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Establishing goals of care- Standardized caregiver interview


Establishing goals of care- Standardized caregiver interview

Morristown Medical Center
Morristown NJ
Keerti Sharma, MBBS; Catherine Owens LCSW
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This Observed Standardized Caregiver (SCG) interview is designed to be used with geriatric fellows. The goal is to assess the fellow's competence in establishing goals of care with patient’s families in the ambulatory setting. 

Educational objectives: 

The case is designed to evaluate geriatric fellow’s ability to elicit the following core competencies in geriatrics assessment during a Standardized Patient Interview:
1. Establish that the caregiver is the appropriate health care designee
2. Introduce the need to have a discussion about overall goals of care
3. Establish what would be an acceptable quality of life for the patient
4. Assist the family with completing a written health care directive ( for this exercise a Practitioner Order of Life Sustaining Treatment  form - POLST )

Additional information/Special implementation requirements or guidelines: 

This exercise can be integrated into an ongoing geriatrics curriculum for geriatric fellows.
• An overview of the educational goals and patient characteristics is discussed with the fellow(s) prior to the session (15 minutes)
• Training of SCG (30 minutes)
• The fellow(s) are videotaped performing a caregiver interview (30 minutes)
• The fellow(s)complete a self-assessment tool (3 minutes)
• The SCG completes a fellow(s) assessment tool (3 minutes)
• The videotape is reviewed by the faculty with a standardized assessment tool (20 minutes)
• A group session to provide formative feedback is conducted with geriatrics faculty

Intended learner audience: 
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Other Learning Resource Type: 
Estimated time to complete: 
1 hour
Resident Level Competencies: 
Conflict of Interest Disclosure: 
No, I (we) have nothing to disclose.
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Suggested Citation:
Establishing goals of care- Standardized caregiver interview. POGOe - Portal of Geriatrics Online Education; 2017 Available from: