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Volume 19 (2)
Volume 19, Issue 2, Spring 1999 
J Contin Educ Health Prof 1999; 19(2):105-110
ORIGINAL ARTICLES
Steven A. Levy, MD, FACP A b s t r a c t Because physician training on managing end-of-life care is frequently inadequate, a seminar was designed to educate health care professionals regarding advance directives, withdrawal/withholding life support, futility, and communication with patients and their families. During 1996 and 1997, End-Of-Life Decision Making seminars were provided at several community and university hospitals. Following the presentation of case studies, questions were posed to encourage audience participation. Also, a survey comprised of five standard statements and questions was presented preseminar and postseminar. This survey was designed to measure changes in knowledge and attitudes toward end-of-life care. Responses were measured on a 5-point Likert scale from "strongly disagree" (1) to "strongly agree" (5). Electronic OptionFinder® technology was used to tabulate and display results to the audience. Results from all seminars were recorded; means were calculated and compared preseminar and post-seminar by the t-test. Percentages of respondents answering "agree" or "strongly agree" were also determined. This seminar positively influenced the attitudes and knowledge of physicians and the health care team, at least in the short term. Preseminar and postseminar responses demonstrated statistically significant shifts in attitude. Postseminar, more participants selected responses that could enhance communication and promote consensus. Keywords: Advance Directives; End-of-Life Care; Futility |
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