Training the Workforce: Description of a Longitudinal Interdisciplinary Education and Mentoring Program in Palliative Care

• Published in: Journal of pain and symptom management 2017-04, Vol.53 (4), p.728-737
• Main Authors: Levine, Stacie, MD, O'Mahony, Sean, MB, BCh, BAO, MS, Baron, Aliza, MA, Ansari, Aziz, DO, Deamant, Catherine, MD, Frader, Joel, MD, Leyva, Ileana, MD, Marschke, Michael, MD, Preodor, Michael, MD
• Format: Article
• Language: English
• Subjects: Anesthesia & Perioperative Care; CAI; Chicago; Clinical Competence; College faculty; Computer assisted instruction; Congresses as Topic; Curricula; Distance learning; education; Education, Medical, Continuing; Education, Nursing, Continuing; Educational programs; Faculty; Female; Health care; Health Knowledge, Attitudes, Practice; Health services; Humans; interdisciplinary; Interdisciplinary aspects; Interdisciplinary education; Internet; Labor force; Male; Mentoring; Mentoring programs; Mentors; Nurse led care; Nurses; Pain Medicine; Palliative Care; Pediatrics; Physicians; Program Development; Qualitative Research; quality improvement; Regions; Resilience; Scarcity; Self Report; Shortages; Skills; Social work; Teams; Trainees; Training; Workforce
• ISSN: 0885-3924; 1873-6513
• DOI: 10.1016/j.jpainsymman.2016.11.009

Abstract Context The rapid increase in demand for palliative care (PC) services has led to concerns regarding workforce shortages and threats to the resiliency of PC teams. Objectives To describe the development, implementation, and evaluation of a regional interdisciplinary training program in PC. Methods Thirty nurse and physician fellows representing 22 health systems across the Chicago region participated in a two-year PC training program. The curriculum was delivered through multiple conferences, self-directed e-learning, and individualized mentoring by expert local faculty (mentors). Fellows shadowed mentors' clinical practices and received guidance on designing, implementing, and evaluating a practice improvement project to address gaps in PC at their institutions. Results Enduring, interdisciplinary relationships were built at all levels across health care organizations. Fellows made significant increases in knowledge and self-reported confidence in adult and pediatric PC and program development skills and frequency performing these skills. Fellows and mentors reported high satisfaction with the educational program. Conclusion This interdisciplinary PC training model addressed local workforce issues by increasing the number of clinicians capable of providing PC. Unique features include individualized longitudinal mentoring, interdisciplinary education, on-site project implementation, and local network building. Future research will address the impact of the addition of social work and chaplain trainees to the program.