Improved competence after a palliative care course for internal medicine residents
Residents report that they received inadequate teaching in palliative care and low levels of comfort and skills when taking care of dying patients. This study describes the effects of a problem-based palliative care course on perceived competence and knowledge in a representative Dutch cohort of res...
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| Veröffentlicht in: | Palliative medicine 2009-06, Vol.23 (4), p.360-368 |
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| creator | Mulder, SF Bleijenberg, G Verhagen, SC Stuyt, PMJ Schijven, MP Tack, CJ |
| description | Residents report that they received inadequate teaching in palliative care and low levels of comfort and skills when taking care of dying patients. This study describes the effects of a problem-based palliative care course on perceived competence and knowledge in a representative Dutch cohort of residents in internal medicine. Before and after the course, we carried out a questionnaire survey and knowledge test in 91 residents. The results show that many residents felt they had limited competence or were incompetent when taking care of patients in the palliative care phase. This was particularly true with respect to communication concerning euthanasia and physician-assisted suicide or hastened death (86% and 85% respectively reported limited competence or incompetence). Participants reported that they received inadequate training in palliative care and believed that specific education would make them feel more competent. The number of times that residents were engaged in palliative care situations and the years of clinical experience had a positive influence on perceived competence. Participating in the course improved perceived competence and knowledge in palliative care. No correlation was found between perceived competence and knowledge of palliative care. |
| doi_str_mv | 10.1177/0269216308100250 |
| format | Article |
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This study describes the effects of a problem-based palliative care course on perceived competence and knowledge in a representative Dutch cohort of residents in internal medicine. Before and after the course, we carried out a questionnaire survey and knowledge test in 91 residents. The results show that many residents felt they had limited competence or were incompetent when taking care of patients in the palliative care phase. This was particularly true with respect to communication concerning euthanasia and physician-assisted suicide or hastened death (86% and 85% respectively reported limited competence or incompetence). Participants reported that they received inadequate training in palliative care and believed that specific education would make them feel more competent. The number of times that residents were engaged in palliative care situations and the years of clinical experience had a positive influence on perceived competence. Participating in the course improved perceived competence and knowledge in palliative care. No correlation was found between perceived competence and knowledge of palliative care.</description><identifier>ISSN: 0269-2163</identifier><identifier>EISSN: 1477-030X</identifier><identifier>DOI: 10.1177/0269216308100250</identifier><identifier>PMID: 19098108</identifier><identifier>CODEN: PAMDE2</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Attitude of Health Personnel ; Clinical Competence ; Competency-Based Education ; Decision Making ; Dying people ; Education, Medical, Graduate ; Female ; Health Knowledge, Attitudes, Practice ; House officers ; Humans ; Internal medicine ; Internal Medicine - education ; Internship and Residency ; Knowledge ; Male ; Medical education ; Medicine ; Oncology ; Palliative care ; Palliative Care - methods ; Palliative Care - standards ; Patient care ; Patients ; Perceived competence ; Professional competence ; Questionnaires ; Surveys and Questionnaires ; Teaching hospitals</subject><ispartof>Palliative medicine, 2009-06, Vol.23 (4), p.360-368</ispartof><rights>SAGE Publications © Jun 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-3579c60ba301604bf83db5d72a46b1c56af625632d1eddcb217911ee6741a0963</citedby><cites>FETCH-LOGICAL-c393t-3579c60ba301604bf83db5d72a46b1c56af625632d1eddcb217911ee6741a0963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0269216308100250$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0269216308100250$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,12827,21800,27905,27906,30980,30981,43602,43603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19098108$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mulder, SF</creatorcontrib><creatorcontrib>Bleijenberg, G</creatorcontrib><creatorcontrib>Verhagen, SC</creatorcontrib><creatorcontrib>Stuyt, PMJ</creatorcontrib><creatorcontrib>Schijven, MP</creatorcontrib><creatorcontrib>Tack, CJ</creatorcontrib><title>Improved competence after a palliative care course for internal medicine residents</title><title>Palliative medicine</title><addtitle>Palliat Med</addtitle><description>Residents report that they received inadequate teaching in palliative care and low levels of comfort and skills when taking care of dying patients. This study describes the effects of a problem-based palliative care course on perceived competence and knowledge in a representative Dutch cohort of residents in internal medicine. Before and after the course, we carried out a questionnaire survey and knowledge test in 91 residents. The results show that many residents felt they had limited competence or were incompetent when taking care of patients in the palliative care phase. This was particularly true with respect to communication concerning euthanasia and physician-assisted suicide or hastened death (86% and 85% respectively reported limited competence or incompetence). Participants reported that they received inadequate training in palliative care and believed that specific education would make them feel more competent. The number of times that residents were engaged in palliative care situations and the years of clinical experience had a positive influence on perceived competence. Participating in the course improved perceived competence and knowledge in palliative care. No correlation was found between perceived competence and knowledge of palliative care.</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Clinical Competence</subject><subject>Competency-Based Education</subject><subject>Decision Making</subject><subject>Dying people</subject><subject>Education, Medical, Graduate</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>House officers</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Internal Medicine - education</subject><subject>Internship and Residency</subject><subject>Knowledge</subject><subject>Male</subject><subject>Medical education</subject><subject>Medicine</subject><subject>Oncology</subject><subject>Palliative care</subject><subject>Palliative Care - methods</subject><subject>Palliative Care - standards</subject><subject>Patient care</subject><subject>Patients</subject><subject>Perceived competence</subject><subject>Professional competence</subject><subject>Questionnaires</subject><subject>Surveys and Questionnaires</subject><subject>Teaching hospitals</subject><issn>0269-2163</issn><issn>1477-030X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkUtLAzEUhYMotlb3riS4cDd6k8wknaUUH4WCIAruhkxyR1LmZTJT8N-b0oJQEDfJ4n7n3JwcQi4Z3DKm1B1wmXMmBcwZAM_giExZqlQCAj6OyXQ7TrbzCTkLYQ3ABMj0lExYDnmUzKfkddn0vtugpaZrehywNUh1NaCnmva6rp0e3Aap0T4e3egD0qrz1LURaXVNG7TOuBapx-AstkM4JyeVrgNe7O8ZeX98eFs8J6uXp-XifpUYkYshEZnKjYRSC2AS0rKaC1tmVnGdypKZTOpK8kwKbhlaa0rOVM4YolQp05BLMSM3O98Y4GvEMBSNCwbrWrfYjaGQigvIM_UvGBFQkYzg9QG4joljylDE7fOUxwdECHaQ8V0IHqui967R_rtgUGxbKQ5biZKrve9Yxv_6FexriECyA4L-xN-lfxr-AAU7kwE</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Mulder, SF</creator><creator>Bleijenberg, G</creator><creator>Verhagen, SC</creator><creator>Stuyt, PMJ</creator><creator>Schijven, MP</creator><creator>Tack, CJ</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20090601</creationdate><title>Improved competence after a palliative care course for internal medicine residents</title><author>Mulder, SF ; Bleijenberg, G ; Verhagen, SC ; Stuyt, PMJ ; Schijven, MP ; Tack, CJ</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-3579c60ba301604bf83db5d72a46b1c56af625632d1eddcb217911ee6741a0963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Clinical Competence</topic><topic>Competency-Based Education</topic><topic>Decision Making</topic><topic>Dying people</topic><topic>Education, Medical, Graduate</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>House officers</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Internal Medicine - education</topic><topic>Internship and Residency</topic><topic>Knowledge</topic><topic>Male</topic><topic>Medical education</topic><topic>Medicine</topic><topic>Oncology</topic><topic>Palliative care</topic><topic>Palliative Care - methods</topic><topic>Palliative Care - standards</topic><topic>Patient care</topic><topic>Patients</topic><topic>Perceived competence</topic><topic>Professional competence</topic><topic>Questionnaires</topic><topic>Surveys and Questionnaires</topic><topic>Teaching hospitals</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mulder, SF</creatorcontrib><creatorcontrib>Bleijenberg, G</creatorcontrib><creatorcontrib>Verhagen, SC</creatorcontrib><creatorcontrib>Stuyt, PMJ</creatorcontrib><creatorcontrib>Schijven, MP</creatorcontrib><creatorcontrib>Tack, CJ</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Palliative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mulder, SF</au><au>Bleijenberg, G</au><au>Verhagen, SC</au><au>Stuyt, PMJ</au><au>Schijven, MP</au><au>Tack, CJ</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improved competence after a palliative care course for internal medicine residents</atitle><jtitle>Palliative medicine</jtitle><addtitle>Palliat Med</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>23</volume><issue>4</issue><spage>360</spage><epage>368</epage><pages>360-368</pages><issn>0269-2163</issn><eissn>1477-030X</eissn><coden>PAMDE2</coden><abstract>Residents report that they received inadequate teaching in palliative care and low levels of comfort and skills when taking care of dying patients. This study describes the effects of a problem-based palliative care course on perceived competence and knowledge in a representative Dutch cohort of residents in internal medicine. Before and after the course, we carried out a questionnaire survey and knowledge test in 91 residents. The results show that many residents felt they had limited competence or were incompetent when taking care of patients in the palliative care phase. This was particularly true with respect to communication concerning euthanasia and physician-assisted suicide or hastened death (86% and 85% respectively reported limited competence or incompetence). Participants reported that they received inadequate training in palliative care and believed that specific education would make them feel more competent. The number of times that residents were engaged in palliative care situations and the years of clinical experience had a positive influence on perceived competence. Participating in the course improved perceived competence and knowledge in palliative care. No correlation was found between perceived competence and knowledge of palliative care.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>19098108</pmid><doi>10.1177/0269216308100250</doi><tpages>9</tpages></addata></record> |
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| ispartof | Palliative medicine, 2009-06, Vol.23 (4), p.360-368 |
| issn | 0269-2163 1477-030X |
| language | eng |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List |
| subjects | Adult Attitude of Health Personnel Clinical Competence Competency-Based Education Decision Making Dying people Education, Medical, Graduate Female Health Knowledge, Attitudes, Practice House officers Humans Internal medicine Internal Medicine - education Internship and Residency Knowledge Male Medical education Medicine Oncology Palliative care Palliative Care - methods Palliative Care - standards Patient care Patients Perceived competence Professional competence Questionnaires Surveys and Questionnaires Teaching hospitals |
| title | Improved competence after a palliative care course for internal medicine residents |
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