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Residents often face concerns that relate to patients’ spirituality, especially when caring for them in the inpatient setting. The range of issues confronted is wide, from consent for medical procedures to end-oflife decision making and addressing the emotional distress that commonly arises when dealing with acute and chronic medical illness. Many patients draw on spiritual beliefs, practices, and communities to find strength, create meaning from illness, and make medical decisions. Residents rarely receive training in spiritual assessment and may miss opportunities to understand and address patients’ pressing concerns. Similarly, chaplains (professionals hired by hospitals to provide spiritual support to patients) are not routinely trained via direct clinical experience to work closely with physicians. To improve education for both professions, we created a team-based curriculum for chaplain trainees and internal medicine residents working side-by-side in the inpatient setting. An initial needs assessment survey of residents showed that although 82% (28 of 34) reported that addressing a patient’s spirituality was an important part of patient care, they also reported barriers, including lack of time, uncertainty around knowing whether and when to address spirituality, and difficulty finding appropriate language. We found that only 21% (7 of 34) of residents had knowledge of a spiritual assessment tool, and only 9% (3 of 34) had used one.

Demystifying Spiritual Care: An Interprofessional Approach for Teaching Residents and Hospital Chaplains to Work Together