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Family physicians enhance end-of-life care: evaluation of a new continuing medical education learning module in British Columbia

BACKGROUND: The Practice Support Program (PSP) is an innovative peer-to-peer continuing medical education (CME) program that offers full-service family physicians/general practitioners (GPs) in British Columbia (BC), Canada, post-graduate training on a variety of topics. We present the evaluation fi...

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Autores principales: Kadlec, Helena, Hollander, Marcus J., Clelland, Catherine, Kallstrom, Liza, Hollander, Marcus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4513376/
https://www.ncbi.nlm.nih.gov/pubmed/26206113
http://dx.doi.org/10.1186/s12909-015-0392-4
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author Kadlec, Helena
Hollander, Marcus J.
Clelland, Catherine
Kallstrom, Liza
Hollander, Marcus
author_facet Kadlec, Helena
Hollander, Marcus J.
Clelland, Catherine
Kallstrom, Liza
Hollander, Marcus
author_sort Kadlec, Helena
collection PubMed
description BACKGROUND: The Practice Support Program (PSP) is an innovative peer-to-peer continuing medical education (CME) program that offers full-service family physicians/general practitioners (GPs) in British Columbia (BC), Canada, post-graduate training on a variety of topics. We present the evaluation findings from the PSP learning module on enhancing end-of-life (EOL) care within primary care. METHODS: Pen-and-paper surveys were administered to participants three times: at the beginning of the first training session (n = 608; 69.6 % response rate), at training completion (n = 381, 55.6 % response rate), and via a mail-out survey at 3-6 months following training completion (n = 109, 24.8 % response rate). Surveys asked GPs about current EOL-related practices and confidence in EOL-related skills. At end of training, respondents also provided ratings of satisfaction and perceptions of the module’s impact on their practice and their EOL patients. RESULTS: Satisfaction and impact were rated very highly by over 90 % of the GP respondents. Module participation increased the GPs’ confidence on EOL-related communication and collaboration skills: e.g., initiating conversations about EOL care, developing an action plan for EOL care, communicating the patient’s needs and wishes to other care providers, participating in collaborative care with home and community care nurses, and accessing and referring patients to EOL specialists in the community. Increased confidence was maintained at 3-6 months following completion of training. CONCLUSIONS: The EOL learning module offered by the PSP to family physicians in BC is a successful and impactful CME accredited training module for enhancing end-of-life care in primary care settings.
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spelling pubmed-45133762015-07-25 Family physicians enhance end-of-life care: evaluation of a new continuing medical education learning module in British Columbia Kadlec, Helena Hollander, Marcus J. Clelland, Catherine Kallstrom, Liza Hollander, Marcus BMC Med Educ Research Article BACKGROUND: The Practice Support Program (PSP) is an innovative peer-to-peer continuing medical education (CME) program that offers full-service family physicians/general practitioners (GPs) in British Columbia (BC), Canada, post-graduate training on a variety of topics. We present the evaluation findings from the PSP learning module on enhancing end-of-life (EOL) care within primary care. METHODS: Pen-and-paper surveys were administered to participants three times: at the beginning of the first training session (n = 608; 69.6 % response rate), at training completion (n = 381, 55.6 % response rate), and via a mail-out survey at 3-6 months following training completion (n = 109, 24.8 % response rate). Surveys asked GPs about current EOL-related practices and confidence in EOL-related skills. At end of training, respondents also provided ratings of satisfaction and perceptions of the module’s impact on their practice and their EOL patients. RESULTS: Satisfaction and impact were rated very highly by over 90 % of the GP respondents. Module participation increased the GPs’ confidence on EOL-related communication and collaboration skills: e.g., initiating conversations about EOL care, developing an action plan for EOL care, communicating the patient’s needs and wishes to other care providers, participating in collaborative care with home and community care nurses, and accessing and referring patients to EOL specialists in the community. Increased confidence was maintained at 3-6 months following completion of training. CONCLUSIONS: The EOL learning module offered by the PSP to family physicians in BC is a successful and impactful CME accredited training module for enhancing end-of-life care in primary care settings. BioMed Central 2015-07-24 /pmc/articles/PMC4513376/ /pubmed/26206113 http://dx.doi.org/10.1186/s12909-015-0392-4 Text en © Kadlec et al. 2015 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Kadlec, Helena
Hollander, Marcus J.
Clelland, Catherine
Kallstrom, Liza
Hollander, Marcus
Family physicians enhance end-of-life care: evaluation of a new continuing medical education learning module in British Columbia
title Family physicians enhance end-of-life care: evaluation of a new continuing medical education learning module in British Columbia
title_full Family physicians enhance end-of-life care: evaluation of a new continuing medical education learning module in British Columbia
title_fullStr Family physicians enhance end-of-life care: evaluation of a new continuing medical education learning module in British Columbia
title_full_unstemmed Family physicians enhance end-of-life care: evaluation of a new continuing medical education learning module in British Columbia
title_short Family physicians enhance end-of-life care: evaluation of a new continuing medical education learning module in British Columbia
title_sort family physicians enhance end-of-life care: evaluation of a new continuing medical education learning module in british columbia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4513376/
https://www.ncbi.nlm.nih.gov/pubmed/26206113
http://dx.doi.org/10.1186/s12909-015-0392-4
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