• Juliet Jacobsen, Corinne Alexander Cole, Bethany-Rose Daubman, Debjani Banerji, Joseph A Greer, Karen O'Brien, Kathleen Doyle, and Vicki A Jackson.
• Division of Palliative Care and Geriatrics, Massachusetts General Hospital, Harvard Medical School, Boston. Electronic address: jjacobsen@partners.org.
• J Pain Symptom Manage. 2017 Oct 1; 54 (4): 578-582.

BackgroundWe aim to address palliative care workforce shortages by teaching clinicians how to provide primary palliative care through peer coaching.InterventionWe offered peer coaching to internal medicine residents and hospitalists (attendings, nurse practioners, and physician assistants).MeasuresAn audit of peer coaching encounters and coachee feedback to better understand the applicability of peer coaching in the inpatient setting to teach primary palliative care.OutcomesResidents and hospitalist attendings participated in peer coaching for a broad range of palliative care-related questions about pain and symptom management (44%), communication (34%), and hospice (22%). Clinicians billed for 68% of encounters using a time-based billing model. Content analysis of coachee feedback identified that the most useful elements of coaching are easy access to expertise, tailored teaching, and being in partnership.Conclusion/Lessons LearnedPeer coaching can be provided in the inpatient setting to teach primary palliative care and potentially extend the palliative care work force.Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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