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10.1097/ACM.0000000000000271

http://scihub22266oqcxt.onion/10.1097/ACM.0000000000000271
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suck abstract from ncbi


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pmid24979171      Acad+Med 2014 ; 89 (7): 1024-31
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  • 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 #MMPMID24979171
  • Schaefer KG; Chittenden EH; Sullivan AM; Periyakoil VS; Morrison LJ; Carey EC; Sanchez-Reilly S; Block SD
  • Acad Med 2014[Jul]; 89 (7): 1024-31 PMID24979171show ga
  • 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.
  • |Clinical Competence/*standards[MESH]
  • |Curriculum/standards[MESH]
  • |Education, Medical, Undergraduate/*standards[MESH]
  • |Family Practice/*education[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Internal Medicine/*education[MESH]
  • |Internship and Residency/*standards[MESH]
  • |Male[MESH]


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