Article

Journal of Cancer Education

, Volume 26, Issue 3, pp 436-443

First online:

Creative Solution for Implementation of Experiential, Competency-Based Palliative Care Training for Internal Medicine Residents

  • Douglas D. RossAffiliated withMarlene and Stewart Greenebaum Cancer Center, University of Maryland School of MedicineDepartment of Medicine, University of Maryland School of MedicineThe Baltimore VA Medical CenterGreenebaum Cancer Center, University of Maryland School of Medicine Email author 
  • , Deborah W. ShpritzAffiliated withMarlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine
  • , Susan D. WolfsthalAffiliated withDepartment of Medicine, University of Maryland School of Medicine
  • , Ann B. ZimrinAffiliated withMarlene and Stewart Greenebaum Cancer Center, University of Maryland School of MedicineDepartment of Medicine, University of Maryland School of Medicine
  • , Timothy J. KeayAffiliated withMarlene and Stewart Greenebaum Cancer Center, University of Maryland School of MedicineDepartment of Family and Community Medicine, University of Maryland School of Medicine
  • , Hong-Bin FangAffiliated withMarlene and Stewart Greenebaum Cancer Center, University of Maryland School of MedicineDepartment of Epidemiology and Public Health, University of Maryland School of Medicine
  • , Carl A. SchuetzAffiliated withMarlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine
  • , Laura M. StapletonAffiliated withDepartment of Psychology, University of Maryland Baltimore County
  • , David E. WeissmanAffiliated withMedical College of Wisconsin

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Abstract

To graduate internal medicine residents with basic competency in palliative care, we employ a two-pronged strategy targeted at both residents and attending physicians as learners. The first prong provides a knowledge foundation using web-based learning programs designed specifically for residents and clinical faculty members. The second prong is assessment of resident competency in key palliative care domains by faculty members using direct observation during clinical rotations. The faculty training program contains Competency Assessment Tools addressing 19 topics distributed amongst four broad palliative care domains designed to assist faculty members in making the clinical competency assessments. Residents are required to complete their web-based training by the end of their internship year; they must demonstrate competency in one skill from each of the four broad palliative care domains prior to graduation. Resident and faculty evaluation of the training programs is favorable. Outcome-based measures are planned to evaluate long-term program effectiveness.

Keywords

Internal medicine residents Palliative care Faculty members Competency Assessment Tools Faculty training program