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Palliative Care Training During Surgical Critical Care Fellowship: A Preliminary Needs Assessment at a Major Academic Center.
Shah, Nikhil R; King, Sarah D; Soltani, Tandis; Park, Pauline K; Thirumoorthi, Arul S.
Afiliación
  • Shah NR; Department of Surgery, University of Michigan, Michigan Medicine, Ann Arbor, MI, USA.
  • King SD; Department of Surgery, University of Michigan, Michigan Medicine, Ann Arbor, MI, USA.
  • Soltani T; Department of Surgery, University of Michigan, Michigan Medicine, Ann Arbor, MI, USA.
  • Park PK; Department of Surgery, University of Michigan, Michigan Medicine, Ann Arbor, MI, USA.
  • Thirumoorthi AS; Department of Surgery, University of Michigan, Michigan Medicine, Ann Arbor, MI, USA.
Am Surg ; 90(6): 1791-1793, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38509028
ABSTRACT
Surgical palliative care (PC) facilitates communication between surgeons and patients/family about prognosis, symptom control, and therapeutic goals. Surgical critical care (SCC) fellows are at the forefront of the intensive care team; thus, we aim to assess previous and ongoing experiences in delivering PC by surveying fellows at a large academic center. Seventeen surveys were completed in which 59% of fellows reported no previous PC education. Six fellows (35%) reported participating in goals of care/end-of-life (GOC/EOL) discussions "a few times a year" during residency, while 41% responded the same for transitioning patients to comfort-focused care (CFC). When asked if respondents felt comfortable facilitating GOC/EOL discussions prior to fellowship, 7 (41%) answered "disagree" or "strongly disagree." Most fellows reported that more training in navigating GOC/EOL discussions (88%) and transitioning patients to CFC (76%) is needed. This assessment demonstrates variability in fellows' prior PC exposure and a strong desire for more structured training.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Paliativos / Evaluación de Necesidades / Cuidados Críticos / Centros Médicos Académicos / Becas Límite: Female / Humans / Male Idioma: En Revista: Am Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Paliativos / Evaluación de Necesidades / Cuidados Críticos / Centros Médicos Académicos / Becas Límite: Female / Humans / Male Idioma: En Revista: Am Surg Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos