Opinion & Special Articles: Competency in Serious Illness Communication for Neurology Residents

Until 2019, the only reference that the Accreditation Council for Graduate Medical Education (ACGME) made to discussion of patients’ care values was an indirect one: that neurology residents must “demonstrate knowledge of palliative care, including adequate pain relief as well as psychosocial support and counseling for patients and families.”1 In 2009, a nationwide study demonstrated neurology residents’ poor knowledge of palliative care across multiple domains, including discussing end-of-life care preferences.2

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