Palliative Care Training for Psychiatry Residents: Development of a Pilot Curriculum

Sexton, Jennifer M.; Zeris, Stamatis; Davies, Pamela Stitzlein; Loggers, Elizabeth T.; Fann, Jesse R.

doi:10.1007/s40596-014-0244-2

Cited by 9 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A mandatory SPC rotation is not yet firmly anchored in the regulations of all specialty board certification; however, there is an increasing demand for this requirement-not only within an internal medicine residency-and a 6-month rotation in a palliative care unit as part of all specialized residencies should be discussed. 1,8,9,24 The analysis of our study clearly revealed a positive effect of a 6-to 12-month rotation. Physicians who rotated in SPC units showed a higher palliative knowledge compared to BCSs who had no SPC experience.…”

Section: Discussionsupporting

confidence: 53%

See 1 more Smart Citation

Knowledge and Self-Efficacy Assessment of Residents and Fellows Following Palliative Care Unit Rotation: A Pilot Study

Burmann

Neukirchen

Ostgathe

et al. 2019

Am J Hosp Palliat Care

View full text Add to dashboard Cite

Background: In Germany, some units of specialized palliative care (SPC) offer a 6-to 12-month rotation for resident physicians (RPs) and fellows from different specialties. Objective: This pilot study aimed to evaluate feasibility of assessing palliative care knowledge (PCK) and palliative care self-efficacy (PCSE) using a paper-based questionnaire. Methods: Palliative care knowledge and PCSE were assessed by introducing a score, followed by a descriptive analysis (determination of frequency, mean, median, and range) using nonparametric tests (w 2 test, Mann-Whitney U test). Results: We assessed 17 RPs following SPC rotation and 16 board-certified specialists (BCSs) who had no experience in SPC from 3 German comprehensive cancer centers. Resident physicians were predominantly enrolled in residency programs of hematology and oncology (n ¼ 6), anesthesiology (n ¼ 6), and psychosomatic medicine (n ¼ 3). Resident physicians rotated between year 1 and 8 of residency. Fifteen RPs (88%) had elected this rotation and 72% preferred 12-month duration. The total PCK score of PCK was 27 (RPs) and 24 (BCSs; P ¼ .002). Mean PCSE scores were 46 (RPs) and 39 (BCSs; P ¼ .016). Of 71% of RPs, only 27% of BCSs knew how support of hospice service was initiated (P ¼ .004). Participants rated the items as comprehensible (n ¼ 24; 73%), relevant (n ¼ 25; 76%) and the questionnaire as adequately long (n ¼ 23; 70%). Conclusion: An improved PCK and PCSE were observed in physicians who rotated through an SPC unit; this resulted in an increased tangibility of local palliative care and hospice services. The questionnaire was comprehensible, relevant in terms of content, and adequate in length for a prospective multicenter survey.

show abstract

Section: Discussionsupporting

confidence: 53%

“…A mandatory SPC rotation is not yet firmly anchored in the regulations of all specialty board certification; however, there is an increasing demand for this requirement—not only within an internal medicine residency—and a 6-month rotation in a palliative care unit as part of all specialized residencies should be discussed. 1,8,9,24…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Self-Efficacy Assessment of Residents and Fellows Following Palliative Care Unit Rotation: A Pilot Study

Burmann

Neukirchen

Ostgathe

et al. 2019

Am J Hosp Palliat Care

View full text Add to dashboard Cite

show abstract

“… 11 , 23 While evidence informing effectiveness of specific training strategies is scant in this setting, the postulated strategies reinforced by the literature include: informal education through integrative MDT meetings, clinics and ward rounds; and building formal integrative training opportunities such as joint educational seminars, clinical placement of trainees in the other specialty, and mandatory teaching in college training curricula. 22 , 24 , 40 , 44 – 46 As postulated, training content may include skills for both disciplines to work collaboratively to deliver depression screening, assessment and management in low-burden manners, facilitating potentially effective psychotherapies as foundation (eg, dignity and meaning-centered therapies), complemented by rapid-onset pharmacological agents (eg, methylphenidate, and esketamine) as required. 16 , 22 – 24 , 35 , 37 – 41 , 47 – 50 …”

Section: Discussionmentioning

confidence: 99%

A Focus Group Study of Palliative Physician and Consultation-Liaison Psychiatrist Perceptions of Dealing with Depression in the Dying

et al. 2022

View full text Add to dashboard Cite

Objective: To ascertain palliative physicians’ and consultation-liaison psychiatrists’ perceptions of depression care processes in patients with very poor prognoses, exploring key challenges and postulating solutions. Methods: A qualitative focus group study involving three 1-h online focus groups (2 palliative medicine and 1 psychiatry) were conducted between November-December 2020. Fellows and trainees were recruited from Australian and New Zealand Society of Palliative Medicine (n = 11) and Royal Australian and New Zealand College of Psychiatrists (n = 4). Data underwent conventional qualitative content analysis. Results: Participants perceived depression care to be complex and challenging. Perceived barriers included: inadequate palliative care psychiatry skills with variation in clinical approaches; lack of supportive health infrastructure (poor access to required interventions and suboptimal linkage between palliative care and psychiatry); lack of research support; and societal stigma. Suggested solutions included integrating care processes between palliative care and psychiatry to improve clinician training, establish supportive health systems and promote innovative research designs. Conclusions: Developing clinician training, supportive health systems and innovative research strategies centering on integrating palliative care and psychiatry care processes may be integral to optimising depression care when providing care to people with very poor prognoses.

show abstract

“…As such, didactic curricula are constantly changing to reflect modern practice. Programs have long been recognized for adapting their didactic curriculum and implementing new topics to better prepare trainees for careers after graduation [ 21 - 24 ]. Didactic sessions thus provide a means to address the gap in education on digital psychiatry.…”

Section: Introductionmentioning

confidence: 99%

A Curriculum on Digital Psychiatry for a US-Based Psychiatry Residency Training Program: Pilot Implementation Study

Noori,

Khasnavis,

DeCroce-Movson

et al. 2024

JMIR Form Res

View full text Add to dashboard Cite

Background Digital psychiatry, defined as the application of health technologies to the prevention, assessment, and treatment of mental health illnesses, is a growing field. Interest in the clinical use of these technologies continues to grow. However, psychiatric trainees receive limited or no formal education on the topic. Objective This study aims to pilot a curriculum on digital psychiatry for a US-based psychiatry residency training program and examine the change in learner confidence regarding appraisal and clinical recommendation of digital mental health apps. Methods Two 60-minute sessions were presented through a web-based platform to postgraduate year 2-4 residents training in psychiatry at a US-based adult psychiatry residency program. Learner confidence was assessed using pre- and postsession surveys. Results Matched pre- and postsession quizzes showed improved confidence in multiple domains aligning with the course objectives. This included the structured appraisal of digital mental health apps (P=.03), assessment of a patient’s digital health literacy (P=.01), formal recommendation of digital health tools (P=.03), and prescription of digital therapeutics to patients (P=.03). Though an improvement from baseline, mean ratings for confidence did not exceed “somewhat comfortable” on any of the above measures. Conclusions Our study shows the feasibility of implementing a digital psychiatry curriculum for residents in multiple levels of training. We also identified an opportunity to increase learner confidence in the appraisal and clinical use of digital mental health apps through the use of a formal curriculum.

show abstract

Palliative Care Training for Psychiatry Residents: Development of a Pilot Curriculum

Cited by 9 publications

References 6 publications

Knowledge and Self-Efficacy Assessment of Residents and Fellows Following Palliative Care Unit Rotation: A Pilot Study

Knowledge and Self-Efficacy Assessment of Residents and Fellows Following Palliative Care Unit Rotation: A Pilot Study

A Focus Group Study of Palliative Physician and Consultation-Liaison Psychiatrist Perceptions of Dealing with Depression in the Dying

A Curriculum on Digital Psychiatry for a US-Based Psychiatry Residency Training Program: Pilot Implementation Study

Contact Info

Product

Resources

About