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Curriculum Research: Disseminating Neuropalliative Care Education Through an Adaptable Curriculum: A Multisite
Eileen Harrigan1, Breana L Taylor1, Hannah L Kirsch1
1From the Division of Geriatric Medicine and Palliative Care (E.H.), Department of Medicine, NYU Langone Health, New York; Department of Neurology (B.L.T., C.J.C.), University of Washington, Seattle; Department of Neurology & Neurological Sciences (H.L.K.), Stanford University School of Medicine, Palo Alto, CA; Department of Neurology (S.G., K.T.K., T.G.), New York Presbyterian-Columbia University Irving Medical Center, NY; Division of Palliative Care (K.T.B.), Departments of Neurology and Medicine, Massachusetts General Hospital, Boston; and Cambia Palliative Care Center of Excellence (C.J.C.), University of Washington, Seattle.
Neuropalliative care training is crucial for neurology residents. The Education in Palliative and End-of-Life Care for Neurology (EPEC-N) curriculum proved feasible and acceptable for improving resident knowledge and confidence in managing neurologic diseases.
Area of Science:
- Neurology
- Palliative Care
- Medical Education
Background:
- Neurologic diseases are a major global cause of disability and death.
- The aging population is increasing the burden of neurologic diseases.
- Neurology trainees often lack formal palliative care education.
Purpose of the Study:
- To assess the feasibility and acceptability of the Education in Palliative and End-of-Life Care for Neurology (EPEC-N) curriculum.
- To improve neurology residents' satisfaction with palliative care training.
- To enhance residents' confidence in managing neuropalliative care topics.
Main Methods:
- Implementation of EPEC-N modules across three academic neurology centers.
- Selection of four EPEC-N topics per site.
- Varied instructor backgrounds (residents, fellows, faculty) without palliative care fellowship.
- Use of lectures, case discussions, and role-playing for teaching.
- Post-session surveys for learners, instructors, and site leads.
Main Results:
- Successful implementation of the neuropalliative care curriculum across all three sites.
- Positive learner feedback, with sessions improving knowledge, relevance, and teaching format.
- Curriculum found easy to use and adaptable by instructors and site leads.
- No reliance on subspecialty palliative care instruction for implementation.
Conclusions:
- The EPEC-N curriculum is feasible, acceptable, and adaptable for neurology residency programs.
- The curriculum can be effectively delivered by non-palliative care specialists.
- Further research is needed to evaluate its impact on neuropalliative care skills and standards.
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