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Grief Training in Palliative Care Fellowships.
Barlow, Sara A; Price, Meghan; Jones, Christopher A; Pieper, Carl; Galanos, Anthony N.
Afiliação
  • Barlow SA; Duke University Hospital (S.A.B., C.A.J., C.P., A.N.G.), Durham, North Carolina, USA. Electronic address: sara.barlow@duke.edu.
  • Price M; Johns Hopkins Hospital (M.P.), 1800 Orleans St., Baltimore, MD, 21287, USA.
  • Jones CA; Duke University Hospital (S.A.B., C.A.J., C.P., A.N.G.), Durham, North Carolina, USA.
  • Pieper C; Duke University Hospital (S.A.B., C.A.J., C.P., A.N.G.), Durham, North Carolina, USA.
  • Galanos AN; Duke University Hospital (S.A.B., C.A.J., C.P., A.N.G.), Durham, North Carolina, USA.
J Pain Symptom Manage ; 67(4): e347-e354, 2024 Apr.
Article em En | MEDLINE | ID: mdl-38215895
ABSTRACT

INTRODUCTION:

No prior study has assessed grief and bereavement curriculum in Hospice and Palliative Medicine (HPM) fellowship programs in the United States.

METHODS:

A 14-item survey was created and distributed to Accreditation Council for Graduate Medical Education (ACGME)-accredited HPM fellowship Program Directors to assess program demographics, curriculum emphasis, grief and bereavement programming, and attitudes toward grief and bereavement training for HPM fellows.

RESULTS:

The overall survey response rate was 63%. Most palliative care programs were academic (74%) and had four or fewer fellows (85%). 90% devoted a minority (0%-10%) of their curriculum to grief and bereavement training. Most programs reported at least some program-led grief and bereavement programming (69%); however, 53% endorsed that fellows are not very or not at all involved in this programming. Almost half of programs only have a small amount of programming related to supporting families after loss (49%). The majority endorsed having a great deal of programming for debriefing or supporting fellows through professional grief (55%), and the most common modalities were debriefing sessions (62%) and ensuring access to mental health resources (41%). The most common ways of teaching grief and bereavement were through bedside/anecdotal teaching and lectures/case conferences. Most program directors felt that palliative care fellowships should provide grief and bereavement training (81%) and consider it important or very important for fellows to learn how to process grief and bereavement (92%).

DISCUSSION:

It was widely reported by program directors that grief and bereavement training are important curricular components for HPM fellows. Acknowledging professional grief remains an underrecognized need in palliative care training and practice. Our study suggests that for grief and bereavement curricula in HPM fellowships, the time dedicated, specific types, and amount of fellow involvement was highly variable. It will be critical for programs to disseminate best practices to help move toward a more uniform approach for ensuring basic competency in grief and bereavement training in HPM fellowship programs in the United States.
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Texto completo: 1 Temas: ECOS / Aspectos_gerais Bases de dados: MEDLINE Assunto principal: Cuidados Paliativos / Cuidados Paliativos na Terminalidade da Vida Tipo de estudo: Guideline Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: J Pain Symptom Manage Assunto da revista: NEUROLOGIA / PSICOFISIOLOGIA / TERAPEUTICA Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Temas: ECOS / Aspectos_gerais Bases de dados: MEDLINE Assunto principal: Cuidados Paliativos / Cuidados Paliativos na Terminalidade da Vida Tipo de estudo: Guideline Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: J Pain Symptom Manage Assunto da revista: NEUROLOGIA / PSICOFISIOLOGIA / TERAPEUTICA Ano de publicação: 2024 Tipo de documento: Article