Defining Key Elements of a Clinical Experience in Hospice and Palliative Medicine for Medical Residents in the United States
Training in hospice and palliative medicine (HPM) is essential for practicing internists, who routinely care for patients and families facing serious illness. Program directors and medical residents acknowledge the importance of palliative medicine skills, and trainees themselves desire more such tr...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-01-01
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| Series: | Journal of Medical Education and Curricular Development |
| Online Access: | https://doi.org/10.1177/23821205241228027 |
| _version_ | 1797347605366177792 |
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| author | Carolyn E Kezar Andrew J Lawton |
| author_facet | Carolyn E Kezar Andrew J Lawton |
| author_sort | Carolyn E Kezar |
| collection | DOAJ |
| description | Training in hospice and palliative medicine (HPM) is essential for practicing internists, who routinely care for patients and families facing serious illness. Program directors and medical residents acknowledge the importance of palliative medicine skills, and trainees themselves desire more such training. The ACGME has also recognized the importance of HPM training for medical residents, establishing in its 2022 Common Program Requirements for Internal Medicine a new expectation that all residents have a clinical experience in HPM. However, internal medicine residencies vary significantly in their approach to teaching HPM skills, and what constitutes a useful clinical experience in HPM has not been well-described. In this perspective, we draw from the available literature and our experience as educators to propose 5 core elements for creating an optimal HPM experience for medical residents. These include practice with symptom management and communication in serious illness, exposure to interdisciplinary care, appreciation of the continuum of care settings for HPM delivery, and an understanding of the key principles of hospice care. We then describe the relevance of each element and offer educational strategies regarding how each can be achieved. |
| first_indexed | 2024-03-08T11:51:13Z |
| format | Article |
| id | doaj.art-3f7a8b68ab034ff1ae8192febd7f8e28 |
| institution | Directory Open Access Journal |
| issn | 2382-1205 |
| language | English |
| last_indexed | 2024-03-08T11:51:13Z |
| publishDate | 2024-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Medical Education and Curricular Development |
| spelling | doaj.art-3f7a8b68ab034ff1ae8192febd7f8e282024-01-24T10:03:44ZengSAGE PublishingJournal of Medical Education and Curricular Development2382-12052024-01-011110.1177/23821205241228027Defining Key Elements of a Clinical Experience in Hospice and Palliative Medicine for Medical Residents in the United StatesCarolyn E Kezar0Andrew J Lawton1 Department of Medicine, , Birmingham, Alabama, USA Department of Medicine, Brigham and Women's Hospital/ and Harvard Medical School, Boston, Massachusetts, USATraining in hospice and palliative medicine (HPM) is essential for practicing internists, who routinely care for patients and families facing serious illness. Program directors and medical residents acknowledge the importance of palliative medicine skills, and trainees themselves desire more such training. The ACGME has also recognized the importance of HPM training for medical residents, establishing in its 2022 Common Program Requirements for Internal Medicine a new expectation that all residents have a clinical experience in HPM. However, internal medicine residencies vary significantly in their approach to teaching HPM skills, and what constitutes a useful clinical experience in HPM has not been well-described. In this perspective, we draw from the available literature and our experience as educators to propose 5 core elements for creating an optimal HPM experience for medical residents. These include practice with symptom management and communication in serious illness, exposure to interdisciplinary care, appreciation of the continuum of care settings for HPM delivery, and an understanding of the key principles of hospice care. We then describe the relevance of each element and offer educational strategies regarding how each can be achieved.https://doi.org/10.1177/23821205241228027 |
| spellingShingle | Carolyn E Kezar Andrew J Lawton Defining Key Elements of a Clinical Experience in Hospice and Palliative Medicine for Medical Residents in the United States Journal of Medical Education and Curricular Development |
| title | Defining Key Elements of a Clinical Experience
in Hospice and Palliative Medicine
for Medical Residents in the United States |
| title_full | Defining Key Elements of a Clinical Experience
in Hospice and Palliative Medicine
for Medical Residents in the United States |
| title_fullStr | Defining Key Elements of a Clinical Experience
in Hospice and Palliative Medicine
for Medical Residents in the United States |
| title_full_unstemmed | Defining Key Elements of a Clinical Experience
in Hospice and Palliative Medicine
for Medical Residents in the United States |
| title_short | Defining Key Elements of a Clinical Experience
in Hospice and Palliative Medicine
for Medical Residents in the United States |
| title_sort | defining key elements of a clinical experience in hospice and palliative medicine for medical residents in the united states |
| url | https://doi.org/10.1177/23821205241228027 |
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