Residents' End-of-Life Training Experience: A Literature Review of Interventions

A Systematic Review of Training in Symptom Management in Palliative Care Within Postgraduate Medical Curriculums

“…18 Despite the high heterogeneity between curriculum formats, almost all the studies show this can lead to improvements in trainees' attitudes, knowledge and skills, and behaviours. 11,19 There has been an increase in palliative medicine rotations available at postgraduate level, and trainees making use of these report better quality teaching in EoLC and more preparedness to treat patients at the EoL. 8,15 Despite this, even after a rotation, some physicians in…”

Electronic Goals of Care Alerts: An Innovative Strategy to Promote Primary Palliative Care

“…Traditional classroom or simulation interventions have not consistently demonstrated lasting impact on clinical practice. 8,21,22 This novel intervention of brief education at the point of care coupled with electronic alerts is efficient and feasible in many settings. Electronic reminders are increasingly used to promote clinical pathways and standardize care.…”

Evaluating Hospice and Palliative Medicine Education in Pediatric Training Programs

“…Our data support what Kottewar et al concluded about adult residency training interventions, in that there is a ''need to develop and implement more effective role modeling, simulation, and feedback methodologies'' in teaching EOL care and communication. 18 Previous evaluations of pediatric trainees' comfort, proficiency, and ability to execute HPM concepts, EOL communication, and symptom management show that additional postgraduate training would be beneficial. 2,21 Likewise, adult emergency medicine trainees noted improved awareness of not only palliative care diagnoses but also increased comfort levels with discussing EOL care following a brief, 4-hour palliative care training session.…”

“…17 A recent literature review of EOL training interventions found only 2 (10%) of 21 studies involved pediatric trainees. 18 Additionally, it has been previously documented that pediatric trainees recognized the need for and importance of HPM education during residency and report benefits from formalized HPM education. 19,20 This goes to highlight that very little is known regarding the exposure, assessment strategies, and teaching methods of HPM competencies for pediatric trainees.…”