SIM-plifying Palliative Extubations: A Two-Part Interdisciplinary OSCE in a Simulation Center to Assess Entrustable Professional Activities (EPAs) in Hospice and Palliative Medicine

Healthcare professionals require education and practice to master their communication and procedure skills, especially in potentially distressing circumstances such as palliative extubations. The Palliative Extubation OSCE involved part 1: the family meeting and part 2: the extubation procedure. The OSCE provided learners the opportunity to assess their communication and procedural skills in a low stakes environment in order to maximize learning and evaluate their preparedness prior to completion of fellowship. Pre and post survey results regarding the fellow’s confidence in the palliative extubation process, showed dramatic improvements in their self-reported confidence levels in several domains following the OSCE.