Surgical palliative care training in general surgery residency: An educational needs assessment

Bonanno, Alicia M.; Király, László; Siegel, Timothy; Brasel, Karen J.; Cook, Mackenzie R.

doi:10.1016/j.amjsurg.2019.01.008

Cited by 42 publications

(27 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are significant barriers to meeting the needs of hospitalized surgical patients suffering from serious illnesses. First, there is a dearth of palliative care education available to surgeons and surgical trainees (1,(19)(20)(21). Second, there is a shortage of PC specialists.…”

Section: An Unmet Needmentioning

confidence: 99%

Primary palliative care for surgeons: a narrative review and synthesis of core competencies

Marterre¹,

Kopecky²,

Miller

2022

Ann Palliat Med

View full text Add to dashboard Cite

show abstract

Section: An Unmet Needmentioning

confidence: 99%

Primary palliative care for surgeons: a narrative review and synthesis of core competencies

Marterre¹,

Kopecky²,

Miller

2022

Ann Palliat Med

View full text Add to dashboard Cite

show abstract

“…Bonanno et al surveyed both residents and surgical faculty to measure their experience and comfort with palliative care (11). Though about half of the resident participants felt comfortable leading conversations across multiple domains, including delivering bad news (56%, n=29), discussing goals of care (60%, n=31), and leading family meetings on comfort-focused care (52%, n=27), all resident participants (100%, n=52) expressed a desire for more training in navigating palliative care communications.…”

Section: Exposure and Needs Assessmentsmentioning

confidence: 99%

“…Moreover, though some surgical residency programs do currently incorporate a palliative care or ethics component to their curricula, the quality of such education is perceived to be considerably inferior to the quality of technical skills training (11,14). Many trainees attribute this to their faculty mentors, describing how faculty allocate less attention and emphasis on developing palliative care skills, seldom model palliative skills and knowledge as frequently or as thoroughly as technical surgical skills and knowledge, and rarely provide trainees with direct feedback on trainee performance within the palliative care domains (11,14). Consequently, not only must palliative care curriculum be established across surgical residency programs, but the quality and rigor of this training and mentorship must be developed to match that of other aspects of surgical training.…”

Section: Opportunities For Improvementmentioning

confidence: 99%

Palliative care education in surgery

Jafri¹,

Vitous²,

Suwanabol³

2022

Ann Palliat Med

View full text Add to dashboard Cite

Though incorporating palliative care principles with standard medical and surgical care has been associated with multiple benefits, surgical training devotes far less time to developing skills within the palliative care domains. In this review, we sought to explore the existing literature concerning palliative care education within the context of surgical training. Current studies may be categorized under two major areas:(I) measurement of trainee exposure through needs assessments and (II) implementation of novel palliative care-based training curricula. Within the former group, a number of studies found surgical trainees having substantial exposure to seriously-ill and dying patients, yet the application of palliative care approaches was informed by informal, on-the-job experiences. Further, a number of studies found that a minority of trainees had previously been involved in some type of formalized palliative care training, and among those who did, the majority reported the quality of this training to be inferior relative to the quality of training of clinical or technical skills. Among the latter group of studies examining palliative care training curricula, multiple studies demonstrated that trainees improved significantly post-intervention with respect to palliative care skills, knowledge, attitudes, and comfort. In addition, trainees regarded palliative care skills as important for surgeons, and supported adoption of palliative care curricula within surgical training. Finally, though multiple palliative care resources currently exist for practicing surgeons and surgical trainees, most of these opportunities are optional and must be sought out by the individual surgeon. Consequently, in an effort to standardize palliative care in conjunction with surgical care, widespread adoption of palliative care curricula during residency training may prove to be most beneficial.

show abstract

“…[7][8][9][10][11][12] In national surveys of trainees in oncology, cardiology, surgery, and obstetrics and gynecology, most trainees understand the value and importance of PC but few have received formalized PC instruction. [13][14][15][16][17] There is a growing recognition of the need for PCspecific education within the field of gastroenterology (GI) and hepatology. [18,19] In a descriptive study of GI fellows' performances during a liver-specific, objective structured clinical examination (OSCE), fellows failed to discuss important aspects of end-of-life (EoL) care during the encounter, and over two-thirds of fellows felt that they performed poorly.…”

Section: Introductionmentioning

confidence: 99%

Palliative care experience and perceived gaps in training among transplant hepatology fellows: A national survey

et al. 2022

View full text Add to dashboard Cite

Despite the likely benefits of palliative care (PC) for patients with cirrhosis, physician experiences and perspectives about best practices are variable.We aimed to assess PC experience and gaps in training among transplant hepatology fellows. We conducted a national survey of all transplant hepatology fellows enrolled in accredited fellowship programs during the 2020-2021 academic year. We assessed the frequency of PC provision and comfort with physical and psychological symptom management, psychosocial care, communication skills, advance care planning, and end-of-life care. A total of 45 of 56 (79%) of transplant hepatology fellows responded to the survey; 50% (n = 22) were female. Most trained at centers performing over 100 transplants per year (67%, n = 29) distributed evenly across geographic regions. Most fellows (69%, n = 31) had a PC or hospice care rotation during residency, and 42% (n = 19) of fellows received education in PC during transplant hepatology fellowship. Fellows reported feeling moderately to very comfortable with communication skills such as breaking bad news (93%, n = 41) and leading family meetings (75%, n = 33), but nearly one-third (30%, n = 13) reported feeling not very or not at all comfortable assessing and managing anxiety and depression (30%, n = 13) and spiritual distress (34%, n = 15). Nearly

show abstract

Surgical palliative care training in general surgery residency: An educational needs assessment

Cited by 42 publications

References 15 publications

Primary palliative care for surgeons: a narrative review and synthesis of core competencies

Primary palliative care for surgeons: a narrative review and synthesis of core competencies

Palliative care education in surgery

Palliative care experience and perceived gaps in training among transplant hepatology fellows: A national survey

Contact Info

Product

Resources

About