title: Addressing the transition from curative to palliative care: concept and acceptance of a specific communication skills training for physicians in oncology--COM-ON-p.
abstract: BACKGROUND
  There are several reasons why consultations addressing the transition to palliative care are especially challenging, and physicians are generally not very well prepared to meet these challenges. We therefore conceptualized and evaluated a concise, individualized communication skills training (CST) addressing i) communication concerning the transition to palliative care, and ii) involvement of significant others in the conversation. Core aspects of the CST and data of acceptance will be presented.
  
  
  METHODS
  The core elements of the CST are a 1.5-day workshop held in small groups and a subsequent individual coaching session during everyday routine. The workshop is practice-oriented and highly individualized. Acceptance was assessed by using a self-developed 13-item questionnaire.
  
  
  RESULTS
  All 41 participating physicians completed the evaluation questionnaire. The participants' overall evaluation of the workshop was very positive and indicated a high personal benefit. Individualized learning tools like 'assessment of individual learning goals' and 'closing with individual take-home messages' were also seen as positive, but not as positive as other elements like practicing with actor patients and feedback from actors and facilitators.
  
  
  CONCLUSIONS
  The presented specific, individualized, and concise CST is well accepted, and physicians see a high practical relevance and strong personal benefits.
authors.affiliation: Abteilung Innere Medizin I, Schwerpunkt Hämatologie und Onkologie, Universitätsklinikum Freiburg, Germany. tanja.goelz@uniklinik-freiburg.de
authors.forename: Tanja
authors.initials: T
authors.lastname: Goelz
authors.forename: Alexander
authors.initials: A
authors.lastname: Wuensch
authors.forename: Sara
authors.initials: S
authors.lastname: Stubenrauch
authors.forename: Hartmut
authors.initials: H
authors.lastname: Bertz
authors.forename: Michael
authors.initials: M
authors.lastname: Wirsching
authors.forename: Kurt
authors.initials: K
authors.lastname: Fritzsche
mesh_terms: D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology; D003142:Communication; D003479:Curriculum; D018450:Disease Progression; D004502:Education, Medical, Continuing; D005246:Feedback; D006801:Humans; D007318:Inservice Training; D008495:Medical Oncology / Q000193:education*; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy*; D010166:Palliative Care / Q000523:psychology*; D010353:Patient Education as Topic; D018802:Patient-Centered Care; D011368:Professional-Family Relations; D012381:Role Playing; D014342:Truth Disclosure