Palliative care teaching in the new internal medicine curriculum: Project ECHO-an innovative approach to postgraduate education

被引:4
|
作者
Lee, Gemma Claire [1 ,2 ]
Kyeremateng, Sam [3 ,4 ]
Taylor, Paul [3 ,5 ]
Jones, Colin [2 ,6 ]
Hammond, Peter [2 ,7 ]
McTague, Laura [8 ]
机构
[1] Blackpool Teaching Hosp NHS Fdn Trust, Intens Care, Blackpool FY3 8NR, England
[2] Hlth Educ England, Sch Med, Leeds, England
[3] St Lukes Hosp, Palliat Care, Sheffield, England
[4] Hlth Educ England, Palliat Care, Leeds, England
[5] Univ Sheffield, Sch Hlth & Related Res, Sheffield, England
[6] York Teaching Hosp NHS Fdn Trust, Renal Med, York, England
[7] Harrogate & Dist NHS Fdn Trust, Endocrine Med, Harrogate, England
[8] Sheffield Teaching Hosp NHS Fdn Trust, Palliat Care, Sheffield, England
关键词
Education and training; Communication; COVID-19; Symptoms and symptom management; Clinical decisions; Ethics; OUTCOMES;
D O I
10.1136/spcare-2022-004008
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BackgroundThe Internal Medicine Training (IMT) Programme is an evolution of Core Medical Training introduced in 2019. The IMT curriculum places an increased emphasis on palliative care; however, access to palliative care training is variable. Project ECHO (Extension of Community Healthcare Outcomes) develops communities of practice and is a valuable tool for medical education. We report on an evaluation of Project ECHO to deliver palliative medicine training across a geographically large deanery in the North of England. MethodsThe Project ECHO training programme involved multipoint video technology, telementoring, expert talks and case-based discussions over six sessions, and was fully mapped to the palliative care component of the IMT curriculum. We collected data particularly around attendance and self-reported confidence and knowledge. ResultsBy creating a community of practice, we provided virtual placements and over 9 hours of virtual direct contact with palliative medicine consultants; and in total, 921 individual attendances occurred, with 62% attending all six sessions. The course was associated with an increase in self-reported confidence and high satisfaction. DiscussionProject ECHO is an effective method of delivering teaching to trainees across a large geographical area. Course evaluation shows outstanding results in trainee satisfaction, confidence, knowledge, patient care, clinical skills and reduction in fear when managing death and dying.
引用
收藏
页码:247 / 254
页数:8
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