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40
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Text
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<a href="http://doi.org/10.1542/peds.2014-0748" target="_blank" rel="noreferrer">http://doi.org/10.1542/peds.2014-0748</a>
<a href="http://pediatrics.aappublications.org/content/early/2014/11/12/peds.2014-0748" target="_blank" rel="noreferrer">http://pediatrics.aappublications.org/content/early/2014/11/12/peds.2014-0748</a>
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Title
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Developing Competencies for Pediatric Hospice and Palliative Medicine
Publisher
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Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
2014
Subject
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milestones; competencies; fellowship training; hospice and palliative medicine
Creator
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Klick J; Friebert SE; Hutton N; Osenga K; Pituch K; Vesel T; Weidner NJ; Block SD; Morrison LJ
Description
An account of the resource
In 2006, hospice and palliative medicine (HPM) became an officially recognized subspecialty. This designation helped initiate the Accreditation Council of Graduate Medical Education Outcomes Project in HPM. As part of this process, a group of expert clinician–educators in HPM defined the initial competency-based outcomes for HPM fellows (General HPM Competencies). Concurrently, these experts recognized and acknowledged that additional expertise in pediatric HPM would ensure that the competencies for pediatric HPM were optimally represented. To fill this gap, a group of pediatric HPM experts used a product development method to define specific Pediatric HPM Competencies. This article describes the development process. With the ongoing evolution of HPM, these competencies will evolve. As part of the Next Accreditation System, the Accreditation Council of Graduate Medical Education uses milestones as a framework to better define competency-based, measurable outcomes for trainees. Currently, there are no milestones specific to HPM, although the field is designing curricular milestones with multispecialty involvement, including pediatrics. These competencies are the conceptual framework for the pediatric content in the HPM milestones. They are specific to the pediatric HPM subspecialist and should be integrated into the training of pediatric HPM subspecialists. They will serve a foundational role in HPM and should inform a wide range of emerging innovations, including the next evolution of HPM Competencies, development of HPM curricular milestones, and training of adult HPM and other pediatric subspecialists. They may also inform pediatric HPM outcome measures, as well as standards of practice and performance for pediatric HPM interdisciplinary teams.
2014-11
Identifier
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<a href="http://doi.org/10.1542/peds.2014-0748" target="_blank" rel="noreferrer">10.1542/peds.2014-0748</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2014
Backlog
Block SD
competencies
fellowship training
Friebert SE
hospice and palliative medicine
Hutton N
Journal Article
Klick J
milestones
Morrison LJ
Osenga K
Pediatrics
Pituch K
Vesel T
Weidner NJ
-
Dublin Core
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Title
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June 2018 List
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
June 2018 List
URL Address
<a href="http://doi.org/10.1016/j.jpainsymman.2018.03.019" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jpainsymman.2018.03.019</a>
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Title
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From Fear to Confidence: Changing Providers' Attitudes about Pediatric Palliative and Hospice Care
Publisher
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Journal of Pain and Symptom Management
Date
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2018
Subject
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educational workshop; hospice; medical education; palliative care; pediatric
Creator
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Vesel T; Beveridge C
Description
An account of the resource
CONTEXT: Children have limited access to hospice care: few existing hospice programs have dedicated pediatric teams, and adult hospice providers feel inadequately trained to care for children. OBJECTIVES: The aim of this study is to increase access to pediatric hospice care by empowering adult hospice providers to care for children through a comprehensive education program. Education empowers providers by changing their attitudes from inadequacy to confidence. METHODS: The authors developed a two-day education program to train interdisciplinary teams of adult hospice providers in pediatric care. The curriculum consists of thirteen modules to improve participants' knowledge, skills, and attitudes. Ninety-three providers across the US learned via multiple teaching methods including lectures, role-plays by professional actors, interviews of bereaved parents, and self-reflections. Learning was evaluated with assessments before, immediately after, and 6-months following the program. Responses were compared using a one-sided analysis of variation (ANOVA) with a significance level of alpha<0.05. RESULTS: Participants improved their knowledge in twelve of thirteen modules. Self-reported confidence levels with pediatric care improved significantly in all thirteen modules (p<0.05). After this program, 79% of providers reported feeling better prepared to care for pediatric hospice patients. Qualitative data reinforced that learners felt more prepared to care for pediatric patients. CONCLUSION: A two-day, high intensity low cost community based education program can improve adult providers' knowledge of and skill level with pediatric care, leading to a change in attitude from fear to confidence. This model has the potential to increase access to pediatric hospice care as it utilizes existing adult hospice infrastructure.
Identifier
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<a href="http://doi.org/10.1016/j.jpainsymman.2018.03.019" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2018.03.019</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
Beveridge C
educational workshop
Hospice
Journal of Pain and Symptom Management
June 2018 List
Medical Education
Palliative Care
Pediatric
Vesel T
-
Dublin Core
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Title
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2021 Special Edition 1 - Low Resource Settings
Text
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Citation List Month
2021 Special Edition 1 - Low Resource Settings
URL Address
<a href="http://doi.org/10.1016/j.jpainsymman.2021.07.024" target="_blank" rel="noreferrer noopener"> http://doi.org/10.1016/j.jpainsymman.2021.07.024</a>
Dublin Core
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Title
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Pediatric Palliative Care Education Model in Low Resource Settings: A Mixed-Methods Evaluation
Publisher
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Journal of Pain and Symptom Management
Date
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2021
Subject
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Palliative care; pediatric; medical education; Bhutan
Creator
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Vesel T; O'Connor M; Vesel L; Beveridge C; McGann C; Jullien S; Nishizawa Y
Description
An account of the resource
CONTEXT: Globally, approximately 21.6 million children need pediatric palliative care (PPC). The greatest burden lies in low- and middle-income countries, where the demand for PPC exceeds available resources. OBJECTIVES: The objective of this study was to assess the impact of a PPC workshop on healthcare providers' self-efficacy, comfort and confidence related to the provision of PPC in a Bhutanese referral-level hospital. METHODS: This mixed-methods study included a one-and-a-half day PPC workshop with surveys administered to participants at three time points (before, immediately after, and six months after the workshop) to evaluate changes in self-efficacy, comfort and confidence. The study was conducted in January 2017 with healthcare providers at the Jigme Dorji Wangchuck National Referral Hospital in Thimphu, Bhutan. RESULTS: Forty-one providers participated in the workshop; 38 completed the post-workshop survey and 27 completed the six months post-workshop survey. Results showed statistically significant increases in comfort levels from pre- to post-workshop surveys across nearly all areas. Qualitative results supported these findings. CONCLUSION: The results of this study suggest that a short, interactive and interdisciplinary workshop, originally designed for the United States setting but adapted to a low resource context, is an effective way to improve providers' self-efficacy, comfort and confidence in the provision of PPC in resource-limited settings.
Identifier
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<a href="http://doi.org/10.1016/j.jpainsymman.2021.07.024" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2021.07.024</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2021
2021 Special Edition 1 - Low Resource Settings
Beveridge C
Bhutan
Journal of Pain and Symptom Management
Jullien S
McGann C
Medical Education
Nishizawa Y
O'Connor M
Palliative Care
Pediatric
Vesel L
Vesel T