Raising the bar for the care of seriously ill patients: results of a national survey to define essential palliative care competencies for medical students and residents.
Acad Med
; 89(7): 1024-31, 2014 Jul.
Article
em En
| MEDLINE
| ID: mdl-24979171
ABSTRACT
PURPOSE:
Given the shortage of palliative care specialists in the United States, to ensure quality of care for patients with serious, life-threatening illness, generalist-level palliative care competencies need to be defined and taught. The purpose of this study was to define essential competencies for medical students and internal medicine and family medicine (IM/FM) residents through a national survey of palliative care experts.METHOD:
Proposed competencies were derived from existing hospice and palliative medicine fellowship competencies and revised to be developmentally appropriate for students and residents. In spring 2012, the authors administered a Web-based, national cross-sectional survey of palliative care educational experts to assess ratings and rankings of proposed competencies and competency domains.RESULTS:
The authors identified 18 comprehensive palliative care competencies for medical students and IM/FM residents, respectively. Over 95% of survey respondents judged the competencies as comprehensive and developmentally appropriate (survey response rate = 72%, 71/98). Using predefined cutoff criteria, experts identified 7 medical student and 13 IM/FM resident competencies as essential. Communication and pain/symptom management were rated as the most critical domains.CONCLUSIONS:
This national survey of palliative care experts defines comprehensive and essential palliative care competencies for medical students and IM/FM residents that are specific, measurable, and can be used to report educational outcomes; provide a sequence for palliative care curricula in undergraduate and graduate medical education; and highlight the importance of educating medical trainees in communication and pain management. Next steps include seeking input and endorsement from stakeholders in the broader medical education community.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Cuidados Paliativos
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Competência Clínica
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Educação de Graduação em Medicina
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Medicina de Família e Comunidade
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Medicina Interna
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Internato e Residência
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article