Hospitalist physicians serve a pivotal role in the provision of care for patients with advanced and terminal illness. Despite this, training programs rarely provide hospitalists with formal education in palliative care.
The University of Colorado Hospital and Life Quality Institute created and implemented a 2‐day introductory palliative care “retreat” for hospitalist faculty and residents. The retreat, which occurred in the fall of 2004 and 2005, was facilitated by faculty trained and certified in hospice and palliative care medicine and engaged participants in objective‐ and case‐based, interactive sessions around end‐of‐life ethical and legal issues, as well as pain and symptom management in patients with advanced illness. Measurable outcomes included a 50‐question, pre/post knowledge test and 14‐item, pre/post self‐perceived comfort and confidence survey.
Summary of Results:
Twenty‐five clinicians participated over two years, including 12 faculty hospitalist physicians, 2 faculty nurse practioners and 7 internal medicine residents (including 4 hospitalist training program residents). Four faculty physicians participated both years. Participants' palliative care knowledge and self‐perceived comfort and confidence improved significantly based on comparison of pre‐ and post‐retreat test and survey scores (Table). Participants reported the retreat as a valuable part of their training (mean score 4.7/5.0 on 5‐point Likert scale, where 1 = poor and 5 = great). Comparison of scores for repeat participants showed an overall improvement of 40% in pre‐test scores from year 1 (47%) to year 2 (66%) but a decay in retention of information from the first post‐test to the second pre‐test (80% post‐test year 1 vs. 66% pre‐test year 2).
Statement of Conclusions:
This brief educational intervention for hospitalist clinicians successfully introduced core palliative care knowledge and concepts as demonstrated by significant improvements in both knowledge and self‐reported comfort. These knowledge‐base improvements appear to be sustained, although somewhat blunted, one year after this intervention.
Author Disclosure Block:
J. Glasheen, None; J. Youngwerth, None; D. Johnson, None.
To cite this abstract:Glasheen J, Youngwerth J, Johnson D. The Effect of an Intensive Palliative Care‐Focused Retreat on Hospitalist Faculty and Resident Palliative Care Knowledge and Comfort/Confidence. Abstract published at Hospital Medicine 2006, May 3-5, Washington, D.C. Abstract 16. Journal of Hospital Medicine. 2006; 1 (suppl 2). https://www.shmabstracts.com/abstract/the-effect-of-an-intensive-palliative-carefocused-retreat-on-hospitalist-faculty-and-resident-palliative-care-knowledge-and-comfortconfidence/. Accessed December 7, 2019.