title: Clinician confidence about conversations at the end of life is strengthened using the four habits approach.
abstract: Can attending a communication skills workshop focused on advance care planning, shifting focus to palliative care, personal grief, managing anger, and culture and communication result in changes in attitudes and knowledge? One hundred and three clinicians completed surveys prior to and following the workshop resulting in significant changes in knowledge, attitudes and intent to change that persisted for at least 3 months. As most clinicians are not routinely exposed to learning communication skills for end-of-life conversations, opportunities to practice these skills in a safe supportive environment should be made available in medical schools, residency programs, and in the practice community.
authors.affiliation: Group Health Permanente, Seattle, WA 9810, USA. runkle.c@ghc.org
authors.forename: Cecilia
authors.initials: C
authors.lastname: Runkle
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Wu
authors.forename: Edward C
authors.initials: EC
authors.lastname: Wang
authors.forename: Geoffrey H
authors.initials: GH
authors.lastname: Gordon
authors.forename: Richard
authors.initials: R
authors.lastname: Frankel
mesh_terms: D000223:Adaptation, Psychological; D001293:Attitude to Death; D001294:Attitude to Health; D003142:Communication; D004501:Education, Medical; D006184:Habits; D006801:Humans; D033182:Intention; D010817:Physician-Patient Relations; D011361:Professional Competence; D011795:Surveys and Questionnaires