• Clin Med · Oct 2010

    The decision to engage in end-of-life discussions: a structured approach for doctors in training.

    • Rory Conn and Philip A Berry.
    • St. Thomas' Hospital, London.
    • Clin Med. 2010 Oct 1; 10 (5): 468471468-71.

    AbstractEngaging in end-of-life discussions is a major source of anxiety for doctors in training. The authors propose the use of a decision-making model to assist trainees and their clinical supervisors in such situations. Divided into' 'patient-centred' and 'physician-centred' components, the model ensures that the following aspects are analysed: patient and family safety, patient and family choice, physician competence and physician comfort. A real but historical end-of-life scenario is presented to a foundation year 1 doctor, and the particular risks of engaging in a discussion are subsequently clarified with reference to each of the model's components.

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