Teaching Palliative Care and End-of-Life Issues: A Core Curriculum for Surgical Residents

Klaristenfeld, Daniel D.; Harrington, David; Miner, Thomas J.

doi:10.1245/s10434-006-9324-1

Cited by 84 publications

(59 citation statements)

References 16 publications

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“…Even surgical residents think that understanding palliative care is a useful part of their training. 12 These studies support the need of assessing the awareness of palliative care to be able to improve knowledge and skills in students and medical doctors.…”

mentioning

confidence: 71%

Survey of Palliative Care Concepts among Medical Students and Interns in Austria: A Comparison of the Old and the New curriculum of the Medical University of Vienna

et al. 2008

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Background:To improve the level of awareness in palliative care concepts, the new curriculum at the University of Vienna includes sixteen hours of palliative care education.The old curriculum did not include palliative care education. Aim:To compare the level of awareness in palliative care concepts among 4th year students of the new curriculum of the Medical University of Vienna with interns who fi nished their studies in the old curriculum. Materials and methods: 440 medical students in their 4th year and 149 interns participated in a survey study. Data were collected after the survey and the responses were analyzed.Results: Data analysis consists of completed survey obtained from 83% and 67% of the students and interns. We observed that students reported higher theoretical knowledge of palliative care concepts as compared to interns, whereas interns were better in performing practical aspects of palliative care. A signifi cant percentage of students and interns would like to learn more about palliative care in their curriculum, although this was more present among interns (72.7% students and 92.6% interns, p Ͻ 0.0001, respectively). Conclusion:Although palliative care education is already included in a compulsory manner in the new curriculum of the Medical University of Vienna, almost two third of all students would support more implementation of palliative care issues throughout the curriculum. To further improve attitudes and skills towards patients at end of life, palliative care education should be augmented in the new curriculum.

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confidence: 71%

Survey of Palliative Care Concepts among Medical Students and Interns in Austria: A Comparison of the Old and the New curriculum of the Medical University of Vienna

et al. 2008

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“…It is indeed possible to improve patient-centered communication about palliative care and end-of-life issues within general surgery residency training [6,9]; this should become part of our continuing professional development, as well. It is imperative that we, as a professional surgical community, maintain our commitment to leading the public discourse regarding death, surgery, and patientcentered policies that inform and protect.…”

Section: Resultsmentioning

confidence: 99%

“…The SPIKES protocol refers to the appropriate setting, patient's perception of the situation, invitation from the patient to the physician to provide information, knowledge transfer, and acknowledgment of emotions [8]. Importantly, teaching communication regarding palliative surgery and end-of-life issues as part of the core curriculum during residency can have a dramatic impact on the ability and comfort level of trainees in discussing these matters [9].…”

Section: Communicationmentioning

confidence: 99%

Surgery and the D-Word: Approaching the Topic of Death and Dying with Surgical Patients

Rialon

Blazer²,

Abernethy³

et al. 2013

J Palliative Care Med

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The topic of death and dying arises frequently in surgical practice, yet represents one of the more challenging areas for many surgeons. Surgeons must feel comfortable addressing the issue of death whether it is a theoretical concern in the context of routine informed consent or an inevitable reality in the setting of end-of-life care. In the palliative setting, four essential elements must be present in order to properly address death and dying: compassion, communication, clarity, and closure. The skills set for optimally dealing with this topic in a surgical practice must not be assumed, but fortunately can and should be learned and nurtured during education and training and beyond. This will help ensure that Surgery as a profession maintains its commitment to leading the public discourse regarding death, surgery, and patient-centered policies that inform and protect.

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“…Recently, there have been efforts to formalize teaching about end-of life care for medical and surgical residents. [8][9][10] Few data exist, however, about the perspectives of surgical residents about discussing end-of-life issues with patients and families, or about their level of training to prepare them for these discussions. Employing a mail survey methodology, we sought to ascertain how surgical residents in Northeast general surgical training programs feel about discussing WWLST and other end-of-life issues with their patients as well as their impression of their training and preparedness to do so.…”

Section: Introductionmentioning

confidence: 99%

Resident Education and Management of End-of-Life Care: The Resident's Perspective

Cooper

Meyers

Keating

et al. 2010

Journal of Surgical Education

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Teaching Palliative Care and End-of-Life Issues: A Core Curriculum for Surgical Residents

Abstract: With a reasonable time commitment, surgical residents are capable of learning about palliative and end-of-life care. Surgical residents think that understanding palliative care is a useful part of their training, a sentiment that is still evident 3 months later.

Cited by 84 publications

References 16 publications

Survey of Palliative Care Concepts among Medical Students and Interns in Austria: A Comparison of the Old and the New curriculum of the Medical University of Vienna

Survey of Palliative Care Concepts among Medical Students and Interns in Austria: A Comparison of the Old and the New curriculum of the Medical University of Vienna

Surgery and the D-Word: Approaching the Topic of Death and Dying with Surgical Patients

Resident Education and Management of End-of-Life Care: The Resident's Perspective

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