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Teaching young physicians how to say no to aggressive end-of-life care
Modern Healthcare

Nneka Sederstrom, director of the Center of Ethics at MedStar Washington Hospital Center in Washington, D.C., about seven years ago noticed that medical residents at the hospital seemed overly stressed. She set out to discover why.Sederstrom began a program that replaced the standard ethics lecture given all residents with something she called “Moral Distress Rounds.” During the sessions, she asked young residents about the primary cause of stress in their jobs. The told her it came from being required to offer care to terminally-ill patients that they believed was overly aggressive.“