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Trainee perceptions of a competency-based mid-career fellowship in hospice and palliative medicine

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BIEWALD, Mollie A. | LEITER, Richard E. | CIPTA, Andre | SHAMEKLIS, Jaclyn | DINGFIELD, Laura E.

Context: The time-variable, competency-based mid-career fellowship in Hospice and Palliative Medicine (HPM) is a multicenter pilot program for physicians who want to train in HPM part-time. Objectives: This study describes the experience of the early cohort of mid-career fellows. Methods: Fellows at the seven sites were surveyed about their perceptions of the program and their confidence in subspecialty skills. Results: Surveys were sent to 13 fellows and completed by 8. All reported positive experiences with curricula, direct observation, feedback, and cross-site case reviews. Most responses were positive regarding individualized learning plans and case-stimulated reviews. Respondents reported high confidence in 9 of the 13 specialty-specific skills, including communication, caring for dying patients, and pain management. They reported less confidence with psychological and non-pain symptoms, spirituality, and prognostication. Fewer than half indicated that the process for graduation was clear. Conclusion: Physicians in the competency-based HPM fellowship report a positive experience and high confidence in subspecialty skills.

http://dx.doi.org/10.1089/jpm.2024.0185

Voir la revue «JOURNAL OF PALLIATIVE MEDICINE»

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