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Impact and Reception of a Required 4-Week Palliative Medicine Rotation.

B Brent Simmons1, Alison Petrie1, Edward Gracely1

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A required 4-week palliative medicine rotation significantly improved residents' comfort with end-of-life care. This training is essential for family medicine graduates to address the gap in quality palliative care delivery.

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Area of Science:

  • Medical Education
  • Palliative Care
  • Family Medicine

Background:

  • Hospice and palliative medicine (HPM) is an accredited subspecialty for family medicine graduates.
  • Currently, HPM fellowship training is not a mandatory part of the curriculum.
  • A required 4-week palliative medicine rotation was integrated into the family medicine residency curriculum.

Purpose of the Study:

  • To assess the impact of a required palliative medicine rotation on residents' comfort levels with end-of-life care.
  • To demonstrate the necessity of formal palliative medicine training for family medicine residents.
  • To evaluate the effectiveness of a 4-week HPM rotation.

Main Methods:

  • Surveyed 28 residents who completed the 4-week palliative medicine rotation.
  • Assessed changes in residents' comfort levels with end-of-life care skills pre- and post-rotation.
  • Utilized Wilcoxon signed ranks test to analyze statistical differences.

Main Results:

  • The HPM rotation significantly enhanced residents' comfort in all measured areas of end-of-life care (P<0.001).
  • 100% of surveyed residents found the rotation valuable for their future practice.
  • All residents strongly agreed that an HPM rotation should be a required component of residency.

Conclusions:

  • Formal HPM training, specifically a 4-week rotation, should be a required element in residency education.
  • This model rotation can be adopted by other residency programs nationwide.
  • Implementing this training can help bridge the deficit in quality end-of-life care.