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- W3159225014 abstract "BACKGROUND: Advance care planning (ACP) interventions can result in increased completion rates of advance directives (AD), concordance between care preferences and care delivery, and improved end of life care. During the COVID-19 pandemic, we have seen the critical importance of up-to-date and situationspecific ACP. The goals of this study were to (a) assess faculty baseline comfort with and knowledge of ACP and AD, and (b) determine the impact of virtual peer training on ACP and AD completion among residency faculty. METHODS: This Plan-Do-Study-Act (PDSA) style project includes 9 family medicine faculty in a large urban setting. Faculty were given a pre-training Likert Scale survey concerning ACP and AD before and 1-3 months following a virtual training session. The training session included a presentation and practical examples within the electronic health record (EHR). The primary outcome was (a) correlation of faculty knowledge and comfort of ACP and AD with training using Spearman Rank Correlation, and (b) rate of AD completion in the EHR for faculty at 1-3 months following educational intervention. RESULTS: All 9 faculty completed the surveys and participated in the training session. The comparison of pre- and post-intervention data provides us with a Spearman Rank Correlation value of 0.969 (strong positive correlation). AD completion in the electronic health record for faculty was unchanged 1-month post-training (37.76% and 37.50% completion, respectively) and the 3-month analysis will be completed by the end of January 2020. Using median and mode, the survey shows improvement in self-reported understanding and comfort with ACP knowledge, documentation, and appropriateness. CONCLUSIONS: Preliminary results suggest that a brief virtual training session has a strong positive correlation with self-reported comfort and understanding with ACP discussions, documentation, and AD completion among faculty. Further, the results advocate that self-reported comfort and understanding of ACP and AD increases following the intervention at least 1 month following the session. While rates of AD completion among faculty did not show a change after 1 month following intervention, further data collected at 3 months will be reported. As the next step in this PDSA project, we are providing virtual training to family medicine residents and will complete training by the end of February 2020." @default.
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- W3159225014 date "2021-01-01" @default.
- W3159225014 modified "2023-09-24" @default.
- W3159225014 title "Improving advance care planning and completion of advance directives: A role for virtual peer training" @default.
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