How Do We Talk About Treatment Choices in Surgery?

Why GOC Talks Matter

Goals of care (GOC) discussions are crucial for ensuring patients receive the treatment they truly desire. These conversations help align doctors and patients on the best course of action. However, these talks aren't always happening or happening effectively, which poses a significant problem.

Identifying the Gaps

A recent review of multiple studies revealed some concerning gaps:

Not all surgeons are engaging in these discussions.
When they do occur, they're not always conducted in the most effective manner.

Improving the Process

To enhance the quality and frequency of GOC discussions, several steps can be taken:

Better Training for Surgeons
- Equip surgeons with the necessary skills to conduct meaningful GOC discussions.
Increased Frequency
- Ensure these talks happen more regularly.
Making Discussions More Meaningful
- Develop strategies to make these conversations more impactful.

Including Families

It's essential to involve families in these discussions. They often know the patient best and can provide valuable insights.

Timing and Consistency

GOC discussions should occur early and often. This ensures that everyone is aligned and informed.

Patient and Family Involvement

Patients and their families should actively participate in these discussions:

Ask questions.
Share concerns.
Express their wishes clearly.

The Power of Communication

Effective communication leads to better decisions, which in turn result in improved care. Ensuring that GOC discussions are conducted properly is vital for achieving the best possible outcomes.