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Identifying Key Components of Neuropalliative Care Fellowship Using Nominal Group Technique.

Sachi Y Gianchandani1, Jocelyn M Jiao2, Kwame O Adjepong3

  • 1Department of Medicine, Division of Primary Care and Population Health (S.Y.G., J.M.J.), Stanford University School of Medicine, Stanford, California, USA; Extended Care & Palliative Medicine Service (S.Y.G.), VA Palo Alto Health Care System, Palo Alto, California, USA.

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Summary

Neuropalliative care fellowship training for neurologists lacks standardization. Experts identified key components including dedicated outpatient experience, mentorship, and neurology-specific didactics for optimal training.

Keywords:
Resident and fellow educationhospice and palliative medicine fellowshipmethods of educationneurology-specific areas of palliative careneuropalliative careprogram directors

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Area of Science:

  • Neurology
  • Palliative Care
  • Medical Education

Background:

  • Neurology-focused palliative care training lacks a standardized curriculum.
  • There is a need to define essential components for effective neuropalliative care fellowship programs.

Purpose of the Study:

  • To establish expert consensus on core components for fellowship training in neuropalliative care.
  • To guide the development of specialized training pathways for neurologists in palliative care.

Main Methods:

  • An adapted nominal group technique (NGT) was employed to gather and prioritize expert opinions.
  • Two key questions addressed ideal training components and tailoring general palliative care fellowships for neurologists.

Main Results:

  • Key recommendations include dedicated outpatient neuropalliative care experience and mentorship from neuropalliative care experts.
  • A core didactic curriculum with neurology-specific content and suitability for hospice and palliative medicine certification were highly ranked.

Conclusions:

  • Experts have identified critical experiences and educational elements for successful palliative care fellowship training tailored for neurologists.
  • These findings provide a foundation for developing standardized and effective neuropalliative care training programs.