I 141 Physicians say that… Time and place: exchanging medical information ● the exchange of information between general practitioners and hospital physicians is insufficient Cultural differences ● care decisions conversations are more difficult with patients from another cultural background Competence and skills ● being and feeling competent and skilled is necessary to discuss care decisions ● they themselves felt competent and skilled ■ but they did not receive formal training besides general communication training in medical school, nor were they specifically observed or received feedback on these kind of conversations: they taught themselves by just doing it ● they think especially unexperienced residents could benefit from formal training ■ although they perceived themselves as already experienced, they thought it was still valuable to receive feedback from colleagues and find recognition in the same struggles during the training Awareness ● awareness is necessary: ■ physicians, themselves, should be aware so they remember to initiate the topic ■ patients should be aware, so they know the topic can be brought up and are not scared by it ■ general awareness should be created, as a way to achieve awareness amongst patients
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