Resident-Led Palliative Care Education Project

Karlen, Naomi; Cruz, Brian; Leigh, Alexandra

doi:10.1089/jpm.2015.0246

Cited by 6 publications

(2 citation statements)

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“…In addition to assessing individuals' comfort with the general topic of palliative medicine, it did, in fact, also assess the knowledge of the differences between palliative medicine and end-of-life care. 9 A recent 2019 literature review documented a lack of wellestablished tools to evaluate the objective knowledge and skills of interdisciplinary team members, including physicians, in the domains of hospice and palliative medicine. 4 The National Consensus Project for Quality of Palliative Care (NCP) established 8 domains that encompass palliative and end-of-life care guidelines.…”

Section: Introductionmentioning

confidence: 99%

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Educating Internal Medicine Residents on Palliative Medicine and Hospice Care at a Community Teaching Hospital

Nicotra

Barnes

Macchio

et al. 2020

Am J Hosp Palliat Care

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Background: The Accreditation Council of Graduate Medical Education (ACGME) currently requires Internal Medicine (IM) GME programs to incorporate educational opportunities for training and structured experiences in Palliative and Hospice Medicine. Miscomprehension of the differences between palliative medicine and hospice care is a barrier for IM residents ordering palliative consults as many residents may underutilize palliative medicine if a patient is not appropriate for hospice. Objective: This educational performance improvement (PI) project assessed 3 domains, including Medical Knowledge (MK) of palliative versus hospice medicine at baseline and following a single didactic session. Additionally, the number of palliative consults ordered was used as a surrogate for interpersonal and communication skills (ICS) and patient care (PC) domains. Methods: An 8-question survey and 30-minute didactic session were created based upon experientially-determined issues most confusing to IM residents. Participants included 33 IM residents (PGY-1s-3 s) from July 2018 (first cohort) and 32 (PGY-1 s and any PGY-2s-3 s who did not participate in the first cohort) from July 2019 (second cohort). Results: 65 of a possible 73 residents participated (89% response rate) Pre-test Questions 5, 6, and 8 correct responses were <50% in both cohorts with average scores, respectively, of 43.1%, 35.4%, and 40%. Residents improved on the post-test for Q5, 6, 8 to, respectively, 80%, 86.7%, and 48.3% (t = 7.68, df = 59, p < 001). Correct Q1 responses declined in the first cohort, but clarification for the second cohort improved from pre-test (36.4%) to post-test (65.5%). The total number of palliative consults placed by IM residents increased as well. Conclusions: Baseline MK of palliative versus hospice medicine was <50% on 4/8 questions. A brief educational session significantly improved residents’ short-term comprehension and increased the number of palliative consults.

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Section: Introductionmentioning

confidence: 99%

“…In addition to assessing individuals’ comfort with the general topic of palliative medicine, it did, in fact, also assess the knowledge of the differences between palliative medicine and end-of-life care. 9…”

Section: Introductionmentioning

confidence: 99%