MUSC: Bill Moran (BM), Jane Zapka - Medical Center Intranet

higher level of confidence in hospital care &
transitions skill and knowledge areas.
Present – End of Life Dr. Rousseau reported on the progress to date on the
End of Life Care ACOVE. He has heard feedback from
residents that suggests
• They felt the role playing was valuable and
some even liked it.
• They feel they will do better after having
done the role play when they are doing family
meetings live with patients.
• However, when he has inquired with
residents about remembering the steps of
communication, he has heard it is hard to
remember to do it when they are leading a
live meeting with patient/families.
Mary Adler reported the she feels
• Residents are compassionate and want to do
the right thing.
• They seem to know their patients well.
• Always do the introductions and ask what
the patient and family knows.
• But then they give the update without
synthesizing Patient/family’s understanding
with the doctor’s update message.
Aging Q3 2011 Spring Retreat
Thursday, April 14, 2011 draft pi
MINUTES
done.
Simple, specific, and short.
Some concerns about the ACOVE:
• “Attending fatigue”
• Ratios are too tight in the
clinic to go over discharge
summaries.
Suggestions – detail everyone at
once in the clinic, like the residents
suggested, instead of during clinic
time.
Discussion and suggestions from
participants regarding the End of
Life ACOVE:
• Residents seem
comfortable with the
advanced directives
discussion.
• It is easier for them to have
the conversation in the
clinic than on the wards
because they know their
patients.
• Some residents have
reported they have
increased having the
Advanced directives
discussion with patients.
• It appears residents may
still not be aware of what is
in an Advanced Directives.
• Need to get attending more
on board with detailing.
4