‘Quality End of Life Care for All’ (QELCA): the national rollout of an end-of-life workforce development initiative

Gillett, Karen; Bryan, Liz

doi:10.1136/bmjspcare-2014-000816

Cited by 17 publications

(10 citation statements)

References 13 publications

(11 reference statements)

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“…They then bring that experience back to their own practices as part of a longitudinal learning project. 44 Unfortunately, as with most educational studies, few have measured the effect of faculty development initiatives on student performance in the clinical environment.…”

Section: Methods and Scopementioning

confidence: 99%

Resources for Educating, Training, and Mentoring All Physicians Providing Palliative Care

Downar

2018

Journal of Palliative Medicine

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This article presents a rapid review of the published literature and available resources for educating Canadian physicians to provide palliative and end-of-life care. Several key messages emerge from the review. First, there are many palliative care educational resources already available for Canadian physicians. Second, the many palliative care education resources are often not used in physician training. Third, we know that some palliative care educational interventions are inexpensive and scalable, while others are costly and time-consuming; we know very little about which palliative care educational interventions impact physician behavior and patient care. Fourth, two palliative care competency areas in particular can be readily taught: symptom management and communication skill (e.g., breaking bad news and advance care planning). Fifth, palliative care educational interventions are undermined by the ''hidden curriculum'' in medical education; interventions must be accompanied by continuing education and faculty development to create lasting change in physician behavior. Sixth, undergraduate and postgraduate medical training is shifting from a time-based training paradigm to competency-based training and evaluation. Seventh, virtually every physician in Canada should be able to provide basic palliative care; physicians in specialized areas of practice should receive palliative care education that is tailored to their area, rather than generic educational interventions. For each key message, one or more implications are provided, which can serve as recommendations for a framework to improve palliative care as a whole in Canada.

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Section: Methods and Scopementioning

confidence: 99%

Resources for Educating, Training, and Mentoring All Physicians Providing Palliative Care

Downar

2018

Journal of Palliative Medicine

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“…Timely discussions regarding EOL goals and wishes of patients is important in order to deliver competent, compassionate and ethical care [14,15].…”

Section: Discussionmentioning

confidence: 99%

Nursing's Role in End of Life Discussions

Mason¹

2018

LOJNHC

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“…Large national CPD-level programmes targeting primary-level or generalist-level palliative care skills exist in other countries. [34][35][36] Each initiative has its respective strengths, limitations and challenges. Some similarities exist across the initiatives.…”

Section: International Contextmentioning

confidence: 99%

Primary-level palliative care national capacity: Pallium Canada

Pereira

Chary

Faulkner³

et al. 2021

BMJ Support Palliat Care

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The need to improve access to palliative care across many settings of care for patients with cancer and non-cancer illnesses is recognised. This requires primary-level palliative care capacity, but many healthcare professionals lack core competencies in this area. Pallium Canada, a non-profit organisation, has been building primary-level palliative care at a national level since 2000, largely through its Learning Essential Approaches to Palliative Care (LEAP) education programme and its compassionate communities efforts. From 2015 to 2019, 1603 LEAP course sessions were delivered across Canada, reaching 28 123 learners from different professions, including nurses, physicians, social workers and pharmacists. This paper describes the factors that have accelerated and impeded spread and scale-up of these programmes. The need for partnerships with local, provincial and federal governments and organisations is highlighted. A social enterprise model, that involves diversifying sources of revenue to augment government funding, enhances long-term sustainability. Barriers have included Canada’s geopolitical realities, including large geographical area and thirteen different healthcare systems. Some of the lessons learned and strategies that have evolved are potentially transferrable to other jurisdictions.

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‘Quality End of Life Care for All’ (QELCA): the national rollout of an end-of-life workforce development initiative

Cited by 17 publications

References 13 publications

Resources for Educating, Training, and Mentoring All Physicians Providing Palliative Care

Resources for Educating, Training, and Mentoring All Physicians Providing Palliative Care

Nursing's Role in End of Life Discussions

Primary-level palliative care national capacity: Pallium Canada

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