Re-ACT: Remote Advanced Communication Training in a Time of Crisis.

Abstract:

BACKGROUND:We used a quality improvement framework to transform two-day and in-person advanced communication training (ACT) course into a remote ACT (Re-ACT) format to help clinicians improve serious illness conversation (SIC) skills. MEASURES:We assessed the reach, impact, and costs of Re-ACT and compared these measures to in-person ACT courses. INTERVENTIONS:About 45-60 minutes of synchronous, remote sessions consisting of a didactic introduction to SIC skills, tailored to the SARS-Cov-2 (COVID-19) crisis, and a live demonstration of SICs with patient-actors. OUTCOMES:The transition to Re-ACT sessions resulted in reaching a greater number of clinicians in less time, although depth of content and opportunities for skill practice decreased. Although both formats were well received, Re-ACT respondents felt less prepared than ACT respondents to use SIC skills. The costs of Re-ACT were significantly less than in-person ACT courses. CONCLUSIONS/LESSONS LEARNED:We provided effective and well-received SIC training during a time of crisis. Future work should further define the optimal mix of in-person and remote experiences to teach SIC skills.

journal_name

J Pain Symptom Manage

authors

Carroll T,Mooney C,Horowitz R

doi

10.1016/j.jpainsymman.2020.08.013

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

364-368

issue

2

eissn

0885-3924

issn

1873-6513

pii

S0885-3924(20)30691-6

journal_volume

61

pub_type

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