PMID- 30800960
OWN - NLM
STAT- MEDLINE
DCOM- 20191108
LR  - 20200309
IS  - 2374-8265 (Electronic)
IS  - 2374-8265 (Linking)
VI  - 14
DP  - 2018 Oct 9
TI  - Incorporation of an Interprofessional Palliative Care-Ethics Experience Into a 
      Required Critical Care Acting Internship.
PG  - 10760
LID - 10.15766/mep_2374-8265.10760 [doi]
LID - 10760
AB  - INTRODUCTION: The literature documents inadequate palliative medicine training in 
      undergraduate and graduate medical education. As the population lives longer, 
      many people will experience multiple chronic illnesses and the associated symptom 
      burden. All physicians involved in clinical care of patients need to be equipped 
      with the knowledge, attitudes, and skills necessary to provide palliative care, 
      yet most physicians do not feel adequately prepared. We designed a curriculum to 
      provide a meaningful palliative care-ethics (PCE) clinical experience to prepare 
      senior medical students for future practice regardless of specialty choice. 
      METHODS: The Zucker School of Medicine at Hofstra/Northwell integrated a PCE 
      experience into the required 4-week acting internship in critical care (AICC). 
      Students met weekly with an interprofessional faculty member and presented 
      clinical cases focusing on communication and/or bioethical challenges. Faculty 
      facilitators ensured that the presentations integrated discussion of 
      communication skills. During the final session, students shared written 
      reflections. Students were invited to complete a satisfaction survey postrotation 
      and 1 year after graduation. RESULTS: The curriculum was evaluated positively by 
      the graduating classes of 2015 (n = 28) and 2016 (n = 56) at the end of the 
      course and 1 year postgraduation. Qualitative analysis of the class of 2018 
      fourth-year students' reflective writing demonstrated themes of role modeling, 
      suffering, family, and goals of care. DISCUSSION: It is feasible to incorporate 
      an interprofessional PCE experience into a required AICC. Students indicated a 
      better understanding of palliative care and, at 1 year postgraduation, reported 
      feeling comfortable caring for patients with serious illness.
FAU - Goldberg, Gabrielle R
AU  - Goldberg GR
AUID- ORCID: 0000-0001-7837-7041
AD  - Assistant Professor, Department of Science Education, the Zucker School of 
      Medicine at Hofstra/Northwell.
FAU - Weiner, Joseph
AU  - Weiner J
AD  - Associate Professor, Department of Psychiatry, the Zucker School of Medicine at 
      Hofstra/Northwell.
AD  - Associate Professor, Department of Medicine, the Zucker School of Medicine at 
      Hofstra/Northwell.
FAU - Fornari, Alice
AU  - Fornari A
AD  - Professor, Department of Science Education, the Zucker School of Medicine at 
      Hofstra/Northwell.
AD  - Professor, Department of Occupational Medicine, Epidemiology and Prevention, the 
      Zucker School of Medicine at Hofstra/Northwell.
AD  - Professor, Department of Family Medicine, the Zucker School of Medicine at 
      Hofstra/Northwell.
FAU - Pearlman, R Ellen
AU  - Pearlman RE
AD  - Assistant Professor, Department of Medicine, the Zucker School of Medicine at 
      Hofstra/Northwell.
FAU - Farina, Gino A
AU  - Farina GA
AD  - Professor, Department of Science Education, the Zucker School of Medicine at 
      Hofstra/Northwell.
AD  - Professor, Department of Emergency Medicine, the Zucker School of Medicine at 
      Hofstra/Northwell.
LA  - eng
PT  - Journal Article
DEP - 20181009
PL  - United States
TA  - MedEdPORTAL
JT  - MedEdPORTAL : the journal of teaching and learning resources
JID - 101714390
SB  - IM
MH  - Critical Care/*ethics/methods
MH  - Curriculum
MH  - Education, Medical, Undergraduate/methods
MH  - Humans
MH  - Internship and Residency/methods/trends
MH  - Interprofessional Relations
MH  - Palliative Care/*ethics/methods
MH  - Surveys and Questionnaires
PMC - PMC6346344
OTO - NOTNLM
OT  - Communication
OT  - Critical Care
OT  - Ethics
OT  - Interprofessional
OT  - Palliative Care
COIS- None to report.
EDAT- 2019/02/26 06:00
MHDA- 2019/11/09 06:00
PMCR- 2018/10/09
CRDT- 2019/02/26 06:00
PHST- 2019/02/26 06:00 [entrez]
PHST- 2019/02/26 06:00 [pubmed]
PHST- 2019/11/09 06:00 [medline]
PHST- 2018/10/09 00:00 [pmc-release]
AID - 10.15766/mep_2374-8265.10760 [doi]
PST - epublish
SO  - MedEdPORTAL. 2018 Oct 9;14:10760. doi: 10.15766/mep_2374-8265.10760.