A platform for research: civil engineering, architecture and urbanism
A platform for research: civil engineering, architecture and urbanism
A Systematic Review of Training in Symptom Management in Palliative Care within Postgraduate Medical Curriculums
Context Symptom management is a priority area within palliative care core competencies for generalist providers. While several educational initiatives exist, a comprehensive evidence synthesis on the effectiveness of symptom management training on trainees’ learning and patient-reported outcomes is lacking. Objectives To determine the effectiveness of training in symptom management in palliative care providers in non-palliative specialities. Methods A systematic review following Best Evidence Medical Education (BEME) methods from searches of MEDLINE, EMBASE, ERIC, CINAHL, PsycINFO, Cochrane database of systematic, Clinical Trials.gov and ISRCTN databases to September 2017. Prospective controlled studies testing the impact of symptom management educational interventions on physicians in training in non-palliative specialities were included. Data were summarised narratively, grouped by curriculum description, and effectiveness on trainees’ learning or patient-reported outcomes. Results Of 5062 records identified, 6 studies met the inclusion criteria: two randomised controlled trials and four quasi-experimental. Pain management, use of opioids and their side effects were most frequently covered. Clinical decision support tools, web-based teaching, palliative care rotation and mixed educational methods were used. Most studies used self-reported, original or modified evaluation instruments, though psychometric properties were seldom reported. Despite methodological considerations, all educational methods improved trainees' learning outcomes. However, the effects on trainees’ behaviour and patient-related outcomes were not evaluated. Conclusion Current educational training programmes in symptom management appear to improve trainees' comfort, preparedness, and knowledge in assessing and managing patients’ symptoms at the end of life. More rigorous research to evaluate the impact of this training on residents and organisational performance is now required.
A Systematic Review of Training in Symptom Management in Palliative Care within Postgraduate Medical Curriculums
Context Symptom management is a priority area within palliative care core competencies for generalist providers. While several educational initiatives exist, a comprehensive evidence synthesis on the effectiveness of symptom management training on trainees’ learning and patient-reported outcomes is lacking. Objectives To determine the effectiveness of training in symptom management in palliative care providers in non-palliative specialities. Methods A systematic review following Best Evidence Medical Education (BEME) methods from searches of MEDLINE, EMBASE, ERIC, CINAHL, PsycINFO, Cochrane database of systematic, Clinical Trials.gov and ISRCTN databases to September 2017. Prospective controlled studies testing the impact of symptom management educational interventions on physicians in training in non-palliative specialities were included. Data were summarised narratively, grouped by curriculum description, and effectiveness on trainees’ learning or patient-reported outcomes. Results Of 5062 records identified, 6 studies met the inclusion criteria: two randomised controlled trials and four quasi-experimental. Pain management, use of opioids and their side effects were most frequently covered. Clinical decision support tools, web-based teaching, palliative care rotation and mixed educational methods were used. Most studies used self-reported, original or modified evaluation instruments, though psychometric properties were seldom reported. Despite methodological considerations, all educational methods improved trainees' learning outcomes. However, the effects on trainees’ behaviour and patient-related outcomes were not evaluated. Conclusion Current educational training programmes in symptom management appear to improve trainees' comfort, preparedness, and knowledge in assessing and managing patients’ symptoms at the end of life. More rigorous research to evaluate the impact of this training on residents and organisational performance is now required.
A Systematic Review of Training in Symptom Management in Palliative Care within Postgraduate Medical Curriculums
Turrillas, Pamela (author) / Teixeira, Maria Joao (author) / Maddocks, Matthew (author)
2018-10-02
Turrillas , P , Teixeira , M J & Maddocks , M 2018 , ' A Systematic Review of Training in Symptom Management in Palliative Care within Postgraduate Medical Curriculums ' , Journal of Pain and Symptom Management , vol. 57 , no. 1 , pp. 156-170 . https://doi.org/10.1016/j.jpainsymman.2018.09.020
Article (Journal)
Electronic Resource
English
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