Surgery/Cosmetic

Do we know our patients’ goals? Evaluating preoperative discussions in emergency surgery



In the care of patients with a critical illness, providers’ accurate understanding of a patient’s goals of care is essential.1 However, particularly in surgical populations, this understanding may be clouded by poor communication and surgeons’ tacit expectation of a certain degree of “buy-in” to aggressive postoperative care in the face of declining clinical status.2,3 Evidence has shown that surgical trainees are inadequately trained to effectively lead preoperative conversations focused on goals of care and palliation.

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