1 40 2 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Citation List Month March 2016 List Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Teaching Pediatric Intensive Care Physicians Communication Skills: The Enduring Effects Publisher An entity responsible for making the resource available Journal Of Pain And Symptom Management Date A point or period of time associated with an event in the lifecycle of the resource 2016 Creator An entity primarily responsible for making the resource Walter J; Shah P; Odeniyi F; Madrigal V; Feudtner C Description An account of the resource Objectives Determine feasibility of a communication skills training (CST) to prepare pediatric intensivists for communicating bad news and assessing goals of care in the pediatric intensive care unit (PICU). Describe the impact of CST on intensivist skill in communication. Original Research Background. Families of seriously ill children describe unmet needs for honest information presented empathetically, while intensivists report inadequate training in having difficult conversations. Research Objectives. 1. To determine feasibility of communication skills training (CST) to prepare pediatric intensivists for communicating bad news and assessing goals of care in the pediatric intensive care unit (PICU). 2. To describe the impact of CST on intensivist skill in communication. Methods. Intensivists volunteered to undergo CST with didactics, discussions with simulated parents, and a videotaped OSCE exam. Surveys prior to the intervention and one month after were tabulated for descriptive statistics. Wilcoxon signed-rank tests compared outcomes at 2 time points. 2 independent trained reviewers scored the OSCE using a validated tool. Results. Twelve participants completed training. In the post-CST survey, all participants agreed the Vol. 51 No. 2 February 2016 Poster Abstracts 431 training gave them skills to communicate in challenging situations, and they would recommend it to peers. When comparing pre- and post-CST self-assessment measures of intensivists’ information-seeking from families, there was a significant increase 1 month after training (p¼0.03), with intensivists more likely to ask what kinds of information families need and what their understanding of their child’s disease is, but no significant changes in information seeking or giving, which was not covered in the training. Finally, 11 of the 12 intensivists received passing scores on the OSCE as measured by a validated tool, with the average score being 48.5 (SD 5.92) compared to 38.6 (SD 9.93) after training that was reported in the literature. Conclusion. This study provides evidence that intensivists are willing to participate in CST and an OSCE exam, and they find it worthwhile. There is also evidence that they perceive an improvement in their skill set as a result of having participated. Implications for Research, Policy or Practice. Offering realistic, simulation-based CST is feasible and effective for training intensivists. Identifier An unambiguous reference to the resource within a given context DOI: http://dx.doi.org/10.1016/j.jpainsymman.2015.12.048 Rights Information about rights held in and over the resource Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s). 2016 Feudtner C Journal of Pain and Symptom Management Madrigal V March 2016 List Odeniyi F Shah P Walter J Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Oncology Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Citation List Month Oncology 2017 List URL Address <a href="http://doi.org/10.1016/j.jpainsymman.2017.06.013" target="_blank" rel="noreferrer">10.1016/j.jpainsymman.2017.06.013</a> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Communication Challenges of Oncologists and Intensivists Caring for Pediatric Oncology Patients: A Qualitative Study Publisher An entity responsible for making the resource available Journal Of Pain And Symptom Management Date A point or period of time associated with an event in the lifecycle of the resource 2017 Subject The topic of the resource Communication Barriers; Goals Of Care; Interprofessional Communication; Pediatric Ethics; Pediatric Intensive Care; Pediatric Oncology Creator An entity primarily responsible for making the resource Odeniyi F; Nathanson PG; Schall TE; Walter JK Description An account of the resource CONTEXT: The families of oncology patients requiring intensive care often face increasing complexity in communication with their providers, particularly when patients are cared for by providers from different disciplines. OBJECTIVE: To describe experiences and challenges faced by pediatric oncologists and intensivists and how the oncologist-intensivist relationship impacts communication and initiation of goals of care discussions (GCDs). METHODS: We conducted semi-structured interviews with a convenience sample of ten physicians, including pediatric oncology and intensive care attendings and fellows. RESULTS: We identified key themes (3 barriers, 4 facilitators) to having GCDs with families of oncology patients who have received intensive care. Barriers included challenges to communication within teams because of hierarchy and between teams due to incomplete sharing of information and confusion about who should initiate GCDs; provider experiences of internal conflict about how to engage parents in decision making and about the "right thing to do" for patients; and lack of education and training in communication. Facilitators included team preparation for family meetings; skills for partnering with families; the presence of palliative care specialists; and informal education in communication and willingness for further training in communication. Notably, the education theme was identified as both a barrier and a resource. CONCLUSION: We identified barriers to communication with families both within and between teams and for individual physicians. Formal communication training and processes that standardize communication to ensure completeness and role delineation between clinical teams may improve oncologists' and intensivists' ability to initiate GCDs, thereby fulfilling their ethical obligations of decision support. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1016/j.jpainsymman.2017.06.013" target="_blank" rel="noreferrer">10.1016/j.jpainsymman.2017.06.013</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s). 2017 Communication Barriers Goals Of Care Interprofessional Communication Journal of Pain and Symptom Management Nathanson PG Odeniyi F Oncology 2017 List Pediatric Ethics Pediatric Intensive Care Pediatric Oncology Schall TE Walter JK