Goals of Care Conversation Education Program - Impact on Resident Documentation

Q: What is the purpose of the Goals of Care Conversation Education Program (GoCCEP)?

GoCCEP aims to train resident physicians to elicit patient-centered goals of care and evaluate whether it changes provider behavior, assessed using Kirkpatrick level 3.

Q: How was the impact of GoCCEP measured on resident documentation?

The study measured the proportion of unique patients with at least one GOC note documented by each resident, comparing 6 months pre- and 6 months post-GoCCEP.

Q: What were the main findings regarding GOC documentation after training?

GoCCEP-trained residents increased GOC documentation from 0.6% to 1.1% (p < 0.001), with higher rates compared with controls across multiple training years, though overall documentation levels remained low.

Q: What does the study suggest about future education or interventions?

The findings indicate GoCCEP was associated with increased GOC documentation, and the authors suggest a need for multipronged education and interventions to further increase patient-centered goals of care.

Sep 28, 2026

Uploaded by Dipper

Goals of care (GOC) conversations help elicit patient-centered priorities and support tailored treatment plans, improving outcomes and satisfaction among patients, families, and providers. A health system implemented the Goals of Care Conversation Education Program (GoCCEP) to evaluate provider behavior change at Kirkpatrick level 3. Resident physicians trained in GoCCEP were compared with matched controls using resident-level GOC note documentation, assessed 6 months pre- and post-training, in inpatient populations aged ≥65 or with LACE ≥12.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages2

Reading Time5 min

AccessFree to download

Study Background

Program and Evaluation Approach

Study Design and Population

Documentation Measurement Method

Results and Implications

764 Innovation in Aging, 2025, Vol. 9, No. S2 Abstract citation ID: igaf122.2598 GOALS OF CARE CONVERSATION EDUCATION PROGRAM: IMPACT ON RESIDENT DOCUMENTATION Kelly Hsu1, M. Isabel Friedman1, Jessica Cohen1, Ann Eichorn1, Mark Tursi1, Christian Nouryan2, and Edith Burns3, 1. Northwell Health, New Hyde Park, New York, United States, 2. Northwell Health, Great Neck, New York, United States, 3. Zucker School of Medicine Hofstra-Northwell, Manhasset, New York, United States Eliciting patient-centered goals of care (GOC) leads to tailored treatment plans, better outcomes, greater patient/family/ provider satisfaction. Most educational approaches elicit immediate feedback on self-perceived change in knowledge and skills (Kirkpatrick level 1 and 2) . Our health system implemented Goals of Care Conversation Education Program (GoCCEP) and wished to assess if GoCCEP impacted provider behavior (Kirkpatrick level 3) . GoCCEP-trained resident physicians from 7 different residency programs (2 family med {FM}, 3 internal {IM}, 1 PMR, 1 surgery) compared to matched controls from same program/year of training who didn’t take the course. Total number of unique patients seen by each resident with at least 1 Innovation in Aging, 2025, Vol. 9, No. S2 765 GOC note identified (numerator) over total number unique patients seen by that resident (denominator) 6 months pre-GoCCEP and 6 months post-GoCCEP. Inpatients included were aged ≥65 or LACE ≥12 . Z scores for differences calculated with 2 proportions test. Total of 2,067 patients with GOC notes located for 76 GoCCEP and 301 Control residents (total 312,895 unique patients) . GoCCEP-trained residents increased documentation pre-post 0.6% to 1.1%(p < 0.001) . GoCCEP vs. control PGY-1: 1.3% vs. 0.6%(z=-10.17, p < 0.001); PGY-2: 1.1 vs. 0.7%(z=-2.96, p < 0.004); PGY 3: 0.9% vs. 0.6%(z=-3.78, p < 0.001); PGY-3 Chief/higher: 1.1 vs.0.23%(z=-8.1, p < 0.001) . Trained FM residents had significantly higher documentation than IM residents, 3.23% vs. 0.45% (z = 13.00, p < 0.001) . GoCCEP associated with increased GOC documentation though overall level of documentation low regardless of year of experience. Multiple factors likely underlie these observations suggesting need for multipronged education/interventions to increase patient-centered GOCC.

FAQs

What is the purpose of the Goals of Care Conversation Education Program (GoCCEP)?

GoCCEP aims to train resident physicians to elicit patient-centered goals of care and evaluate whether it changes provider behavior, assessed using Kirkpatrick level 3.

How was the impact of GoCCEP measured on resident documentation?

The study measured the proportion of unique patients with at least one GOC note documented by each resident, comparing 6 months pre- and 6 months post-GoCCEP.

What were the main findings regarding GOC documentation after training?

GoCCEP-trained residents increased GOC documentation from 0.6% to 1.1% (p < 0.001), with higher rates compared with controls across multiple training years, though overall documentation levels remained low.

What does the study suggest about future education or interventions?

The findings indicate GoCCEP was associated with increased GOC documentation, and the authors suggest a need for multipronged education and interventions to further increase patient-centered goals of care.

Sep 28, 2026

Uploaded by Dipper