Palliative care education integrated into a geriatrics rotation for resident physicians

Journal of Palliative Medicine

Volumn 7, Issue 5, 2004, Pages 652-659

  Montagnini, Marcos ^a   Varkey, Basil ^a   Duthie Jr , Edmund ^a  

^a CLEMENT J ZABLOCKI VETERANS AFFAIRS MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANALGESIC AGENT; OPIATE;

AGED; ANOREXIA; ANXIETY; ARTICLE; CLINICAL EDUCATION; CONSTIPATION; COUGHING; CURRICULUM; DELIRIUM; DEPRESSION; DYING; DYSPNEA; EDUCATION PROGRAM; GERIATRIC CARE; GERIATRIC PATIENT; HUMAN; INTESTINE OBSTRUCTION; MEDICAL EDUCATION; NAUSEA; PAIN; PALLIATIVE THERAPY; PATIENT CARE; PHYSICIAN; PROGNOSIS; RATING SCALE; RESIDENCY EDUCATION; RESIDENT; TERMINAL CARE; TRAINING; VOMITING;

CLINICAL COMPETENCE; CURRICULUM; GERIATRICS; HOSPITALS, VETERANS; HUMANS; INTERNSHIP AND RESIDENCY; PALLIATIVE CARE; SCHOOLS, MEDICAL; WISCONSIN;

EID: 8544224317     PISSN: 10966218     EISSN: None     Source Type: Journal    
DOI: 10.1089/jpm.2004.7.652     Document Type: Article

References (44)

1. The SUPPORT Principal Investigators: A controlled trial to improve care for seriously ill hospitalized patients. JAMA 1995;274:1591-1598.
2. Mermann A, Gunn D, Dickinson G: Learning to care for the dying: A survey of medical schools and a model course. Acad Med 1991;66:35-38.
3. Barzansky B, Veloski JJ, Miller R, Jonas HS: Education in End-of-life care during Medical School and Residency Training. Acad Med 1999;74(10 Suppl): S102-S104.
4. Block SD, Sullivan AM: Attitudes about end-of-life care: A national cross-sectional study. J Palliat Med 1998;1:347-355.
5. Dickinson GE, Mermann AC: Death education in U.S. medical schools. 1975-1995. Acad Med 1996;71:1348-1349.
6. Billings JA, Block S: Palliative care in undergraduate medical education. JAMA 1997;278:733-743.
7. Foley KM: Competent care for the dying instead of physician assisted suicide. N Engl J Med 1997;336: 54-58.
8. Field MJ, Cassel CK, eds: Approaching Death: Improving Care at the End of Life. Institute of Medicine Committee on Care at the End of Life. Washington, D.C.: National Academy Press, 1997.
9. Tulsky JA, Chesney MA, Lo B: How do medical residents discuss resuscitation with patients? J Gen Intern Med 1995;10:436-442.
10. Tulsky JA, Chesney MA, Lo B: See one, do one, teach one? Housestaff experience discussing do-no-resuscitate orders. Arch Intern Med 1996;156:1285-1289.
11. Sloan PA, Donnelly MD, Schwartz RW, Sloan DA: Residents management of the symptoms associated with terminal cancer. Hosp J 1997;12:5-15.
12. American Board of Internal Medicine: Caring for the Dying: Identification and Promotion of Physician Competency: Personal Narratives. Philadelphia, PA: American Board of Internal Medicine, 1996.
13. Liaison Committee on Medical Education, 2003: Functions and Structure of a Medical School. 〈www.lcme. org/standard.htm〉 (Last accessed August 1, 2003).
14. ACGME General Competencies: 〈www.acgme.org/outcomes〉. (Last accessed July 16, 2003).
15. Schonwetter RS, Robinson BE: Educational objectives of medical training in the care of the terminally ill. Acad Med 1994;69:688-690.
16. Simpson DE: National consensus conference on medical education for care near the end-of-life: Executive Summary. J Palliat Med 2000;3:87-91.
17. Steel K, Ribbe M, Ahronheim J, Hedrick H, Selwyn PA, Forman W, Keay T: Incorporating education on palliative care into the long-term care setting. J Am Geriatr Soc 1999;47:904-907.
18. Weissman DE, Block SD, Blank L, Cain J, Cassem N, Danoff D, Foley K, Meier D, Schyve P, Theige D, Wheeler B: Recommendations for incorporating palliative care education into the acute care hospital setting. Acad Med 1999;74:871-877.
19. Block SD, Bernier GM, Crawley LM, Farber S, Kuhl D, Nelson W, O'Donnell J, Sandy L, Ury W: Incorporating palliative care into primary care education. J Gen Intern Med 1998;13:768-773.
20. Danis M, Federman D, Fins JJ, Fox E, Kastenbaum B, Lanken P, Long K, Lowenstein E, Lynn J, Rouse F, Tulsky J: Incorporating Palliative Care into Critical Care Education: Principles, Challenges, and Opportunites. Crit Care Med 1999;27:2005-2013.
21. Nelson W, Angoff N, Binder E, Cooke M, Fleetwood J, Goodlin S, Goodman K, Kaplan KO, McCormick T, Meyer ML, Sheehan M, Townsend T, Williams P, Winslade W: Goals and strategies for teaching death and dying in medical schools. J Palliat Med 2000;3: 7-16.
22. Weissman DE, Abrahm J, Back AL, Billings JA, Boston PH, Elliott TE, Foley KM, Freer JP, Greenberg BR, Griffie J, Janjan NA, Jubelirer S, Kaye J, Nelson-Marten PR, Nicholson BD, O'Donnell JF, Ogle KS, Rideout PM, Ross DD, Storey CP, vonGunten CF: Cancer pain education: Objectives for medical students & residents in primary care specialties. J Cancer Educ 1996;10:1-7.
23. American Academy of Family Physicians: Recommended core educational guidelines for family residents: End of life care. AAFP Reprint 269;March 2000.
24. Schonwetter RS (ed): Hospice and Palliative Medicine: Core Curriculum and Review Syllabus: American Academy of Hospice and Palliative Medicine. Dubuque: Kendall/Hunt 1999.
25. Emanuel LL, von Gunten CF, Ferris FD (eds). The EPEC Curriculum: Education for Physicians on End-of-Life Care. 〈www.EPEC.net〉. The EPEC Project 1999.
26. Office of Academic Affiliations. Veterans Health Administration. 〈www.va.gov/oaa〉. (Last accessed December 15, 2003).
27. VA Faculty Leaders Project for Improved Care at the End of Life: Compendium of Abstracts and Curricula. Washington, D.C.: Office of Academic Affiliations, 2000.
28. Doyle D, Hanks G, MacDonald N: Introduction. In: Doyle D, Hanks G, MacDonald N, eds. The Oxford Textbook of Palliative Medicine, 2nd ed. Oxford: Oxford University Press, 1998:3-8.
29. Weissman DE, Abraham JL: Education and training in palliative care. In: Berger AM, Portenoy RK, Weissman DE, eds. Principles and Practice of Palliative Care and Supportive Oncology, 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2002:820-830.
30. Bragg D, Treat R, Simpson DE: Have clinical teaching effectiveness ratings changed with the medical college of Wisconsin's entry into the health care marketplace? Acad Med 2000;75:59S-61S.
31. Weissman DE: A faculty development course in end-of-life care. J Palliat Med 1998;1:35-44.
32. Weissman DE, Ambuel B, Norton AJ, Wang-Cheng R, Schiedermayer D: A survey of competencies and concerns in end-of-life care for physician trainees. J Pain Symptom Manage 1998;15:82-90.
33. Medical College of Wisconsin. Palliative Care Program. MCW Internal Medicine Residency Education. Available at: 〈www.mcw.edu/pallmed/about1. htm#MCWIM〉. (Last accessed on June 30, 2003).
34. Levinson W, Gordon G, Sheff K: Retrospective versus actual pre-course self- assessments. Eval Health Prof 1990;13:445-453.
35. Weissman DE, Block SD: ACGME Requirements for end-of-life training in selected residency and fellowship programs: A status report. Acad Med 2002;77: 299-304.
36. Block S, Billings A: Nurturing humanism through teaching palliative care. Acad Med 1998;73:763-765.
37. Sulmasy DP, Terry PB, Faden RR, Levine DM: Long-term effects of ethics education on the quality of care for patients who have DNR orders. J Gen Intern Med 1994;9:622-626.
38. Sulmasy DP, Geller G, Levine DM, Faden RR: A randomized trial of ethics education for medical house officers. J Med Ethics 1993;19:157-163.
39. Von Gunten CF, Weitzman Von Roenn JH: House-staff training in cancer pain education. J Cancer Educ 1994;9:230-234.
40. Hanson LC, Tulsky JA, Danis M: Can clinical interventions change care at the end of life? Ann Intern Med 1997;126:381-388.
41. Howard GS, Schmeck RR, Bray JH: Internal validity in studies employing self-report instruments: A suggested remedy. J Educ Meas 1979;16;129-135.
42. Hoogstraten J: Influence of objective measures on self-reports in a retrospective pretest-posttest design. J Exp Educ 1985;53:207-210.
43. Skeff KM, Stratos GA, Bergen MR: Evaluation of a medical faculty developmentprogram. A comparison of traditional pre/post and retrospective pre/post self-assessment ratings. Eval Health Prof 1992;15:350-366.
44. Kreulen GJ, Stommel M, Gutek BA, Burns LR, Braden CJ: Utility of retrospective pretest ratings of patient satisfaction with health status. Res Nurs Health 2002;23:233-241.