The impact of a one month palliative care rotation on medical residents working in a tertiary cancer center in Jordan.

Authors

null

Omar M. Shamieh

King Hussein Cancer Center, Amman, Jordan

Omar M. Shamieh, Alia Alawneh, Wafa Ahamd, Sewar S Salmany, Barakat Altamimi, Hamzah Alkam, Khaled Nabil Dibs, Osama Mallah, Khawla Ammar, Rim Turfa, Hikmat Abdel-Razeq, David Hui

Organizations

King Hussein Cancer Center, Amman, Jordan, The University of Texas MD Anderson Cancer Center, Houston, TX

Research Funding

No funding sources reported

Background: Palliative care education and training remains inadequate for medical professionals especially in developing countries. We evaluated the impact of a one month palliative care clinical rotation on medical residents’ attitude, competency, and knowledge related to palliative care in a tertiary cancer center in Jordan. Methods: All transitional Internal Medicine residents rotated in a monthly palliative care rotation at King Hussein Cancer Center (KHCC), in Amman, Jordan, were requested to participate in this educational intervention study. A concise curriculum in palliative and end of life care, adapted from the Education for Physicians on End-Of-Life Care (EPEC) Curriculum and delivered by our faculty was piloted as a part of the clinical rotation. Residents spent one month in the inpatient palliative care unit, in addition to 10 hours of classroom interactive sessions. The curriculum comprised of five modules: 1- Principles of palliative care, 2- Pain management, 3- Management of distressing symptoms, 4- Communication skills, 5- End-of- life care. To assess our educational outcomes, we adapted a previously developed instruments by David Weisman and used by the National Residency Education in the United States. All Instruments were completed by each resident before and after the rotation, and included self-assessment of attitude, competency and a knowledge test comprising of 32-items of multiple choice questions. Results: Twenty of 27 (74%) residents who started the palliative care rotation completed the required education and had paired evaluations. There was improvement in all three instruments: 37% improvement in competence (p < 0.0001), 17% Improvement in knowledge (p = 0.015), and 5% improvement in attitude (p = 0.02). Conclusions: The one-month mandatory rotation improved knowledge, attitude and competence related to palliative care for medical residents.

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Abstract Details

Meeting

2015 Palliative and Supportive Care in Oncology Symposium

Session Type

Poster Session

Session Title

Poster Session B

Track

Biologic Basis of Symptoms and Treatment Toxicities,Psycho-oncology,End-of-Life Care,Survivorship,Evaluation and Assessment of Patient Symptoms and Quality of Life,Management/Prevention of Symptoms and Treatment Toxicities,Integration and Delivery of Palliative Care in Cancer Care,Psychosocial and Spiritual Care,Communication in Advanced Cancer

Sub Track

Quality improvement activities

Citation

J Clin Oncol 33, 2015 (suppl 29S; abstr 168)

DOI

10.1200/jco.2015.33.29_suppl.168

Abstract #

168

Poster Bd #

D20

Abstract Disclosures

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