National survey of pediatric residency program directors and residents regarding education in palliative medicine and end-of-life care

Justin N. Baker, Christy Torkildson, Jacques Baillargeon, Cynthia A. Olney, Javier R. Kane

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Purpose: To determine how palliative and end-of-life care can best be incorporated into the training of pediatric residents. Methods: From 2001 to 2002, we surveyed 246 directors and 235 residents of pediatric residency programs. We elicited responses regarding (1) perceived relevance of pediatric palliative care, (2) residents' exposure to palliative medicine, (3) competency of faculty and matriculating residents in palliative care, (4) core palliative medicine competencies, and (5) the best teaching/learning format for palliative care. Results: Fifty-five directors (22.4%) and 98 residents (42.0%) responded. More than three quarters of directors (78.1%) agreed with the statement that palliative care as a competency is "somewhat" to "very" important. Approximately one third (32.7%) agreed with the statement that their residents were not clinically exposed to end-of-life care; 99.0% of the residents indicated participation in such care. Almost one third of directors (27.3%) indicated that they had no faculty available to teach palliative care. Only 38.2% agreed with the statement that matriculating residents are competent in palliative medicine while many residents indicated having limited or no training in core palliative care competencies. Discussion/Conclusions: For palliative care principles to be better incorporated into pediatric practice, they must be incorporated into residency education, optimally through informal teaching and during rounds. Finding ways to teach residents palliative medicine during clinical "teachable moments" and standardizing didactic curricula should become a priority in palliative and end-of-life care education.

Original languageEnglish (US)
Pages (from-to)420-429
Number of pages10
JournalJournal of Palliative Medicine
Volume10
Issue number2
DOIs
StatePublished - Apr 2007
Externally publishedYes

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Terminal Care
Internship and Residency
Palliative Care
Pediatrics
Education
Teaching Rounds
Surveys and Questionnaires
Palliative Medicine
Curriculum
Teaching
Learning

ASJC Scopus subject areas

  • Medicine(all)

Cite this

National survey of pediatric residency program directors and residents regarding education in palliative medicine and end-of-life care. / Baker, Justin N.; Torkildson, Christy; Baillargeon, Jacques; Olney, Cynthia A.; Kane, Javier R.

In: Journal of Palliative Medicine, Vol. 10, No. 2, 04.2007, p. 420-429.

Research output: Contribution to journalArticle

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