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In-Person and Virtual Adaptation of an Interprofessional Palliative Care Communications Skills Training Course for Pediatric Oncology Clinicians
Introduction
Empathic communication is crucial for clinicians when discussing palliative and end-of-life (PC/EOL) care with parents of children with cancer. Unfortunately, many parents report inadequate communication at these distressing times. This study evaluates the communication skills training (CST) clinicians received to deliver a PC/EOL communication intervention as part of a multi-site randomized-controlled trial (RCT). Training was provided using an in-person format and then adapted to a virtual platform to accommodate remote learners.
Methods
Clinicians were trained in dyads (one physician and one nurse [RN] or advanced practice provider [APP]) over 3 days (in-person or virtually). Four pediatric oncology cases were developed and each incorporated three timepoints: diagnosis, disease progression, and end-of life. Training was adapted from VitalTalkTM and included didactic instruction, videos, visual aids, and role play. Participants completed a confidential, post-training survey. A self-reported quality assurance checklist measured fidelity to the intervention during the RCT.
Results
Thirty clinicians completed training; 26 completed post-training surveys including 46.1% physicians, 30.8% RNs and 23.1% APPs. Most were female (65.4%); white (80.8%), and 40-50 years old (53.9%). Nine (34.6%) trained in-person; the rest trained virtually. Ninety-two percent reported the course was valuable/very valuable for developing PC/EOL communication skills and 96% learned something new. Dyads trained virtually had similar fidelity to those trained in-person (95% and 90% respectively) when delivering the intervention to parents.
Discussion
This PC/EOL CST, implemented in-person and virtually, was valuable for improving pediatric oncology clinicians’ communication skills and was translated effectively into practice
Timothy Cripe
Dr. Cripe is the Chief of the Division of Pediatric Hematology/Oncology/Blood and Marrow Transplant and the Gordon Teter Endowed Chair in Pediatric Cancer at Nationwide Children’s Hospital. He is also a principal investigator in the Center for Childhood Cancer Research at the Abigail Wexner Research Institute at Nationwide Children’s Hospital. He is a tenured Professor of Pediatrics at The Ohio State University Wexner College of Medicine and a member of the Translational Therapeutics Program and the Pelotonia Institute for Immuno-Oncology at the OSU Comprehensive Cancer Center. His research is focused on the laboratory-based development and early phase clinical testing of cellular, viral and gene therapies for pediatric cancers and has been supported by numerous extramural grants including multiple R-, U- and P-level NIH grants. He has published over 170 peer-reviewed manuscripts and delivered over 220 invited lectures. He is the PI of a T32 training grant in pediatric cancer. He is the former chair of the FDA’s Cellular, Tissue and Gene Therapy Advisory Committee. He serves as the Editor-in-Chief of the flagship cancer journal of the American Society of Cell and Gene Therapy, Molecular Therapy Oncology. He is the founder of the educational podcast series “This Week in Pediatric Oncology,” and has published 112 episodes. He is co-founder and board member of Vironexis Biotherapeutics, Inc., a clinical stage cancer gene therapy company.https://openworks.mdanderson.org/kleinermanbios/1007/thumbnail.jp
Paul Meyers
Dr. Paul Meyers is Vice Chair of the Department of Pediatrics and former Chair of the Sarcoma Service in the Department of Pediatrics at the Memorial Sloan-Kettering Cancer Center and Professor of Pediatrics at the Weill Cornell Medical College. He received his undergraduate degree from Brown University and his MD from the Mount Sinai School of Medicine. He trained in pediatrics at the Mount Sinai Hospital. He trained in pediatric hematology/oncology at the Cornell University Medical College and the Memorial Sloan-Kettering Cancer Center. Since 1979 he has been member of the faculty at the Memorial Sloan-Kettering Cancer Center. Dr. Meyers has treated or consulted on over 6000 children and young adults. In 1995 he was the recipient of the Willett Whitmore Award for Clinical Excellence. He served as the vice chair and chair of the Bone Sarcoma Strategy Group for the Children’s Oncology Group from 1991-2001. He has been a member of the Pediatric Board of the National Cancer Institute Physician Data Query since 2001. Dr. Meyers served on Subcommittee H of the National Cancer Institute from 2006-2009 and as president of the Connective Tissue Oncology Society in 2008.
Dr. Meyers’ research has focused on treatments for sarcomas of children and young adults. He was the principal investigator of national clinical trials in osteosarcoma and Ewing sarcoma conducted by the pediatric cooperative groups and clinical trials at the Memorial Sloan-Kettering Cancer Center. He was the principal investigator of a clinical trial for the treatment of osteosarcoma which led to the approval of muramyl tripeptide for the treatment of children and young adults with osteosarcoma in 45 countries. He has authored or co-authored over 230 articles in the peer reviewed medical literature.https://openworks.mdanderson.org/kleinermanbios/1010/thumbnail.jp
Writing and Publishing Scientific Articles: Course Workbook
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Noreen Siddiqi, MDIGCT T32 Postdoctoral Fellow Department of Interventional Radiology, MD Anderson Cancer Center
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Library News September 2025
TLDR from the Research Medical Library: a New Educational Video Series Changes to the NIH Public Access Policy Something Interesting to Read over your Morning Cup of Gahwah Registration Is Open for English Conversation Classeshttps://openworks.mdanderson.org/rmlnews25/1006/thumbnail.jp
Empowering Through Education: Bridging the Gap in Cancer Prevention in Black Women
Healthcare Disparities, Diversity and Advocacy Program, School of Health Professionshttps://openworks.mdanderson.org/rmps25/1004/thumbnail.jp