University of Washington School of Medicine
This product is a mini-CEX form and faculty guide designed to use with a learner during an actual patient encounter. Code status discussions are often difficult and performed in non-ideal settings. For example, many residents must discuss code status with a patient he or she has just met in the inpatient setting when the patient is acutely ill. These conversations often don’t go well and therefore faculty support of the learner is paramount. The mini-CEX provides a concrete form on which to document resident competency in discussing code status.
Learners using this mini-CEX will:
- Demonstrate competence in introducing and gaining permission to discuss code status.
- Demonstrate competence in assessment of a patient’s understanding of his or her illness.
- Demonstrate competence in recommending code or no code status to a patient based on his or her goals, values, and the medical context.
Demonstrate appropriate documentation of code status and the conversation surrounding the decision.