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Palliative care simulation for internal medicine trainees: development and pilot study

Lookup NU author(s): Dr Felicity Dewhurst, Dr Amy Huggin, Dr Emily Kavanagh, Dr Lucy Robinson, Dr Donna Wakefield, Dr Deepta Churm


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© 2021 BMJ Publishing Group. All rights reserved.Objectives Shape of training has recognised that ‘Managing End-of-Life and Applying Palliative Care Skills’ is a key competency for internal medicine trainees. It provides the opportunity and challenge to improve palliative care training for generalist physicians. Simulation has been recognised internationally as a holistic teaching and assessment method. This study aimed to produce a palliative medicine simulation training package for internal medicine trainees for delivery by palliative medicine trainees providing the former opportunity to practice assessment and management of patients with life-limiting illness and the latter teaching and management opportunities. Methods A regional group of palliative medicine trainees were trained in simulation and debrief. Nominal and focus group techniques designed a simulation training package. Learning outcomes were mapped to the internal medicine curriculum descriptors. Results Palliative simulation for internal medicine trainees (PALL-SIM-IMT) is a training package meeting internal medicine trainees’ curriculum requirements. Regional pilots have demonstrated feasibility for delivery by palliative medicine trainees and improvement in recipients’ confidence in all curriculum descriptors. Conclusions PALL-SIM-IMT can aid competency achievement for the provision of generalist palliative care by internal medicine trainees. It allows reciprocal development of palliative medicine trainees’ leadership and teaching skills. National adoption and evaluation is ongoing.

Publication metadata

Author(s): Dewhurst F, Howorth K, Billett H, Brown J, Charles M, Fleming E, Gouldthorpe C, Huggin A, Kavanagh E, Kiltie R, Robinson L, Rowley G, Simkiss L, Wakefield D, Woods E, Churm D, Warmsley R, Waterfield K

Publication type: Article

Publication status: Published

Journal: BMJ Supportive and Palliative Care

Year: 2023

Pages: epub ahead of print

Online publication date: 16/09/2021

Acceptance date: 24/08/2021

ISSN (print): 2045-435X

ISSN (electronic): 2045-4368

Publisher: BMJ Publishing Group


DOI: 10.1136/bmjspcare-2021-003272

PubMed id: 34531292


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