Introduction of a Pediatric Palliative Care Curriculum for Pediatric Residents

Schiffman, Joshua D.; Chamberlain, Lisa; Palmer, Laura; Contro, Nancy; Sourkes, Barbara M.; Sectish, Theodore C.

doi:10.1089/jpm.2007.0194

Cited by 60 publications

(63 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the 20 studies that evaluated improvement in knowledge around various palliative care topics, 11 used a written examination, 25,27,34,[38][39][40][41]43,44,48,49 8 asked about self-perceived changes in knowledge 24,29,31,33,35,37,42,47 and 1 used an objective chart review to examine prescribing behavior. 45 All but 2 of these 20 studies 29,44 administered surveys preintervention and postintervention.…”

Section: Knowledgementioning

confidence: 99%

A Systematic Review of Postgraduate Palliative Care Curricula

Shaw

Marshall

Howard

et al. 2010

Journal of Palliative Medicine

View full text Add to dashboard Cite

Background: Palliative care is part of comprehensive family practice; however, many physicians do not feel confident in the biomedical and psychosocial realms. Although improving residency training to address this is necessary, there is little consensus on the best education methods. Objective: To conduct a systematic review of postgraduate curricula in palliative care to incorporate the most effective components into a family medicine education program. Methods: Studies of palliative care curricula conducted in postgraduate medical training programs that contained an evaluative component and published since 1980 were systematically examined by investigator pairs using standard selection criteria and data collection forms. Discrepancies were resolved by consensus. The outcomes examined were communication skills, knowledge, attitudes, and comfort/confidence level. Results: 28 studies were included after reviewing 174 abstracts. Most studies (n ¼ 21) used survey pre-post design with no control group. Outcomes were grouped into communication skills, knowledge and attitudes and confidence. Workshops with simulated patients or role plays improved communication skills. Relatively brief strategies such as short workshops showed objective improvements in focused knowledge areas. Either clinical rotations or multi-faceted interventions were required to produce improvements more broadly in knowledge base. Only a few studies examined the sustainability of outcomes. Conclusions: An effective palliative care curriculum will need to use a multifaceted approach, incorporating a variety of intentional strategies to address the multiple competencies required. There is a need for more rigorous curricular evaluation.

show abstract

Section: Knowledgementioning

confidence: 99%

A Systematic Review of Postgraduate Palliative Care Curricula

Shaw

Marshall

Howard

et al. 2010

Journal of Palliative Medicine

View full text Add to dashboard Cite

show abstract

“…Pilot studies in pediatrics, using 6 hours of EOL topic discussion, 11 and in adult medicine, with resident exposure to hospice care, 12 showed improvement in residents' knowledge, confidence, and skills, and favorable ratings from participants.…”

Section: Introductionmentioning

confidence: 98%

A Curriculum to Improve Residents' End-of-Life Communication and Pain Management Skills During Pediatrics Intensive Care Rotation: Pilot Study

Asuncion¹,

Cagande²,

Schlagle³

et al. 2013

Journal of Graduate Medical Education

View full text Add to dashboard Cite

Background Research suggests pediatrics practitioners lack confidence and skills in the end-of-life (EOL) care. Objective This pilot study explored the impact of a curriculum designed to prepare future pediatricians to manage pain and provide comfort for children and infants with life-threatening conditions and to be more confident and competent in their EOL discussions with families. Methods Participants included 8 postgraduate year (PGY)-2 residents in the study group and 9 PGY-3 residents in a control group. The EOL curriculum included 4, 1-hour sessions consisting of didactic lectures, videos, and small-group, interactive discussions. Topics included discussing EOL with families, withdrawal of care, and pain assessment and management. Curriculum evaluation used an objective structured clinical examination (OSCE), self-assessment confidence and competency questionnaire, and a follow-up survey 18 months after the intervention. Results The OSCE showed no statistically significant differences between PGY-2 versus PGY-3 residents in discussing EOL issues with family (mean = 48.3 [PGY-2] versus 41.0 [PGY-3]), managing withdrawal of care (mean = 20.9 [PGY-2] versus 18.91 [PGY-3]), and managing adolescent pain (mean = 30.97 [PGY-2] versus 29.27 [PGY-3]). The self-assessment confidence and competency scores improved significantly after the intervention for both PGY-2 residents (0.62 versus 0.86, P < .01) and PGY-3 residents (0.61 versus 0.85, P < .01). Conclusions An EOL curriculum for PGY-2 pediatrics residents delivered during the intensive care unit rotation is feasible and may be effective. Residents reported the curriculum was useful in their practice.

show abstract

“…[3][4][5][6][7] Additionally, there have been efforts to measure the impact of the IPPC curriculum 8 and the increased focus on the voices and perspectives of parents of seriously ill children.…”

mentioning

confidence: 99%

“…8 However, no research focuses on the experience of bereaved parents as educators of health care professionals, and efforts to examine health care professionals' perspectives concerning the participation of bereaved parents in palliative care education have been limited. [3][4][5][6][7] The question of negative impact or harm for bereaved parents in research was examined by Hynson and colleagues, and findings suggested that a careful and thoughtful approach can acceptably minimize possible harm and the research experience can even be experienced as a positive one for some parents. 9 The purpose of this qualitative research was to study motivations, expectations, challenges, benefits, and meaningmaking for bereaved parents involved in pediatric palliative care education of health care professionals and to learn about the challenges and possible benefits for the health care professionals.…”

mentioning

confidence: 99%

Bereaved Caregivers as Educators in Pediatric Palliative Care: Their Experiences and Impact

Adams

Green

Towe

et al. 2013

Journal of Palliative Medicine

View full text Add to dashboard Cite

Background: With the continuing growth of pediatric palliative care, there is an increasing need to develop effective training for health care professionals. Bereaved parents have participated in the training of health care professionals utilizing curriculum from the Initiative for Pediatric Palliative Care (IPPC), but the experience of bereaved parents as educators has not been studied. Objectives: This qualitative research examined the experience of bereaved parents involved in pediatric palliative care education of health care professionals and the challenges and possible benefits for the health care professionals. Methods: Nine bereaved parents and eleven health care professionals were interviewed about their experiences in a pediatric palliative care education program utilizing the IPPC curriculum. The interviews were recorded, transcribed, coded and analyzed for themes and subthemes. Results: Major themes found were a sense of purpose for the parents and benefits and challenges for both parents and professionals. The experience for parents contributed to their meaning-making for both their children's lives and deaths. Parents and professionals identified mutual learning and increased mutual understanding. Some professionals noted that the presence of parents may have limited the openness of discussion of the professionals and parents acknowledged challenges of emotional management in their participation in the educational program. Both parents and professionals recognized and described challenges involved in working sensitively with patients and families without being overwhelmed by the intensity of situations where children die. Conclusion: More benefits than burdens were experienced by both parents and health care professionals from the participation of bereaved parents in the palliative care trainings.

show abstract

Introduction of a Pediatric Palliative Care Curriculum for Pediatric Residents

Cited by 60 publications

References 26 publications

A Systematic Review of Postgraduate Palliative Care Curricula

A Systematic Review of Postgraduate Palliative Care Curricula

A Curriculum to Improve Residents' End-of-Life Communication and Pain Management Skills During Pediatrics Intensive Care Rotation: Pilot Study

Bereaved Caregivers as Educators in Pediatric Palliative Care: Their Experiences and Impact

Contact Info

Product

Resources

About