Integrating Hospice and Palliative Medicine Education Within the American Board of Emergency Medicine Model
Background: Hospice and palliative medicine (HPM) is a board-certified subspecialty within emergency medicine (EM), but prior studies have shown that EM residents do not receive sufficient training in HPM. Experts in HPM-EM created a consensus list of competencies for HPM training in EM residency. W...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2024-03-01
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| Series: | Western Journal of Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/38433575 |
| _version_ | 1797215586527215616 |
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| author | Rebecca Goett Jason Lyou Lauren R. Willoughby Daniel W. Markwalter Diane L. Gorgas Lauren T. Southerland |
| author_facet | Rebecca Goett Jason Lyou Lauren R. Willoughby Daniel W. Markwalter Diane L. Gorgas Lauren T. Southerland |
| author_sort | Rebecca Goett |
| collection | DOAJ |
| description | Background: Hospice and palliative medicine (HPM) is a board-certified subspecialty within emergency medicine (EM), but prior studies have shown that EM residents do not receive sufficient training in HPM. Experts in HPM-EM created a consensus list of competencies for HPM training in EM residency. We evaluated how the HPM competencies integrate within the American Board of Emergency Medicine Milestones, which include the Model of the Clinical Practice of Emergency Medicine (EM Model) and the knowledge, skills, and abilities (KSA) list. Methods: Three emergency physicians independently mapped the HPM-EM competencies onto the 2019 EM Model items and the 2021 KSAs. Discrepancies were resolved by a fourth independent reviewer, and the final mapping was reviewed by all team members. Results: The EM Model included 78% (18/23) of the HPM competencies as a direct match, and we identified recommended areas for incorporating the other five. The KSAs included 43% (10/23). Most HPM competencies included in the KSAs mapped onto at least one level B (minimal necessary for competency) KSA. Three HPM competencies were not clearly included in the EM Model or in the KSAs (treating end-of-life symptoms, caring for the imminently dying, and caring for patients under hospice care). Conclusion: The majority of HPM-EM competencies are included in the current EM Model and KSAs and correspond to knowledge needed to be competent in EM. Programs relying on the EM Milestones to plan their curriculums may miss training in symptom management and care for patients at the end of life or who are on hospice. |
| first_indexed | 2024-04-24T11:32:25Z |
| format | Article |
| id | doaj.art-cad87f8600d94badbda34bb748b7fa44 |
| institution | Directory Open Access Journal |
| issn | 1936-900X 1936-9018 |
| language | English |
| last_indexed | 2024-04-24T11:32:25Z |
| publishDate | 2024-03-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Western Journal of Emergency Medicine |
| spelling | doaj.art-cad87f8600d94badbda34bb748b7fa442024-04-10T08:57:29ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182024-03-0125221322010.5811/westjem.1844818448Integrating Hospice and Palliative Medicine Education Within the American Board of Emergency Medicine ModelRebecca Goett0Jason Lyou1Lauren R. Willoughby2Daniel W. Markwalter3Diane L. Gorgas4Lauren T. Southerland5Rutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New JerseyThe Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OhioThe Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OhioUniversity of North Carolina School of Medicine, Department of Emergency Medicine, Chapel Hill, North CarolinaThe Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OhioThe Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OhioBackground: Hospice and palliative medicine (HPM) is a board-certified subspecialty within emergency medicine (EM), but prior studies have shown that EM residents do not receive sufficient training in HPM. Experts in HPM-EM created a consensus list of competencies for HPM training in EM residency. We evaluated how the HPM competencies integrate within the American Board of Emergency Medicine Milestones, which include the Model of the Clinical Practice of Emergency Medicine (EM Model) and the knowledge, skills, and abilities (KSA) list. Methods: Three emergency physicians independently mapped the HPM-EM competencies onto the 2019 EM Model items and the 2021 KSAs. Discrepancies were resolved by a fourth independent reviewer, and the final mapping was reviewed by all team members. Results: The EM Model included 78% (18/23) of the HPM competencies as a direct match, and we identified recommended areas for incorporating the other five. The KSAs included 43% (10/23). Most HPM competencies included in the KSAs mapped onto at least one level B (minimal necessary for competency) KSA. Three HPM competencies were not clearly included in the EM Model or in the KSAs (treating end-of-life symptoms, caring for the imminently dying, and caring for patients under hospice care). Conclusion: The majority of HPM-EM competencies are included in the current EM Model and KSAs and correspond to knowledge needed to be competent in EM. Programs relying on the EM Milestones to plan their curriculums may miss training in symptom management and care for patients at the end of life or who are on hospice.https://escholarship.org/uc/item/38433575 |
| spellingShingle | Rebecca Goett Jason Lyou Lauren R. Willoughby Daniel W. Markwalter Diane L. Gorgas Lauren T. Southerland Integrating Hospice and Palliative Medicine Education Within the American Board of Emergency Medicine Model Western Journal of Emergency Medicine |
| title | Integrating Hospice and Palliative Medicine Education Within the American Board of Emergency Medicine Model |
| title_full | Integrating Hospice and Palliative Medicine Education Within the American Board of Emergency Medicine Model |
| title_fullStr | Integrating Hospice and Palliative Medicine Education Within the American Board of Emergency Medicine Model |
| title_full_unstemmed | Integrating Hospice and Palliative Medicine Education Within the American Board of Emergency Medicine Model |
| title_short | Integrating Hospice and Palliative Medicine Education Within the American Board of Emergency Medicine Model |
| title_sort | integrating hospice and palliative medicine education within the american board of emergency medicine model |
| url | https://escholarship.org/uc/item/38433575 |
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