1 40 2 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 April 2023 List 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 April List 2023 URL Address <a href="http://doi.org/10.1016/j.jpainsymman.2022.12.042" target="_blank" rel="noreferrer noopener"> http://doi.org/10.1016/j.jpainsymman.2022.12.042</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 The Process and Impact of a Stakeholder Driven Serious Illness Communication Program for Advance Care Planning in AYAs and Parents of Children with Serious Illness (TH114C) 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 2023 Subject The topic of the resource Advance Care Planning Creator An entity primarily responsible for making the resource Decourcey DD; Schwartz A; Bernacki R; Lach S; Wolfe J Description An account of the resource Outcomes: 1. Describe the evidence-based benefits of serious illness conversations 2. Describe outcomes from a structured, multicomponent advance care planning communication intervention, the Pediatric Serious Illness Communication Program Background Early pediatric advance care planning (ACP), which aims to ensure care is aligned with patient and family goals and values, is associated with better end-of-life outcomes. However, ACP for seriously ill children, adolescents, and young adults (AYAs) remains uncommon and many pediatric clinicians report a lack of comfort with serious illness communication. Objectives We aimed to pilot the feasibility and acceptability of a multicomponent, structured ACP communication intervention, the Pediatric Serious Illness Communication Program (PediSICP), to teach serious illness communication skills to non-palliative care clinicians and facilitate longitudinal ACP. Methods Single-arm feasibility pilot of the PediSICP in AYAs with serious illness (13+), parents of children with serious illness, and clinicians. The PediSICP consists of an ACP communication occasion supported by a three-part conversation tool preceded by focused clinician training. The a priori feasibility threshold was >70% provider completion of the PediSICP intervention. Results We conducted 10 virtual trainings with interdisciplinary clinicians (N=40); 62% reported no prior ACP training. After training, 97% of participants were highly satisfied with training. Trained clinicians (n=30; 75%) conducted and documented 42 ACP conversations with 36 parents and six AYAs using the PediSICP framework; median conversation duration was 26 minutes [IQR 10–45]. All clinicians agreed that they felt prepared for the conversation and would recommend the PediSICP to colleagues. Thirty-three parents and five AYAs completed the intervention and reported participation was worthwhile (85%), they felt listened to (95%), and would recommend the PediSICP to other families (90%). Conclusions The PediSICP ACP intervention is feasible, acceptable, and highly valued by AYAs and parents of seriously ill children. Novel integration of web conferencing makes this program easily scalable for wider dissemination. Further evaluation will occur through post-intervention surveys and interviews to explore patient and family report of shared decision making, therapeutic alliance, communication quality, and psychological distress. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1016/j.jpainsymman.2022.12.042" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2022.12.042</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). 2023 Advance Care Planning April List 2023 Bernacki R DeCourcey DD Journal of Pain and Symptom Management Lach S Schwartz A Wolfe 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 March 2018 List 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 2018 List URL Address <a href="http://doi.org/10.1097/01.ccm.0000528428.86852.46" target="_blank" rel="noreferrer">http://doi.org/10.1097/01.ccm.0000528428.86852.46</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 Using entrustable professional activities to assess graduation readiness in pediatric critical care Publisher An entity responsible for making the resource available Critical Care Medicine Date A point or period of time associated with an event in the lifecycle of the resource 2018 Subject The topic of the resource intensive care; Child; critically ill patient; expectation; Female; Human; Male; statistical analysis; Terminal Care; Validity Creator An entity primarily responsible for making the resource Turner D; Schwartz A; Carraccio C; Herman B; Mink R Description An account of the resource Learning Objectives: Assessing competence in pediatric critical care medicine (PCCM) training is challenging, and Entrustable Professional Activities (EPAs) were recently introduced to enhance the assessment process. There are 7 EPAs that define the tasks expected of pediatric subspecialists in independent practice, plus an additional 3 specifically created for PCCM. The Subspecialty Pediatrics Investigator Network (SPIN) previously published validity evidence for EPAs, and the current study is focused on using the 3 PCCM specific EPAs to identify the minimum level of supervision needed for graduating fellows. We hypothesized that the EPA framework will help establish consistent expectations for the minimum level of supervision required for graduation from PCCM fellowship. Methods: Level of supervision scales were developed by SPIN with input from each pediatric subspecialty. A survey asking about the minimum level of supervision for each EPA required for graduation was sent to all 67 PCCM fellowship program directors (FPD) of ACGME accredited programs. Statistical analysis used nonparametric methods. Results: Survey response rate was 87% (58/67) and respondents had a median duration of 5 years as a FPD. For the EPA describing the acute management of the critically ill patient, 71% felt that the minimum level for graduation was the ability to manage patients with indirect supervision, requiring discussion for only a few complex cases. Only 19% expected independent practice without supervision at graduation. For the PICU management EPA, 53% felt that graduating fellows should be trusted to lead without the supervisor present but would require coaching to improve member and team performance, and only 3% felt the target for this EPA was independent practice. For providing end of life care, 50% felt that fellows should be trusted to be indirectly supervised with coaching to manage a few complex issues, while only 16% expected independent practice. The anticipated minimum level of supervision at graduation was different across the three EPAs (p < 0.05). Conclusions: Most PCCM FPDs do not expect fellows to be fully prepared to practice independently at the time of graduation. Additional investigation is needed to further standardize expectations across programs and it is important to have an infrastructure to support and supervise new graduates as they enter independent practice. 2018 Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1097/01.ccm.0000528428.86852.46" target="_blank" rel="noreferrer">10.1097/01.ccm.0000528428.86852.46</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). 2018 Carraccio C Child Critical Care Medicine Critically Ill Patient Expectation Female Herman B Human Intensive Care Male March 2018 List Mink R Schwartz A statistical analysis Terminal Care Turner D Validity