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Clinical Experience Is Not a Proxy for Competence: Comparing Fellow and Medical Student Performance in a Breaking Bad News Simulation-Based Mastery Learning Curriculum
CONCLUSIONS: Despite higher confidence and BBN clinical experience, fellows performed worse than untrained M4s, confirming that experience is not a proxy for skill. Programs must develop competency-based assessments to ensure entrustment of communication skills.PMID:35641315 | DOI:10.1177/10499091221106176
Source: The American Journal of Hospice and Palliative Care - May 31, 2022 Category: Palliative Care Authors: Melanie M Smith Katharine E Secunda Elaine R Cohen Diane B Wayne Julia H Vermylen Gordon J Wood Source Type: research

Medical Students' Reflections on Their Experiences in a Trauma Chaplain Shadowing Program
Am J Hosp Palliat Care. 2023 Jan 2:10499091221149192. doi: 10.1177/10499091221149192. Online ahead of print.ABSTRACTThe importance of spirituality in patient care is well recognized and efforts to develop educational opportunities to improve medical students' competency in spirituality and health are ongoing. In this regard, shadowing of healthcare chaplains has emerged as an experiential approach for providing exposure to and instruction in issues of spirituality in the patient experience and in patient care. Recently published data suggest that a 6-8 hour experience of shadowing a trauma chaplain is effective at introduc...
Source: The American Journal of Hospice and Palliative Care - January 2, 2023 Category: Palliative Care Authors: Seiji Suda Laura Burkbauer Betty White James Browning Horace M DeLisser Source Type: research

Evaluation of a Radiation Oncology Microclerkship as a Component of Medical Student Education
This study demonstrated the feasibility of incorporating a 1-day RO microclerkship into other related elective clerkships. Students viewed the experience favorably and found it valuable in their education.
Source: Journal of Cancer Education - July 19, 2023 Category: Cancer & Oncology Source Type: research

P079 The Use of Hospice Experiences to Improve Palliative Care Skills in Undergraduate Medical Students: Results of a Systematic Review of the Evidence-Based Teaching Literature
The primary goal of this study is to assess the quality of evidence for the use of hospice based experiences in undergraduate medical education and their effect on palliative care skill and/or knowledge. The secondary goal of this study is to provide a collection of evidence-based teaching methods for those involved in the curricular development of undergraduate medical education.
Source: Journal of Pain and Symptom Management - November 30, 2016 Category: Palliative Care Authors: Jeremy Weleff, Russell Leong, Dhairya Kiri Source Type: research

Palliative Care Exposure in Internal Medicine Residency Education.
In this study, we surveyed 338 Accreditation Council for Graduate Medical Education-accredited internal medicine program directors. We queried how palliative care was integrated into their training programs. The vast majority of respondents felt that palliative care training was "very important" (87.5%) and 75.9% of respondents offered some kind of palliative care rotation, often with a multidisciplinary approach. Moving forward, we are hopeful that the data provided from our survey will act as a launching point for more formal investigations into palliative care education for internal medicine residents. Concurrently, pol...
Source: The American Journal of Hospice and Palliative Care - December 31, 2016 Category: Palliative Care Authors: Edwards A, Nam S Tags: Am J Hosp Palliat Care Source Type: research

Student Exposure to Cancer Patients: an Analysis of Clinical Logbooks and Focus Groups in Clinical Year Medical Students
AbstractDespite cancer being the leading cause of mortality, cancer education and patient exposure are lacking in many medical schools. The aim of this study was to evaluate the nature of cancer patient exposure, relative to the clinical setting for medical students on placement and to explore their experiences. Participants were asked to maintain a logbook of cancer patient encounters and were invited to attend a structured focus group upon completion of the academic year. Eleven students submitted logbooks (rr  = 6.15%) and eight participated in the focus groups (4.47%). A total of 247 cancer patient encounters were ...
Source: Journal of Cancer Education - April 16, 2019 Category: Cancer & Oncology Source Type: research

Surgical Palliative Care Education.
Abstract Surgical palliative care education is in increasing demand to meet the needs of a growing geriatric population. Multiple accrediting agencies for undergraduate and graduate medical education require that students be trained in end-of-life care. These requirements, however, have resulted in didactic curricula that are implemented in various degrees with uncertain levels of success. Reviews of physician communication on palliative care topics find that skilled feedback has the best evidence for generating improvements. Once graduated, there is little to no requirement that practicing providers seek out oppo...
Source: The Surgical Clinics of North America - August 27, 2019 Category: Surgery Authors: Ballou JH, Brasel KJ Tags: Surg Clin North Am Source Type: research

Integrating Primary Palliative Care into Early Neurology Resident Education (S735)
The Accreditation Council for Graduate Medical Education mandates that neurology programs incorporate pain and palliative care didactics into the curriculum. Recent published surveys of neurology residency programs suggested that about 20% of these programs offer no palliative care education, and that many programs were dissatisfied with the education available at their programs. We developed and implemented a primary palliative care workshop for neurology residents to address this gap.
Source: Journal of Pain and Symptom Management - January 25, 2020 Category: Palliative Care Authors: Juan Pagan-Ferrer, Andrea Swenson, Stephanie Gilbertson-White, Yuya Hagiwara Source Type: research

ESO-ESSO-ESTRO Multidisciplinary Course in Oncology for Medical Students: 4 Years of Experience (2016 –2019)
AbstractThe ESO-ESSO-ESTRO Multidisciplinary Course in Oncology is intended to fill the gap of the undergraduate fragmented oncology education, to provide insight into all theoretical and practical aspects of oncology, and to encourage future professional choices towards an oncology discipline. Students are exposed to (a) preclinical cancer topics; (b) natural history of the disease; (c) laboratory diagnostic tests; (d) medical, radiation, surgical, and palliative treatment; and (e) direct or through multidisciplinary patients ’ approach. Students are obliged to attend (i) all theoretical lectures, (ii) clinical case pre...
Source: Journal of Cancer Education - January 2, 2021 Category: Cancer & Oncology Source Type: research

Simulation-based communication training does not improve quality of end-of-life care
Among internal medicine and nurse practitioner trainees, simulation-based communication skills training compared with usual education did not improve quality of communication about end-of-life care or quality of end-of-life care but was associated with a small increase in patients' symptoms of depression, according to a study appearing in the December 4 issue of JAMA, a medical education theme issue. "Observational studies have suggested that communication about end-of-life care is associated with decreased intensity of care, increased quality of life, and improved quality of dying.
Source: Health News from Medical News Today - December 3, 2013 Category: Consumer Health News Tags: Palliative Care / Hospice Care Source Type: news

Palliative Care Medical Education in European Universities: A Descriptive Study and Numerical Scoring System Proposal for Assessing Educational Development
The lack of palliative medicine (PM) education has been identified as a barrier to the development of the discipline. A number of international institutions have called for its implementation within undergraduate medical curricula.
Source: Journal of Pain and Symptom Management - May 26, 2015 Category: Palliative Care Authors: José Miguel Carrasco, Thomas J. Lynch, Eduardo Garralda, Kathrin Woitha, Frank Elsner, Marilène Filbet, John E. Ellershaw, David Clark, Carlos Centeno Source Type: research

Medical Student Knowledge of Oncology and Related Disciplines: a Targeted Needs Assessment
Abstract Despite increasing numbers of cancer survivors, non-oncology physicians report discomfort and little training regarding oncologic and survivorship care. This pilot study assesses medical student comfort with medical oncology, surgical oncology, radiation oncology, hospice/palliative medicine, and survivorship care. A survey was developed with input from specialists in various fields of oncologic care at a National Cancer Institute-designated comprehensive cancer center. The survey included respondent demographics, reports of experience with oncology, comfort ratings with oncologic care, and five clinical ...
Source: Journal of Cancer Education - July 7, 2015 Category: Cancer & Oncology Source Type: research

Knowledge and attitude of medical students in Germany towards palliative care : Does the final year of medical school make a difference?
CONCLUSION: In the present study, considerable deficits in confidence and knowledge regarding palliative care issues were also observed at the end of PY. Integration of palliative care into the medical school curriculums should be given special attention in terms of a longitudinal training of the PY. PMID: 26351127 [PubMed - as supplied by publisher]
Source: Schmerz - September 9, 2015 Category: Anesthesiology Authors: Weber M, Schmiedel S, Nauck F, Alt-Epping B Tags: Schmerz Source Type: research

Teaching Medical Students About "The Conversation".
CONCLUSION: A value-based ACP educational session using The Conversation Starter Kit successfully engaged medical students in learning about ACP conversations, both professionally and personally. This session may help students initiate conversations for themselves and their patients. PMID: 28273761 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - December 31, 2016 Category: Palliative Care Authors: Lum HD, Dukes J, Church S, Abbott J, Youngwerth JM Tags: Am J Hosp Palliat Care Source Type: research