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What are Palliative Care Physicians for Adults Taught on Palliative Care for Children? Paediatric Aspects in
C Schiessl1, S Gottschling2, B M Gronwald3
1Algesiologikum - Centers for Pain Medicine, Munich, Germany.
Insights
Palliative care curricula for physicians often lack comprehensive paediatric palliative care (PaedPC) content. This limits adult teams caring for children with life-limiting illnesses, highlighting a need for standardized PaedPC education.
Area of Science:
- Palliative Care Medicine
- Medical Education
- Paediatric Health
Background:
- Adult palliative care teams often manage children with life-limiting diseases due to a lack of dedicated pediatric structures.
- Concerns exist regarding the adequacy of current palliative care curricula in addressing pediatric palliative care (PaedPC) needs.
Purpose of the Study:
- To identify and evaluate the scope and quality of PaedPC issues within inter-professional and medical palliative care curricula (PCC).
Main Methods:
- An extensive literature review was conducted in German and English across multiple databases (Google, Medline, MedPilot, Pubmed).
- Identified curricula were analyzed for the inclusion and depth of PaedPC topics.
Main Results:
- Out of 30 identified PCCs globally, only 15 included any PaedPC issues.
- Key PaedPC topics covered included grief/bereavement (family, parents, siblings), communication with children, pediatric malignancies, pain management, and pharmacology.
- These core topics were present in the majority of curricula that addressed PaedPC.
Conclusions:
- The current palliative care curricula exhibit significant variability in the inclusion and depth of PaedPC content.
- The lack of standardization in PaedPC knowledge, skills, and attitudes within PCCs is insufficient to adequately prepare adult palliative care physicians for clinical practice with children.
Background:
Children suffering from life limiting diseases are frequently cared for by adult palliative care teams due to missing paediatric structures in that field. However it is questionable whether palliative care curricula for physicians comprehensively cover issues of paediatric palliative care (PaedPC).
Aim:
To identify all PaedPC issues included in inter-professional or medical palliative care curricula (PCC) and to evaluate the breadth and quality of PaedPC issues covered in these curricula.
Design:
Inter-professional or medical palliative care curricula (PCC) were identified by an extensive literature review in German and English using the search-engines Google as well as Medline, MedPilot and Pubmed.
Results:
Worldwide 30 PCC were identified, with only 15 curricula mentioning any PaedPC issues. Of those 15 curricula, up to 22 PaedPC topics were highlighted in each. In 10 or more PaedPC following topics were highlighted: grief and bereavement in family, parents and siblings; communication with children; paediatric malignancies; pain management in PPC and pharmacology. In the majority of PCC curricula where PaedPC issues were identified the following topics were mentioned- grief and bereavement in the family, parents and siblings, communication with children, paediatric malignancies, paediatric pain management and pharmacology.
Conclusions:
The variability of inclusion of PaedPC issues and the lack of depth and standardisation of knowledge, skills and attitudes in PaedPC issues included in PCC curricula is not sufficient to guide adult palliative care physicians in their clinical work with children suffering from life limiting diseases.
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