The 2015 Class of Hospice and Palliative Medicine Fellows—From Training to Practice: Implications for HPM Workforce Supply

Lupu, Dale; Salsberg, Ed; Quigley, Leo; Wu, Xiaoli

doi:10.1016/j.jpainsymman.2017.01.005

Cited by 8 publications

(5 citation statements)

References 9 publications

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“…Our surveys of recent HPM fellowship graduates show a strong job market, with many opportunities for recent graduatesdan indication that the market has not yet reached saturation. 4,5 Further evidence suggesting unmet need for palliative care includes that hospital-based palliative care programs currently reach a median of 3.4% of hospital patients, 3 likely far below the need. Recent studies have estimated that 13.8% of intensive care unit admissions meet criteria for palliative care consultation, 6 that one-third of hospitalized cancer patients should receive a palliative care consultation, 7 and that there is vast unmet need for palliative care for patients with kidney disease.…”

Section: Introductionmentioning

confidence: 99%

The Growing Demand for Hospice and Palliative Medicine Physicians: Will the Supply Keep Up?

Lupu

Quigley

Mehfoud

et al. 2018

Journal of Pain and Symptom Management

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168

114

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Section: Introductionmentioning

confidence: 99%

The Growing Demand for Hospice and Palliative Medicine Physicians: Will the Supply Keep Up?

Lupu

Quigley

Mehfoud

et al. 2018

Journal of Pain and Symptom Management

Self Cite

168

114

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“…Existing data support a current, widespread, persistent, and substantial shortage of palliative care specialists . Given this work force limitation, our data suggest that nonspecialist palliative care resources may be sufficient for some populations.…”

Section: Discussionmentioning

confidence: 58%

“…14 Existing data support a current, widespread, persistent, and substantial shortage of palliative care specialists. 49,50 Given this work force limitation, our data suggest that nonspecialist palliative care resources may be sufficient for some populations. Our data also suggest variation in existing palliative care consultation practices for surgical oncology patients and that surgical oncology teams may already be selective in determining when to involve palliative care specialists.…”

Section: Discussionmentioning

confidence: 92%

Effect of Perioperative Palliative Care on Health-Related Quality of Life Among Patients Undergoing Surgery for Cancer

Aslakson,

Rickerson,

Fahy

et al. 2023

JAMA Netw Open

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ImportanceInvolvement of palliative care specialists in the care of medical oncology patients has been repeatedly observed to improve patient-reported outcomes, but there is no analogous research in surgical oncology populations.ObjectiveTo determine whether surgeon–palliative care team comanagement, compared with surgeon team alone management, improves patient-reported perioperative outcomes among patients pursuing curative-intent surgery for high morbidity and mortality upper gastrointestinal (GI) cancers.Design, Setting, and ParticipantsFrom October 20, 2018, to March 31, 2022, a patient-randomized clinical trial was conducted with patients and clinicians nonblinded but the analysis team blinded to allocation. The trial was conducted in 5 geographically diverse academic medical centers in the US. Individuals pursuing curative-intent surgery for an upper GI cancer who had received no previous specialist palliative care were eligible. Surgeons were encouraged to offer participation to all eligible patients.InterventionSurgeon–palliative care comanagement patients met with palliative care either in person or via telephone before surgery, 1 week after surgery, and 1, 2, and 3 months after surgery. For patients in the surgeon-alone group, surgeons were encouraged to follow National Comprehensive Cancer Network–recommended triggers for palliative care consultation.Main Outcomes and MeasuresThe primary outcome of the trial was patient-reported health-related quality of life at 3 months following the operation. Secondary outcomes were patient-reported mental and physical distress. Intention-to-treat analysis was performed.ResultsIn total, 359 patients (175 [48.7%] men; mean [SD] age, 64.6 [10.7] years) were randomized to surgeon-alone (n = 177) or surgeon–palliative care comanagement (n = 182), with most patients (206 [57.4%]) undergoing pancreatic cancer surgery. No adverse events were associated with the intervention, and 11% of patients in the surgeon-alone and 90% in the surgeon–palliative care comanagement groups received palliative care consultation. There was no significant difference between study arms in outcomes at 3 months following the operation in patient-reported health-related quality of life (mean [SD], 138.54 [28.28] vs 136.90 [28.96]; P = .62), mental health (mean [SD], −0.07 [0.87] vs −0.07 [0.84]; P = .98), or overall number of deaths (6 [3.7%] vs 7 [4.1%]; P &gt; .99).Conclusions and RelevanceTo date, this is the first multisite randomized clinical trial to evaluate perioperative palliative care and the earliest integration of palliative care into cancer care. Unlike in medical oncology practice, the data from this trial do not suggest palliative care–associated improvements in patient-reported outcomes among patients pursuing curative-intent surgeries for upper GI cancers.Trial RegistrationClinicalTrials.gov Identifier: NCT03611309

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“…As seen elsewhere within PM, the majority of the course participants were female. 16 The participants' evaluation of the course has been good. Moreover, besides the formal evaluation, participants have stressed the social and networking aspects of the education.…”

Section: Discussionmentioning

confidence: 99%

Nordic Specialist Course in Palliative Medicine: Evaluation and Impact on the Development of Palliative Medicine in the Nordic Countries: A Survey among Participants from Seven Courses 2003–2017

Sigurðardóttir

Edenbrandt

Hirvonen

et al. 2021

Journal of Palliative Medicine

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Background: The five Nordic Associations for palliative medicine (PM) have since 2003 organized a common specialist course for six weeks in two years. Aim: To describe the course: participants, evaluations, impact on participants' careers, and on the development of PM in the Nordic countries. Methods: Information on participants taken from the course archive and national registries. A web survey sent to graduates from the courses 2003-2013 (n = 150) and 2013-2017 (n = 72).Results: Mean age at course start was 46.9 years; 66% were women. Mean overall evaluation score 5.7 (range 5.4-6.0, max 7.0). Survey response rate 84% (n = 186); 80% of respondents were working in PM, the majority as leaders, >90% engaged in teaching PM. About 40% were active in PM associations, lobbying, and guideline development. Conclusion:The Nordic Specialist Course in PM has had a profound impact on the participants' postcourse careers, influencing the development of PM in the Nordic countries.

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The 2015 Class of Hospice and Palliative Medicine Fellows—From Training to Practice: Implications for HPM Workforce Supply

Cited by 8 publications

References 9 publications

The Growing Demand for Hospice and Palliative Medicine Physicians: Will the Supply Keep Up?

The Growing Demand for Hospice and Palliative Medicine Physicians: Will the Supply Keep Up?

Effect of Perioperative Palliative Care on Health-Related Quality of Life Among Patients Undergoing Surgery for Cancer

Nordic Specialist Course in Palliative Medicine: Evaluation and Impact on the Development of Palliative Medicine in the Nordic Countries: A Survey among Participants from Seven Courses 2003–2017

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