Interprofessional Master of Science in Palliative Care: On Becoming a Palliative Care Community Specialist

Fink, Regina; Arora, Kelly; Gleason, Shaun E.; Morrison, Katherine T; Robertson, Nancy; Knudson, Judith; Sanute, Lynee; Abbott, Jean; Earnest, Mark; Bailey, F. Amos

doi:10.1089/jpm.2019.0108

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…In response, there has been an emphasis on implementing curricula for generalist PC training to ensure that all providers who care for persons with serious illness are equipped with fundamental PC skills [3][4][5] . Interdisciplinary and discipline-specific training exist in a variety of forums including face-to-face conferences, on-line curricula and masters level degree programs [6][7][8][9][10][11][12] . One effort undertaken to expand the primary palliative medicine workforce is the Coleman Palliative Medicine Training Program (CPMTP).…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5] Interdisciplinary and discipline-specific training exist in a variety of forums including face-to-face conferences, on-line curricula and masters level degree programs. [6][7][8][9][10][11][12] One effort undertaken to expand the primary palliative medicine workforce is the Coleman Palliative Medicine Training Program (CPMTP). Since 2012 this longitudinal program has offered PC training to practicing clinicians by utilizing multi-modal educational strategies.…”

Section: Introductionmentioning

confidence: 99%

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Practice Improvement Projects in an Interdisciplinary Palliative Care Training Program

Ansari

Baron

Nelson-Becker

et al. 2021

Am J Hosp Palliat Care

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Context: Demand for palliative care (PC) continues to increase with an insufficient number of specialists to meet the need. This requires implementation of training curricula to expand the workforce of interdisciplinary clinicians who care for persons with serious illness. Objectives: To evaluate the impact of utilizing individual practice improvement projects (PIP) as part of a longitudinal PC curriculum, the Coleman Palliative Medicine Training Program (CPMTP-2). Methods: Participants developed their PIPs based on their institutional needs and through a mentor, and participated in monthly meetings and bi-annual conferences, thereby allowing for continued process improvement and feedback. Results: Thirty-seven interdisciplinary participants implemented 30 PIPs encompassing 7 themes: (1) staff education; (2) care quality and processes; (3) access to care; (4) documentation of care delivered; (5) new program development; (6) assessing gaps in care/patient needs; and (7) patient/family education. The majority of projects did achieve completion, with 16 of 30 projects reportedly being sustained several months after conclusion of the required training period. Qualitative feedback regarding mentors’ expertise and availability was uniformly positive. Conclusion: The CPMTP-2 demonstrates the positive impact of PIPs in the development of skills for interdisciplinary learners as part of a longitudinal training program in primary PC. Participation in a PIP with administrative support may lead to operational improvement within PC teams.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Practice Improvement Projects in an Interdisciplinary Palliative Care Training Program

Ansari

Baron

Nelson-Becker

et al. 2021

Am J Hosp Palliat Care

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AGA Clinical Practice Update on Palliative Care Management in Cirrhosis: Expert Review

Tandon

Walling

Patton

et al. 2021

Clinical Gastroenterology and Hepatology

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BACKGROUND & AIMS:There is debate over whether patients with inflammatory bowel diseases (IBD) treated with biologics that are not tumor necrosis factor antagonists (such as vedolizumab or ustekinumab) should receive concomitant treatment with immunomodulators. We conducted a meta-analysis to compare the efficacy and safety of concomitant immunomodulator therapy vs vedolizumab or ustekinumab monotherapy. METHODS:In a systematic search of publications, through July 31, 2019, we identified 33 studies (6 randomized controlled trials and 27 cohort studies) of patients with IBD treated with vedolizumab or ustekinumab. The primary outcome was clinical benefit, including clinical remission, clinical response, or physician global assessment in patients who did vs did not receive combination therapy with an immunomodulator. Secondary outcomes were endoscopic improvement and safety. We performed random-effects meta-analysis and estimated odds ratio (OR) and 95% CIs. RESULTS:Overall, combination therapy was not associated with better clinical outcomes in patients receiving vedolizumab (16 studies: OR, 0.84; 95% CI, 0.68-1.05; I2[13.9%; Q test P [ .17) or ustekinumab (15 studies: OR, 1.1; 95% CI, 0.87-1.38; I2 [ 11%; Q test P [ .28). Results were consistent in subgroup analyses, with no difference in clinical remission or response in induction vs maintenance studies or in patients with Crohn's disease vs ulcerative colitis in studies of vedolizumab. Combination therapy was not associated with better endoscopic outcomes in patients receiving vedolizumab (3 studies: OR, 1.13; 95% CI, 0.48-2.68; I2 [ 0; Q test P[.96) or ustekinumab (2 studies: OR, 0.58; 95% CI, 0.21-1.16; I2 [ 47%; Q test P [ .17). Combination therapy was not associated with an increase in adverse events during vedolizumab therapy (4 studies: OR, 1.17; 95% CI, 0.75-1.84; I2 [ 0; Q test P [ .110). CONCLUSIONS:In a meta-analysis of data from studies of patients with IBD, we found that combining vedolizumab or ustekinumab with an immunomodulator is no more effective than monotherapy in induction or maintenance of remission.

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A Systematic Review of Interprofessional Palliative Care Education Programs

Kirkpatrick

Donesky

Kitko

2023

Journal of Pain and Symptom Management

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Interprofessional Master of Science in Palliative Care: On Becoming a Palliative Care Community Specialist

Cited by 4 publications

References 14 publications

Practice Improvement Projects in an Interdisciplinary Palliative Care Training Program

Practice Improvement Projects in an Interdisciplinary Palliative Care Training Program

AGA Clinical Practice Update on Palliative Care Management in Cirrhosis: Expert Review

A Systematic Review of Interprofessional Palliative Care Education Programs

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