Original Publication
Open Access

The Palliative Care Clinical Evaluation Exercise

Published: June 30, 2006 | 10.15766/mep_2374-8265.176

Included in this publication:

  • CEX.ppt
  • CEX AM Journal Article.pdf
  • Palliative Care CEX.doc
  • Palliative Care CEX Survey.doc
  • Palliative Care Clinician Log.doc
  • RA FU Interview Log.doc

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


The purpose of this resource is to evaluate the feasibility and perceived educational value among internal medicine interns as related to the Palliative Care Clinical Exercise (CEX), a new experience-based intervention to teach communication skills in giving bad news and discussing code status. The intervention allows faculty to observe, evaluate, and give feedback to house staff based on their actual discussions with patients and families. A PowerPoint presentation, instructional materials, and all necessary surveys and logs are provided. The intervention was implemented among the entire 2002-2003 cohort of 60 interns in the categorical Internal Medicine Residency Programs at the University of Pittsburgh. The authors collected feasibility measurements at the time of intervention, and interns' attitudes were measured 1 week after intervention and at the end of the intern year. End-of-year survey results indicated that 82% of respondents felt the exercise was either very or extremely valuable, and 76% of respondents felt the exercise was either very or extremely valuable in improving their communication skills.

Educational Objectives

By the end of this session, learners will be able to:

  1. Give bad news to patients and families.
  2. Negotiate goals of treatment with patients and families.

Author Information

  • Paul Han, MD, MA, MPH: University of Pittsburgh School of Medicine

None to report.

None to report.


Han P. The palliative care clinical evaluation exercise. MedEdPORTAL. 2006;2:176. https://doi.org/10.15766/mep_2374-8265.176