Journal of palliative medicine
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Multicenter Study
End-of-life care education in internal medicine residency programs: an interinstitutional study.
Integrating end-of-life care (EOL) education into medical residency programs requires knowledge of what programs currently teach and what residents learn. ⋯ Existing internal medicine residency education lacks training in critical EOL care domains. Residency programs need additional training for residents and teaching faculty in EOL content and skills, with assessment practices that demonstrate competencies have been acquired. Program directors perceive institutional support for making these changes.
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Multicenter Study
End-of-life curriculum reform: outcomes and impact in a follow-up study of internal medicine residency programs.
In 1998 we initiated a pilot project to evaluate the feasibility of recruiting and training internal medicine residency programs in methods designed to enhance and integrate end-of-life (EOL) instruction and assessment into their curriculum. ⋯ The study suggests that focused training in EOL teaching methods and institutional change strategies can facilitate EOL curriculum reform.
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Comparative Study
Cash and compassion: profit status and the delivery of hospice services.
To evaluate the relationship of hospice profit status to patient selection and service delivery. ⋯ For-profit hospices compared to not-for profit hospices serve a higher percentage of persons with noncancer diagnoses, residents of long-term care, and persons with government insurance. Differences in patterns of nursing services among hospices were related to patient characteristics. The potential availability of complex palliative services did not differ by profit status.
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Editorial Comment
For profit vs. not-for-profit hospice: it is the quality that counts.