Abstract
BACKGROUND: We aim to address palliative care workforce shortages by teaching clinicians how to provide primary palliative care through peer coaching.
INTERVENTION: We offered peer coaching to internal medicine residents and hospitalists (attendings, nurse practioners, and physician assistants).
MEASURES: An audit of peer coaching encounters and coachee feedback to better understand the applicability of peer coaching in the inpatient setting to teach primary palliative care.
OUTCOMES: Residents and hospitalist attendings participated in peer coaching for a broad range of palliative care-related questions about pain and symptom management (44%), communication (34%), and hospice (22%). Clinicians billed for 68% of encounters using a time-based billing model. Content analysis of coachee feedback identified that the most useful elements of coaching are easy access to expertise, tailored teaching, and being in partnership.
CONCLUSION/LESSONS LEARNED: Peer coaching can be provided in the inpatient setting to teach primary palliative care and potentially extend the palliative care work force.
| Original language | English |
|---|---|
| Pages (from-to) | 578-582 |
| Journal | Journal of Pain and Symptom Management |
| Volume | 54 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2017 Oct |
| Externally published | Yes |
Bibliographical note
Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.Subject classification (UKÄ)
- Other Medical and Health Sciences not elsewhere specified
Free keywords
- Academic Medical Centers
- Clinical Competence
- Feedback
- Health Communication
- Hospice Care/methods
- Hospitalists/education
- Hospitalization
- Humans
- Inpatients
- Internal Medicine/education
- Internship and Residency
- Mentoring
- Nurse Practitioners/education
- Pain Management/methods
- Palliative Care/methods
- Patient Care Team
- Peer Group
- Physician Assistants/education
- Pilot Projects
- Proof of Concept Study