S.","family":"Rogal","sequence":"additional","affiliation":[{"name":"Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA."},{"name":"Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4460-532X","authenticated-orcid":false,"given":"Amar D.","family":"Bansal","sequence":"additional","affiliation":[{"name":"Section of Palliative Care and Medical Ethics, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."},{"name":"Renal Electrolyte Division, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2009.03.013"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2005.10.013"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2016.0002"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0261"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/hep4.1743"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2022.04.042"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-25699-w"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21488"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2017.01.030"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.4254\/wjh.v14.i9.1817"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2021.0403"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/hep4.1939"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2016.12.037"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/hep.32378"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2022.0438"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41395-018-0370-7"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.25434"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.2215\/cjn.11770720"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.2215\/cjn.05220512"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2003.09.073"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03787.x"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.27777"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.5.453"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1200\/jop.2016.018796"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2010.07.004"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2021.07.040"}],"container-title":["Journal 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