{"pk":18448,"title":"Integrating Hospice and Palliative Medicine Education Within the American Board of Emergency Medicine Model","subtitle":null,"abstract":"Background: Hospice and palliative medicine (HPM) is a board-certified subspecialty within emergency medicine (EM), but prior studies have shown that EM residents do not receive sufficient training in HPM. Experts in HPM-EM created a consensus list of competencies for HPM training in EM residency. We evaluated how the HPM competencies integrate within the American Board of Emergency Medicine Milestones, which include the Model of the Clinical Practice of Emergency Medicine (EM Model) and the knowledge, skills, and abilities (KSA) list.


Methods: Three emergency physicians independently mapped the HPM-EM competencies onto the 2019 EM Model items and the 2021 KSAs. Discrepancies were resolved by a fourth independent reviewer, and the final mapping was reviewed by all team members.


Results: The EM Model included 78% (18/23) of the HPM competencies as a direct match, and we identified recommended areas for incorporating the other five. The KSAs included 43% (10/23). Most HPM competencies included in the KSAs mapped onto at least one level B (minimal necessary for competency) KSA. Three HPM competencies were not clearly included in the EM Model or in the KSAs (treating end-of-life symptoms, caring for the imminently dying, and caring for patients under hospice care).


Conclusion: The majority of HPM-EM competencies are included in the current EM Model and KSAs and correspond to knowledge needed to be competent in EM. Programs relying on the EM Milestones to plan their curriculums may miss training in symptom management and care for patients at the end of life or who are on hospice.

","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Emergency Medicine"},{"word":"Residency Education"},{"word":"Palliative Medicine"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/38433575","frozenauthors":[{"first_name":"Rebecca","middle_name":"","last_name":"Goett","name_suffix":"","institution":"Rutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New Jersey","department":"None"},{"first_name":"Jason","middle_name":"","last_name":"Lyou","name_suffix":"","institution":"The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Lauren","middle_name":"R.","last_name":"Willoughby","name_suffix":"","institution":"The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Daniel","middle_name":"W.","last_name":"Markwalter","name_suffix":"","institution":"University of North Carolina School of Medicine, Department of Emergency Medicine, Chapel Hill, North Carolina; University of North Carolina School of Medicine, UNC Palliative Care Program, Chapel Hill, North Carolina","department":"None"},{"first_name":"Diane","middle_name":"L.","last_name":"Gorgas","name_suffix":"","institution":"The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Lauren","middle_name":"T.","last_name":"Southerland","name_suffix":"","institution":"The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio","department":"None"}],"date_submitted":"2023-08-29T15:17:24Z","date_accepted":"2023-08-29T15:17:24Z","date_published":"2024-03-25T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18448/galley/10285/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18448/galley/10088/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18448/galley/10285/download/"}]}