Nephrology fellows often face difficult conversations about dialysis initiation or withdrawal
but are frequently unprepared for these discussions. Despite evidence that communication …

Moral distress is the experience of cognitive-emotional dissonance that arises when one
feels compelled to act contrary to one's moral requirements. Moral distress is common, but …

CONTEXT: Clinicians often feel challenged by the need to deliver difficult prognostic
information to patients with a life-limiting illness while, at the same time, support their hopes …

Background: We developed a novel individualised training program regarding end-of-life
communication, designed to be time effective for busy junior-doctors working in hospital …

Objective Patient-centered communication is a key element for improving the quality of care
in terms of therapeutic relationship, patient participation, and treatment process …

Because of an emphasis on patient safety and recognition of the effectiveness of simulation
as an educational modality across multiple medical specialties, use of health-care …

Background: This study aims to assess the efficacy of a 40-h training programme designed
to teach residents the communication skills needed to break the bad news. Methods …

Importance COVID-19 has disproportionately killed older adults and racial and ethnic
minority individuals, raising questions about the relevance of advance care planning (ACP) …

Background Despite poor outcomes, life-sustaining treatments including mechanical
ventilation are continued for a large and growing population of patients with chronic critical …

Background: Internal medicine residents are largely unprepared to carry out end-of-life
(EOL) conversations. There is evidence that these skills can be taught, but data from …