TY - JOUR
T1 - Primary Palliative Care Education in U.S. Residencies and Fellowships
T2 - A Systematic Review of Program Leadership Perspectives
AU - Spiker, Michael
AU - Paulsen, Kate
AU - Mehta, Ambereen K.
N1 - Publisher Copyright:
© Copyright 2020, Mary Ann Liebert, Inc., publishers 2020.
PY - 2020/10
Y1 - 2020/10
N2 - Background: More medical residents and fellows outside of palliative care (PC) will need to be trained in primary PC (PPC) to meet an increasing patient need. Objective: To systematically review surveys of program leadership in postgraduate medical training programs and their respective PPC curricula. Methods: This review included all studies of program leadership surveyed about their PPC curricula in U.S. graduate medical education programs, published in English, and listed on MEDLINE, CINAHL, and EMBASE through January 2020. Results: Data were extracted from eight studies that met the selection criteria out of 221 reviewed texts. PC domains of communication, symptom management, and end-of-life care were taught in all medical specialties most commonly through didactics and PC rotations. Program leadership supported expanding PPC curriculum, with lack of time being the most common barrier. There were differences by specialty in which trainees were exposed to PPC education, with most programs not using a formal curriculum. Conclusions: Generally, there are positive attitudes about PPC education, but there remain significant numbers of trainees with no exposure, and heterogeneity in the content and delivery of PPC education across specialties. PPC Education in U.S. Residencies and Fellowships: A Systematic Review of Program Leadership Perspectives.
AB - Background: More medical residents and fellows outside of palliative care (PC) will need to be trained in primary PC (PPC) to meet an increasing patient need. Objective: To systematically review surveys of program leadership in postgraduate medical training programs and their respective PPC curricula. Methods: This review included all studies of program leadership surveyed about their PPC curricula in U.S. graduate medical education programs, published in English, and listed on MEDLINE, CINAHL, and EMBASE through January 2020. Results: Data were extracted from eight studies that met the selection criteria out of 221 reviewed texts. PC domains of communication, symptom management, and end-of-life care were taught in all medical specialties most commonly through didactics and PC rotations. Program leadership supported expanding PPC curriculum, with lack of time being the most common barrier. There were differences by specialty in which trainees were exposed to PPC education, with most programs not using a formal curriculum. Conclusions: Generally, there are positive attitudes about PPC education, but there remain significant numbers of trainees with no exposure, and heterogeneity in the content and delivery of PPC education across specialties. PPC Education in U.S. Residencies and Fellowships: A Systematic Review of Program Leadership Perspectives.
KW - curriculum development
KW - medical student and resident education
KW - palliative care
UR - http://www.scopus.com/inward/record.url?scp=85092682573&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85092682573&partnerID=8YFLogxK
U2 - 10.1089/jpm.2020.0331
DO - 10.1089/jpm.2020.0331
M3 - Review article
C2 - 32757977
AN - SCOPUS:85092682573
SN - 1096-6218
VL - 23
SP - 1392
EP - 1399
JO - Journal of palliative medicine
JF - Journal of palliative medicine
IS - 10
ER -