Improving medical student intensive care unit communication skills: A novel educational initiative using standardized family members*
Critical Care MedicinePublished 21 June 2006
Scott Lorin, Lisa Rho, Juan P. Wisnivesky, David M. Nierman
Citations80
SJR quartileQ1
SJR score2.12
SNIP2.15
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TL;DR
The communication skills of fourth-year medical students can be improved by teaching and then practicing a framework for an initial ICU communication episode with a standardized family member.
Abstract
The communication skills of fourth-year medical students can be improved by teaching and then practicing a framework for an initial ICU communication episode with a standardized family member.
Keywords
MedicineHealth Professions
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Annals of Internal MedicineOpening the Black Box: How Do Physicians Communicate about Advance Directives?
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