Dragons’ Den Symposium Winner: Getting It Right from the Start Teaching Health Care Professional Learners Person-Centred Decision-Making through Simulated Patient Encounters

Presented by: 

Traci Franklin, MSW RSW – tfranklin@hsnsudbury.ca

Renée Mallet, MSW RSW – rmallet@hsnsudbury.ca

Christine Pun, MD CCFP (EM) (PC) FCFP – christine.w.pun@gmail.com

Click here to view the slide deck!

Current clinical practice in Advance Care Planning (ACP) and Goals of Care (GOC) conversations is inconsistent and not always compliant with the Ontario legal framework.  To rectify this, a culture shift in the way health care providers conceptualize Person-Centred Decision-Making (PCDM) and conduct these essential conversations is paramount.  One strategy is to ensure that health care professional trainees receive Person-Centred Decision-Making education and “get it right” even before they embark on their professional practice.  Our team has focused our education program on this target audience to build capacity for a new generation of providers who will be able to lead in system/culture changes towards true Person-Centred Decision-Making.

Our Person-Centred Decision-Making Education Team has developed an education workshop for Advance Care Planning.  The workshop consists of knowledge building component(s) which clarify the concepts of Person-Centred Decision-Making, as well as simulated patient encounters and debriefing to allow for practice and development of communication skills.  Through networking with the Northern Ontario School of Medicine and Laurentian University, this workshop was adapted to suit the needs of the different health professional programs and delivered to their students.  A goals of care workshop that mirrors the advance care planning workshop was subsequently developed.

The workshops have been delivered to medical students, family medicine & specialty residents, nursing students (English and French programs) and social work students in our region.  The workshops have been well-received, with consistently positive course evaluations and narrative feedback.  Questionnaires filled out by learners demonstrate significant increases in self-efficacy for knowledge and skills for advance care planning and goals of care conversations.

These workshops continue to evolve, with updates to ensure alignment with HPCO resources, new and/or modified cases to represent different settings and varying delivery methods and teaching styles to maximize learning.  It is anticipated that the workshops will be continued as part of the curriculum within the training programs of our current partners. We look forward to opportunities to expanding our reach to other health care programs, collaborating with other educators, continuing to fine-tune our curriculum, and further studying the impact of the workshops.

Resources

All Person-Centred Decision-Making material used are based on HPCO’s resources found on the https://www.speakupontario.ca/