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Health Professionals Palliative Care Education for Older Adults: Overcoming Ageism, Racism, and Gender Bias

PURPOSE OF REVIEW: Most aging Americans lack access to specialist palliative care aimed at those experiencing serious illness and/or high symptom burden at end of life. The curricula used by training programs for all healthcare professions should focus on helping learners develop the primary palliat...

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Autores principales: Gazaway, Shena B., Barnett, Michael D., Bowman, Ella H., Ejem, Deborah, Harrell, Erin R., Brown, Cynthia J., Bakitas, Marie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8556773/
https://www.ncbi.nlm.nih.gov/pubmed/34745842
http://dx.doi.org/10.1007/s13670-021-00365-7
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author Gazaway, Shena B.
Barnett, Michael D.
Bowman, Ella H.
Ejem, Deborah
Harrell, Erin R.
Brown, Cynthia J.
Bakitas, Marie
author_facet Gazaway, Shena B.
Barnett, Michael D.
Bowman, Ella H.
Ejem, Deborah
Harrell, Erin R.
Brown, Cynthia J.
Bakitas, Marie
author_sort Gazaway, Shena B.
collection PubMed
description PURPOSE OF REVIEW: Most aging Americans lack access to specialist palliative care aimed at those experiencing serious illness and/or high symptom burden at end of life. The curricula used by training programs for all healthcare professions should focus on helping learners develop the primary palliative care skills and competencies necessary to provide compassionate bias-free care for adults with serious illness. We believe there is much opportunity to improve this landscape via the incorporation of palliative care competencies throughout generalist healthcare professional programs. RECENT FINDINGS: Several recent publications highlight multiple issues with recruitment and retention of diverse students and faculty into healthcare professional training programs. There are also concerns that the curricula are reinforcing age, race, and gender biases. Due to these biases, healthcare professionals graduate from their training programs with socialized stereotypes unquestioned when caring for older adult minority patients and caregivers. SUMMARY: Important lessons must be incorporated to assure that bias against age, race, and gender are discovered and openly addressed in healthcare professional’s education programs. This review highlights these three types of bias and their interrelationships with the aim of revealing hidden truths in the education of healthcare professionals. Ultimately, we offer targeted recommendations of focus for programs to address implicit bias within their curricula.
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spelling pubmed-85567732021-11-01 Health Professionals Palliative Care Education for Older Adults: Overcoming Ageism, Racism, and Gender Bias Gazaway, Shena B. Barnett, Michael D. Bowman, Ella H. Ejem, Deborah Harrell, Erin R. Brown, Cynthia J. Bakitas, Marie Curr Geriatr Rep Invited Commentary PURPOSE OF REVIEW: Most aging Americans lack access to specialist palliative care aimed at those experiencing serious illness and/or high symptom burden at end of life. The curricula used by training programs for all healthcare professions should focus on helping learners develop the primary palliative care skills and competencies necessary to provide compassionate bias-free care for adults with serious illness. We believe there is much opportunity to improve this landscape via the incorporation of palliative care competencies throughout generalist healthcare professional programs. RECENT FINDINGS: Several recent publications highlight multiple issues with recruitment and retention of diverse students and faculty into healthcare professional training programs. There are also concerns that the curricula are reinforcing age, race, and gender biases. Due to these biases, healthcare professionals graduate from their training programs with socialized stereotypes unquestioned when caring for older adult minority patients and caregivers. SUMMARY: Important lessons must be incorporated to assure that bias against age, race, and gender are discovered and openly addressed in healthcare professional’s education programs. This review highlights these three types of bias and their interrelationships with the aim of revealing hidden truths in the education of healthcare professionals. Ultimately, we offer targeted recommendations of focus for programs to address implicit bias within their curricula. Springer US 2021-10-30 2021 /pmc/articles/PMC8556773/ /pubmed/34745842 http://dx.doi.org/10.1007/s13670-021-00365-7 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Invited Commentary
Gazaway, Shena B.
Barnett, Michael D.
Bowman, Ella H.
Ejem, Deborah
Harrell, Erin R.
Brown, Cynthia J.
Bakitas, Marie
Health Professionals Palliative Care Education for Older Adults: Overcoming Ageism, Racism, and Gender Bias
title Health Professionals Palliative Care Education for Older Adults: Overcoming Ageism, Racism, and Gender Bias
title_full Health Professionals Palliative Care Education for Older Adults: Overcoming Ageism, Racism, and Gender Bias
title_fullStr Health Professionals Palliative Care Education for Older Adults: Overcoming Ageism, Racism, and Gender Bias
title_full_unstemmed Health Professionals Palliative Care Education for Older Adults: Overcoming Ageism, Racism, and Gender Bias
title_short Health Professionals Palliative Care Education for Older Adults: Overcoming Ageism, Racism, and Gender Bias
title_sort health professionals palliative care education for older adults: overcoming ageism, racism, and gender bias
topic Invited Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8556773/
https://www.ncbi.nlm.nih.gov/pubmed/34745842
http://dx.doi.org/10.1007/s13670-021-00365-7
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