Division of Hospital Medicine, Loyola University Medical Center, Maywood, IL, USA.
University of Chicago Medicine, Chicago, IL, USA.
Am J Hosp Palliat Care. 2022 Jul;39(7):831-837. doi: 10.1177/10499091211044689. Epub 2021 Sep 7.
Demand for palliative care (PC) continues to increase with an insufficient number of specialists to meet the need. This requires implementation of training curricula to expand the workforce of interdisciplinary clinicians who care for persons with serious illness.
To evaluate the impact of utilizing individual practice improvement projects (PIP) as part of a longitudinal PC curriculum, the Coleman Palliative Medicine Training Program (CPMTP-2).
Participants developed their PIPs based on their institutional needs and through a mentor, and participated in monthly meetings and bi-annual conferences, thereby allowing for continued process improvement and feedback.
Thirty-seven interdisciplinary participants implemented 30 PIPs encompassing 7 themes: (1) staff education; (2) care quality and processes; (3) access to care; (4) documentation of care delivered; (5) new program development; (6) assessing gaps in care/patient needs; and (7) patient/family education. The majority of projects did achieve completion, with 16 of 30 projects reportedly being sustained several months after conclusion of the required training period. Qualitative feedback regarding mentors' expertise and availability was uniformly positive.
The CPMTP-2 demonstrates the positive impact of PIPs in the development of skills for interdisciplinary learners as part of a longitudinal training program in primary PC. Participation in a PIP with administrative support may lead to operational improvement within PC teams.
对姑息治疗（PC）的需求持续增加，但专家人数不足，无法满足需求。这就需要实施培训课程，扩大跨学科临床医生的队伍，为患有严重疾病的人提供护理。
评估将个人实践改进项目（PIP）作为纵向 PC 课程的一部分，即科尔曼姑息医学培训计划（CPMTP-2）的效果。
参与者根据其机构需求并通过导师制定其 PIP，并参加每月的会议和每两年一次的会议，从而允许持续的过程改进和反馈。
37 名跨学科参与者实施了 30 个 PIP，涵盖 7 个主题：（1）员工教育；（2）护理质量和流程；（3）获得护理的机会；（4）提供护理的记录；（5）新计划的开发；（6）评估护理差距/患者需求；（7）患者/家庭教育。大多数项目确实完成了，30 个项目中有 16 个项目在完成规定的培训期后几个月仍在持续。关于导师专业知识和可用性的定性反馈意见一致为正面。
CPMTP-2 证明了 PIP 在跨学科学习者的技能发展方面的积极影响，这是初级 PC 纵向培训计划的一部分。在行政支持下参与 PIP 可能会导致 PC 团队的运营改进。
