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Palliative Care Training in Cardiology Fellowship: A National Survey of the Fellows. Am J Hosp Palliat Care 2018 Feb;35(2):284-292 PMID: 28395519

Pubmed ID

28395519

DOI

10.1177/1049909117703728

Abstract

OBJECTIVES: To address perspectives of cardiology fellows on the current state of palliative education and palliative and hospice resource utilization within their fellowship experiences.

METHODS: We conducted an online national survey of cardiology fellows during the 2015 to 2016 academic year. Survey questions aimed to assess perceived importance of palliative care education, level of palliative care education during fellowship, and the structure of palliative care support at respondent institutions. Responses were collected anonymously. A total of 519 programs, including subspecialty programs, were contacted.

RESULTS: We received 365 responses, a number that represents roughly 14% of all cardiology fellows nationwide during the 2015 to 2016 academic year. Fellows reported discordance in the quality of education between general cardiology and palliative care principles as it relates to care of the patient approaching the end of life. Fellows infrequently received explicit training nor were observed or mentored in delivering end-of-life discussions. Respondents reported an underutilization of palliative care and hospice resources during fellowship training and also a perception that attending faculty were not routinely addressing goals of care.

CONCLUSIONS: Our survey results highlight a need for enhanced palliative care and end-of-life training experiences for cardiology fellows and also suggest underutilization of hospice and palliative care resources for patients with advanced cardiac diseases. These findings create a platform for future work that might: (1) confirm this training deficit, (2) lead to exploration of educational models that could reconcile this deficit, and (3) potentially help improve palliative care support for patients and families facing advanced heart disease.

Author List

Dabbouseh NM, Kaushal S, Peltier W, Johnston FM

Author

Noura M. Dabbouseh MD Assistant Professor in the Medicine department at Medical College of Wisconsin




Scopus

2-s2.0-85040365535

MESH terms used to index this publication - Major topics in bold

Attitude of Health Personnel
Clinical Competence
Education, Medical, Graduate
Hospice Care
Humans
Medical Oncology
Palliative Medicine
Quality of Life
Terminal Care
jenkins-FCD Prod-353 9ccd8489072cb19f5b9f808bb23ed672c582f41e