Training the Workforce: Description of a Longitudinal Interdisciplinary Education and Mentoring Program in Palliative Care

J Pain Symptom Manage. 2017 Apr;53(4):728-737. doi: 10.1016/j.jpainsymman.2016.11.009. Epub 2017 Jan 3.

Abstract

Context: The rapid increase in demand for palliative care (PC) services has led to concerns regarding workforce shortages and threats to the resiliency of PC teams.

Objectives: To describe the development, implementation, and evaluation of a regional interdisciplinary training program in PC.

Methods: Thirty nurse and physician fellows representing 22 health systems across the Chicago region participated in a two-year PC training program. The curriculum was delivered through multiple conferences, self-directed e-learning, and individualized mentoring by expert local faculty (mentors). Fellows shadowed mentors' clinical practices and received guidance on designing, implementing, and evaluating a practice improvement project to address gaps in PC at their institutions.

Results: Enduring, interdisciplinary relationships were built at all levels across health care organizations. Fellows made significant increases in knowledge and self-reported confidence in adult and pediatric PC and program development skills and frequency performing these skills. Fellows and mentors reported high satisfaction with the educational program.

Conclusion: This interdisciplinary PC training model addressed local workforce issues by increasing the number of clinicians capable of providing PC. Unique features include individualized longitudinal mentoring, interdisciplinary education, on-site project implementation, and local network building. Future research will address the impact of the addition of social work and chaplain trainees to the program.

Keywords: Palliative care; education; interdisciplinary; mentoring; program development; quality improvement; resilience; training.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chicago
  • Clinical Competence
  • Computer-Assisted Instruction
  • Congresses as Topic
  • Education, Medical, Continuing*
  • Education, Nursing, Continuing*
  • Faculty
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Mentoring*
  • Mentors
  • Nurses
  • Palliative Care*
  • Physicians
  • Program Development
  • Qualitative Research
  • Self Report