Innovative Hospice Education for Trainees (F405B)

• Published in: Journal of pain and symptom management 2021-03, Vol.61 (3), p.648-649
• Main Authors: Ketterer, Briana, MD MS, Childers, Julie W., MD MS FAAHPM, Arnold, Robert M., MD FACP FAAHPM
• Format: Article
• Language: English
• Subjects: Anesthesia; Attitudes; Classrooms; Cognitive style; Critical thinking; Curricula; End of life decisions; Hospice care; Knowledge; Maturation; Pain Medicine; Talking; Trainees
• ISSN: 0885-3924; 1873-6513
• DOI: 10.1016/j.jpainsymman.2021.01.027

Objectives 1. Develop core objectives a generalist should know about the transition to home hospice. 2. Describe the design and implementation of online, case-based learning as an innovative approach to knowledge acquisition, critical thinking and application of hospice education for trainees. Original Research Background Residents cite a lack of knowledge and skills as a barrier in facilitating transitions to home hospice from the hospital and clinic. In a fast-paced and compact training environment, curricula must be flexible and targeted. Research Objectives This study utilizes an innovative online, case-based curriculum with a flipped-classroom approach to improve knowledge, self-perceived skills and attitudes about hospice care. Methods We developed educational objectives and an online module with case-based learning for post-graduate year-1 (PGY-1) internal medicine and family medicine trainees. This was followed by a face-to-face debrief and just-in-time cognitive aides including a mnemonic and digital resources. A pre- and post-assessment evaluated knowledge, self-perceived skills and attitudes about hospice. PGY-2 residents served as a historical control. Results A total of 51 PGY-1s received the curriculum. Post-curriculum knowledge scores increased significantly (p