Interactive Palliative and End-of-Life Care Modules for Pediatric Residents
Background. There is a need for increased palliative care training during pediatric residency. Objective. In this pilot study, we created a comprehensive experiential model to teach palliative care skills to pediatric residents. Our Comfort Care Modules (CCMs) address pediatric palliative care (PPC)...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2017/7568091 |
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| author | Mindy K. Ross Ami Doshi London Carrasca Patricia Pian JoAnne Auger Amira Baker James A. Proudfoot Mark S. Pian |
| author_facet | Mindy K. Ross Ami Doshi London Carrasca Patricia Pian JoAnne Auger Amira Baker James A. Proudfoot Mark S. Pian |
| author_sort | Mindy K. Ross |
| collection | DOAJ |
| description | Background. There is a need for increased palliative care training during pediatric residency. Objective. In this pilot study, we created a comprehensive experiential model to teach palliative care skills to pediatric residents. Our Comfort Care Modules (CCMs) address pediatric palliative care (PPC) topics of breaking bad news, dyspnea, anxiety, pain management, and the dying child. We also evaluated a scoring system and gathered qualitative data. Methods. The CCMs are part of the University of California San Diego pediatric residency’s second-year curriculum. Comparisons were made for statistical trends between residents exposed to the modules (n=15) and those not exposed (n=4). Results. Nineteen of 36 residents (52%) completed surveys to self-rate their preparedness, knowledge, and confidence about PPC before and after the intervention. Resident scores increased in all areas. All improvements reached statistical significance except confidence when breaking bad news. Overall, the resident feedback about the CCMs was positive. Conclusions. This study demonstrates that the CCMs can be performed effectively in an academic setting and can benefit residents’ self-perception of preparedness, confidence, and knowledge about pediatric palliative care. In the future, we plan to implement the modules on a larger scale. We encourage their use in interprofessional settings and across institutions. |
| format | Article |
| id | doaj-art-e96fef4b8ef04ced871be2b881189305 |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-e96fef4b8ef04ced871be2b8811893052025-02-03T01:22:22ZengWileyInternational Journal of Pediatrics1687-97401687-97592017-01-01201710.1155/2017/75680917568091Interactive Palliative and End-of-Life Care Modules for Pediatric ResidentsMindy K. Ross0Ami Doshi1London Carrasca2Patricia Pian3JoAnne Auger4Amira Baker5James A. Proudfoot6Mark S. Pian7Division of Pediatric Pulmonary and Sleep Medicine, University of California, Los Angeles (UCLA), Los Angeles, CA, USADivision of Hospitalist Medicine, UCSD, Rady Children’s Hospital, San Diego, CA, USARady Children’s Hospital, San Diego, CA, USARady Children’s Hospital, San Diego, CA, USARady Children’s Hospital, San Diego, CA, USADivision of Pediatric Infectious Disease, UCLA, Los Angeles, CA, USAUCSD Clinical and Translational Research Institute, San Diego, CA, USAPediatrics, UCSD School of Medicine, San Diego, CA, USABackground. There is a need for increased palliative care training during pediatric residency. Objective. In this pilot study, we created a comprehensive experiential model to teach palliative care skills to pediatric residents. Our Comfort Care Modules (CCMs) address pediatric palliative care (PPC) topics of breaking bad news, dyspnea, anxiety, pain management, and the dying child. We also evaluated a scoring system and gathered qualitative data. Methods. The CCMs are part of the University of California San Diego pediatric residency’s second-year curriculum. Comparisons were made for statistical trends between residents exposed to the modules (n=15) and those not exposed (n=4). Results. Nineteen of 36 residents (52%) completed surveys to self-rate their preparedness, knowledge, and confidence about PPC before and after the intervention. Resident scores increased in all areas. All improvements reached statistical significance except confidence when breaking bad news. Overall, the resident feedback about the CCMs was positive. Conclusions. This study demonstrates that the CCMs can be performed effectively in an academic setting and can benefit residents’ self-perception of preparedness, confidence, and knowledge about pediatric palliative care. In the future, we plan to implement the modules on a larger scale. We encourage their use in interprofessional settings and across institutions.http://dx.doi.org/10.1155/2017/7568091 |
| spellingShingle | Mindy K. Ross Ami Doshi London Carrasca Patricia Pian JoAnne Auger Amira Baker James A. Proudfoot Mark S. Pian Interactive Palliative and End-of-Life Care Modules for Pediatric Residents International Journal of Pediatrics |
| title | Interactive Palliative and End-of-Life Care Modules for Pediatric Residents |
| title_full | Interactive Palliative and End-of-Life Care Modules for Pediatric Residents |
| title_fullStr | Interactive Palliative and End-of-Life Care Modules for Pediatric Residents |
| title_full_unstemmed | Interactive Palliative and End-of-Life Care Modules for Pediatric Residents |
| title_short | Interactive Palliative and End-of-Life Care Modules for Pediatric Residents |
| title_sort | interactive palliative and end of life care modules for pediatric residents |
| url | http://dx.doi.org/10.1155/2017/7568091 |
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