Journal of Cancer Education

, Volume 26, Issue 3, pp 436–443 | Cite as

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

  • Douglas D. Ross
  • Deborah W. Shpritz
  • Susan D. Wolfsthal
  • Ann B. Zimrin
  • Timothy J. Keay
  • Hong-Bin Fang
  • Carl A. Schuetz
  • Laura M. Stapleton
  • David E. Weissman


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.


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

Supplementary material

13187_2011_235_MOESM1_ESM.doc (27 kb)
Supplementary Table 1Qualitative evaluation of open-ended questions for evaluation of web-based palliative care training course—July 1, 2004 thru Dec 13, 2010. N = 318 respondents (DOC 27 kb)
13187_2011_235_MOESM2_ESM.xls (49 kb)
Supplementary Table 2Open-ended questions regarding web-based EOLC training course for medical residents. N = 318 respondents (XLS 49 kb)


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Copyright information

© Springer Science+Business Media, LLC (outside the USA) 2011

Authors and Affiliations

  • Douglas D. Ross
    • 1
    • 2
    • 3
    • 8
  • Deborah W. Shpritz
    • 1
  • Susan D. Wolfsthal
    • 2
  • Ann B. Zimrin
    • 1
    • 2
  • Timothy J. Keay
    • 1
    • 4
  • Hong-Bin Fang
    • 1
    • 5
  • Carl A. Schuetz
    • 1
  • Laura M. Stapleton
    • 6
  • David E. Weissman
    • 7
  1. 1.Marlene and Stewart Greenebaum Cancer CenterUniversity of Maryland School of MedicineBaltimoreUSA
  2. 2.Department of MedicineUniversity of Maryland School of MedicineBaltimoreUSA
  3. 3.The Baltimore VA Medical CenterBaltimoreUSA
  4. 4.Department of Family and Community MedicineUniversity of Maryland School of MedicineBaltimoreUSA
  5. 5.Department of Epidemiology and Public HealthUniversity of Maryland School of MedicineBaltimoreUSA
  6. 6.Department of PsychologyUniversity of Maryland Baltimore CountyBaltimoreUSA
  7. 7.Medical College of WisconsinMilwaukeeUSA
  8. 8.Greenebaum Cancer CenterUniversity of Maryland School of MedicineBaltimoreUSA

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