KathyFoleyHowtodevelopaPCprog

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					How to Develop a Palliative Care Program
Kathleen M. Foley, MD European Association of Palliative Care Meeting Aachen, Germany April 10, 2005

The Project on Death in America
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The mission of the Project on Death in America is to understand and transform the culture and experience of death and dying in America through funding initiatives in research, scholarship, the humanities, and the arts; and to foster innovations in the provision of care, public education, professional education, and public policy.

Professional Education
– Faculty Scholars Program – Social Work Leadership Development Program – Nursing Leadership Consortium

Faculty Scholars Program
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Promotes the visibility and prestige of clinicians in end-of-life care. Enhances their effectiveness as academic leaders and mentors for future generations of health professionals. To date, PDIA has supported 87 Faculty Scholars, representing more than 57 medical schools in the United States and Canada.

Faculty Scholars Program
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Internal Medicine Neurology Psychiatry Intensive Care Oncology Pediatrics

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Geriatrics Family Practice Medical Ethics Hospitalist Medical Education Nursing Education Psychology

Social Work Leadership
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Identify outstanding social work faculty Support to disseminate existing models of good care Encourage leadership within institutions Promote collaborative models of teaching, practice, policy development, and research To date, 44 social work leaders have been selected.

Nursing Leadership
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To develop a cadre of expert nursing educators, To coordinate national nursing efforts in end-of-life care, To facilitate the dissemination of a core curriculum that provides practicing nurses with the basic knowledge and skills needed to appropriately care for dying patients.

Faculty Scholars in the United States & Canada (N= 87)
Canada: Nova Scotia – 1 Manitoba - 1 British Columbia – 1 WA - 4 UT - 2 MN - 1 WI - 3 PA - 4 IL - 2 NH - 1 NY - 13 VT - 1

OR - 1

OH - 1

MA - 8 CT - 1 NJ - 5

CA - 12 MD - 2 CO - 1 DC - 2 VA - 6 NC - 4 SC - 1 GA - 1 NM - 1 KY - 1 AL - 2 TX - 2 FL - 1 RI - 1

Medical & Nursing School Representation
Faculty Scholars represent – 57 medical schools. Top 3: – Harvard Medical School (7) – University of Washington (4) – Univ. of Medicine & Dentistry NJ (4) – 4 Nursing schools – Mount Sinai, NYUMC – New Hampshire Technical College – UCSF – Thomas Jefferson University

Additional Grant Funding
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As Faculty Scholars, 66 have garnered 351 additional grants Total funding = $113,588,653 Top 5 funding agencies
Robert Wood Johnson (37)  NIH (13)  Greenwall Foundation (11)  NCI (10)  Fan Fox & Leslie R. Samuels Foundation (8)
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Additional Grant Funding
Faculty Scholars (n=66/87 reporting) have garnered 351 additional grants Total funding = $113,588,653
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Contributions to the literature
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Faculty Scholars (n=76/87 reporting) have published a total of 1807 publications in 689 different sources. Top 5 journals: – J Palliative Medicine 131 – J Pain Symptom Management 85 – J General Internal Medicine 84 – JAMA 54 – J Clinical Oncology 53

Contributions to the Literature
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An additional 1807 publications representing 689 different sources have been generated by 76 Scholars since their inception in the Program (aprox. 24 per scholar).
Journal of Palliative Medicine Journal of Pain and Symptom Management Journal of General Internal Medicine JAMA Journal of Clinical Oncology
131 85 84 54 53

Faculty Development
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EPEC Harvard Program in Palliative Care Education and Practice (1 wk x 2) ASCO EOL Teaching syllabus Individual Medical School/ Residency Programs (EPERC)

Palliative Care Fellowships
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> 25 US fellowships
– – – –

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Voluntary Training Standards 18 Accredited Fellowship Programs Move towards specialty status
– ACGME application ~2005 – ABMS application ~2006

1 and 2 year Academic and community practice oriented VA program—interdisciplinary Oncology-- Pall Care Fellowship

Educational Resources
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EPERC www.eperc.mcw.edu AAHPM core syllabus
– UNIPACS (AAHPM)

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EPEC ASCO EOL Syllabus (29 modules)

Fast Facts and Concepts

EPERC
End of Life Physician Education Resource Center
http://www.eperc.mcw.edu/start.cfm
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Course curricula with goals and objectives, teaching formats, and evaluation methods Actual topic-specific teaching modules (e.g., pain, giving bad news) intended audience, a teaching plan, audiovisual materials, and/or evaluation tools for EOL educators to adapt for use at their own sites EPERC e-newsletter

Continuing Educational Programs
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EPEC-Education for physicians in end-oflife care (www.epec.net) ELNEC-Education and learning for nurses in end-of-life care (http://www.aacn.nche.edu/elnec/)

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Education for Physicians on End-of-Life Care (EPEC)
http://www.epec.net
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Designed by experts to educate physicians on the essential clinical competencies in end of life care. Combines didactic sessions, videotape presentations, interactive discussions, and practical exercises.

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Certification in Palliative Medicine
For physicians -over 2000 physicians certified For nurses -over 10,000 nurses certified

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For more information:
See the PDIA website:

www.soros.org/death


				
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