{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:20:24Z","timestamp":1777882824630,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"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":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>ABCs (All providers, Better Communication skills) of serious illness communication is a novel curriculum that could enhance postgraduate oncology training. The program combines electronic learning modules (ELMs), standardized patient (SP) encounters, and coaching, all in a virtual format. We assessed feasibility of a randomized controlled trial (RCT) comparing different training experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a pilot for a RCT at three academic centers. Postgraduate oncology trainees were randomized to complete ELMs and SP encounters with coaching (intervention arm) versus ELMs only (control arm). Feasibility measures comprised the primary analysis. Secondary analyses explored the impact of different training experiences. Outcomes were measured through pre- and post-intervention simulation-based assessments (COM-ON rating scale), and surveys rating self-efficacy (End-of-Life Professional Caregiver Survey [EPCS] score) and satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twenty-three learners participated (37% recruitment). Adherence was 100% and data collection was near complete. All feasibility metrics were met except for the recruitment target of 75%. Self-efficacy ratings improved from baseline (EPCS score increased significantly (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), mean paired difference = 0.73 (standard deviation [SD] = 0.78) [95% confidence interval (CI), 0.37\u20131.08]), as did quality of communication in simulations (COM-ON score increased significantly (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), mean paired difference = 0.59 (SD = 0.73) [95% CI, 0.28\u20130.91]). Improvement was greatest in the intervention arm for both. Participants reported high satisfaction with virtual learning.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Recruitment was below target, but study activities were feasible in virtual format. The curriculum improved communication skills. The addition of virtual SPs and coaching optimized learning. The curriculum was associated with improved self-efficacy rating for serious illness communication with oncology patients. Lessons learned will support further medical education research in this area.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26892820251376359","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T10:42:37Z","timestamp":1757932957000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Testing the ABCs of Serious Illness Program for Oncology Trainees: A Feasibility Trial Comparing Different Learning Formats for a Virtual Communication Curriculum"],"prefix":"10.1177","volume":"6","author":[{"given":"Oren","family":"Levine","sequence":"first","affiliation":[{"name":"Department of Oncology, McMaster University, Hamilton, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6769-2783","authenticated-orcid":false,"given":"Jeff","family":"Myers","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shilpa","family":"Jyothi Kumar","sequence":"additional","affiliation":[{"name":"Department of Oncology, McMaster University, Hamilton, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9249-8229","authenticated-orcid":false,"given":"Daryl","family":"Bainbridge","sequence":"additional","affiliation":[{"name":"Department of Oncology, McMaster University, Hamilton, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leah","family":"Steinberg","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Incardona","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghazaleh","family":"Kazemi","sequence":"additional","affiliation":[{"name":"Department of Oncology, McMaster University, Hamilton, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6701-1714","authenticated-orcid":false,"given":"Hsien","family":"Seow","sequence":"additional","affiliation":[{"name":"Department of Oncology, McMaster University, Hamilton, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,15]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2017.75.2311"},{"issue":"9","key":"e_1_3_6_3_2","first-page":"1423","article-title":"Effective physician-patient communication and health outcomes: A review","volume":"152","author":"Stewart MA","year":"1995","unstructured":"Stewart MA. 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Basic Science of Chemotherapy E-Modules - Does Spaced Access Improve Outcomes? 2019 International Conference on Residency Education 2019; Ottawa Ontario Canada."},{"key":"e_1_3_6_20_2","unstructured":"Levine OK Xu N Keying P et al. The PULSES-2 project: A comparison of teaching formats for code status communication training in a postgraduate internal medicine program Internation Conference on Residency Education; Vancouver British Columbia Canada; 2020."},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1207\/S15328015TLM1403_2"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2015-001081"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e7586"},{"key":"e_1_3_6_24_2","unstructured":"Hawryluck L. Ian Anderson Continuing Education Program in End-of-Life Care. Available from: https:\/\/www.cpd.utoronto.ca\/endoflife\/default.htm [Last accessed: June6 2025]."},{"key":"e_1_3_6_25_2","unstructured":"Seabrook L. VITALtalk. 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