J Pediatr Intensive Care 2017; 06(02): 091-097
DOI: 10.1055/s-0036-1584684
Original Article
Georg Thieme Verlag KG Stuttgart · New York

The Use of Simulation to Improve Resident Communication and Personal Experience at End-of-Life Care

Marianne E. Nellis
1   Division of Pediatric Critical Care Medicine, Department of Pediatrics, Weill Cornell Medical College, New York, New York, United States
Joy D. Howell
1   Division of Pediatric Critical Care Medicine, Department of Pediatrics, Weill Cornell Medical College, New York, New York, United States
Kevin Ching
2   Division of Pediatric Emergency Medicine, Department of Pediatrics, Weill Cornell Medical College, New York, New York, United States
Carma Bylund
3   Department of Medical Education, Hamad Medical Corporation, Weill Cornell Medical College, Doha, Qatar
› Author Affiliations
Further Information

Publication History

28 July 2015

12 February 2016

Publication Date:
24 June 2016 (online)


Pediatric residents report they are not sufficiently trained to communicate with families at a child's death. We performed a study to prove feasibility and assess whether simulation improves their communication and experience. Residents were assigned to intervention using simulation or control group. Communication was assessed by standardized patients and audiotapes of simulated encounters when they delivered bad news. Residents' perceptions of their communication were polled. The majority reported they never witnessed end-of-life discussions. All residents perceived themselves to be more capable at pronouncing the death of a child, and informing a family of a death after participating in either the interventional simulation or a bereavement retreat. Despite training within a pediatric intensive care unit, pediatric residents have little exposure to end-of-life discussions. Pediatric end-of-life simulation increases exposure of residents to end-of-life care and improves residents' perceptions of their communication.

Supplementary Material

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