Impact and Reception of a Required 4-Week Palliative Medicine Rotation

Simmons, B Brent; Petrie, Alison; Gracely, Edward J.

doi:10.22454/fammed.2018.688612

Cited by 9 publications

(9 citation statements)

References 9 publications

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“…A mandatory SPC rotation is not yet firmly anchored in the regulations of all specialty board certification; however, there is an increasing demand for this requirement-not only within an internal medicine residency-and a 6-month rotation in a palliative care unit as part of all specialized residencies should be discussed. 1,8,9,24 The analysis of our study clearly revealed a positive effect of a 6-to 12-month rotation. Physicians who rotated in SPC units showed a higher palliative knowledge compared to BCSs who had no SPC experience.…”

Section: Discussionsupporting

confidence: 53%

“…18,19 Furthermore, a 4-week rotation has a significant influence on the self-perception of physicians in their ability to provide end-of-life care . 9 In an effort to improve palliative care education, a mandatory rotation during oncological residency has recently been recommended. 20,21 However, physicians deemed a 1- to 4-week rotation as inadequate.…”

Section: Discussionmentioning

confidence: 99%

“…A mandatory SPC rotation is not yet firmly anchored in the regulations of all specialty board certification; however, there is an increasing demand for this requirement—not only within an internal medicine residency—and a 6-month rotation in a palliative care unit as part of all specialized residencies should be discussed. 1,8,9,24…”

Section: Discussionmentioning

confidence: 99%

“…6,7 International studies demonstrated a benefit of a 4-week curriculum. 8,9 However, all residents in an investigation of Rossfeld et al require more education in SPC. 8 Comprehensive cancer centers (CCCs) in Germany offer residents and fellows elective, 6- to 12-month rotations in an SPC unit.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge and Self-Efficacy Assessment of Residents and Fellows Following Palliative Care Unit Rotation: A Pilot Study

Burmann

Neukirchen

Ostgathe

et al. 2019

Am J Hosp Palliat Care

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Background: In Germany, some units of specialized palliative care (SPC) offer a 6-to 12-month rotation for resident physicians (RPs) and fellows from different specialties. Objective: This pilot study aimed to evaluate feasibility of assessing palliative care knowledge (PCK) and palliative care self-efficacy (PCSE) using a paper-based questionnaire. Methods: Palliative care knowledge and PCSE were assessed by introducing a score, followed by a descriptive analysis (determination of frequency, mean, median, and range) using nonparametric tests (w 2 test, Mann-Whitney U test). Results: We assessed 17 RPs following SPC rotation and 16 board-certified specialists (BCSs) who had no experience in SPC from 3 German comprehensive cancer centers. Resident physicians were predominantly enrolled in residency programs of hematology and oncology (n ¼ 6), anesthesiology (n ¼ 6), and psychosomatic medicine (n ¼ 3). Resident physicians rotated between year 1 and 8 of residency. Fifteen RPs (88%) had elected this rotation and 72% preferred 12-month duration. The total PCK score of PCK was 27 (RPs) and 24 (BCSs; P ¼ .002). Mean PCSE scores were 46 (RPs) and 39 (BCSs; P ¼ .016). Of 71% of RPs, only 27% of BCSs knew how support of hospice service was initiated (P ¼ .004). Participants rated the items as comprehensible (n ¼ 24; 73%), relevant (n ¼ 25; 76%) and the questionnaire as adequately long (n ¼ 23; 70%). Conclusion: An improved PCK and PCSE were observed in physicians who rotated through an SPC unit; this resulted in an increased tangibility of local palliative care and hospice services. The questionnaire was comprehensible, relevant in terms of content, and adequate in length for a prospective multicenter survey.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Knowledge and Self-Efficacy Assessment of Residents and Fellows Following Palliative Care Unit Rotation: A Pilot Study

Burmann

Neukirchen

Ostgathe

et al. 2019

Am J Hosp Palliat Care

View full text Add to dashboard Cite

show abstract

“…Such a move may hold promise. One family medicine residency reported an increase in its residents’ comfort in end‐of‐life care after a required palliative care rotation was instituted …”

mentioning

confidence: 99%