Journal of pain and symptom management
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J Pain Symptom Manage · Mar 2021
Launching the Next Steps to Improve Hospice and Palliative Medicine Fellow Performance Assessment: A Look Back To the Initial Toolkit of Assessment Methods.
Education leaders in hospice and palliative medicine (HPM) have long acknowledged the challenge of fellow performance assessment and the need for HPM-specific fellow assessment tools. In 2010, and in alignment with the Accreditation Council for Graduate Medical Education's (ACGME's) directive toward competency-based medical education, the national HPM Competencies Workgroup curated a set of assessment tools, the HPM Toolkit of Assessment Methods. The Toolkit has been a resource for HPM fellowship directors in evolving practical, multifaceted fellow assessment strategies. ⋯ This article describes the development of the Toolkit, including recommended tools and methods for assessment within each ACGME competency domain, and links the lessons learned to recommendations for the 2020 workgroup to consider in creating the next HPM assessment strategy and toolkit. Effective implementation will be crucial in supporting fellows to reach independent practice, which will further strengthen the field and workforce to provide the highest quality patient and family-centered care in serious illness. This will require an inspired, committed effort from the HPM community, which we enthusiastically anticipate.
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J Pain Symptom Manage · Mar 2021
Increasing Medical Power of Attorney Completion for Hospitalized Patients during the COVID Pandemic: A Social Work led Quality Improvement Intervention.
The high risk of mechanical ventilation with COVID hospitalizations requires health-care systems to rapidly innovate advance care planning (ACP) delivery for hospitalized patients to promote goal-concordant care. ⋯ Use of change management strategies resulted in rapid implementation of an effective ACP initiative. Ongoing needs include focusing on intervention sustainability and education of interprofessional providers about ACP processes.
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J Pain Symptom Manage · Mar 2021
"Pain is Subjective": A Mixed-Method Study of Provider Attitudes and Practices Regarding Pain Management in Sickle Cell Disease across Three Countries.
Sickle cell disease (SCD), an autosomal recessive blood disorder, affects millions of people worldwide. Approximately 80% of all cases are located in Africa. ⋯ Overall, findings reveal that SCD provider attitudes toward their patients differed across sites, yet at all three sites, treating SCD pain is multidimensional.