Comprehensive Palliative Care Skills for Medical Residents and Fellows
This Learning Pathway contains comprehensive clinical skills training to help medical residents and fellows improve quality of life for patients living with serious illness. Topics include an introduction to the principles and practices of palliative care, communication techniques for effective conversations with patients and caregivers, pain and symptom management, and safe opioid prescribing. This Pathway contains approximately 11.5 hours of learning activities.
Understanding Palliative Care
An introduction to palliative care, how it is delivered, its impact on quality of life, and the growing population of patients who need it.
Checklist of triggers for referral to a specialty palliative care team.
Communicating Effectively During Serious Illness
Learn best practices for having patient-centered conversations about a serious illness diagnosis.
Learn how to effectively discuss prognosis with patients and their caregivers.
Learn best practices for building trust, eliciting patient values, and having patient-centered conversations about goals of care.
In this video, Kacey Boyle, RN, MSPC, leads us through an example of a goals of care conversation between a clinician and a patient.
Learn to effectively lead meetings that help patients and caregivers become aligned around the patient’s goals.
Learn techniques to help patients and their caregivers plan for the future, both during the early stages of a serious illness and as a disease progresses.
Why clinicians must unlearn well-intentioned but ultimately harmful conventions about race and ethnicity—and strategies to move forward.
Managing Pain Safely and Effectively
Learn to define and characterize pain, recognize the prevalence of pain, understand disparities in pain management based on race, ethnicity, and gender.
Learn the components of a comprehensive pain assessment and its importance in safe and effective pain management.
Gain an overview of pharmacologic and nonpharmacologic pain treatments, including risks and benefits, and learn how to match the analgesic to pain type.
Learn how to decide on an appropriate opioid, route of delivery, and dose, and understand how to prescribe for incident and breakthrough pain.
Practice prescribing initial opioid doses for different pain types and characteristics. Learn to adjust dosing as needed to manage pain effectively.
Learn to develop a pain treatment plan with realistic goals and proper documentation, and implement universal precautions to help with the risk of opioid use disorder.
Learn how to convert from short-acting to long-acting opioids, and calculate rescue doses for breakthrough pain using updated equianalgesic tools.
Learn how to identify and diagnose opioid use disorder (OUD) and practice communicating with patients about OUD and pain management.
Determine which patients may benefit from buprenorphine as a treatment for pain and opioid use disorder (OUD), and learn how to transition patients to buprenorphine.
Learn how to convert patients back and forth from oral to IV opioid formulations, how to prescribe patient-controlled analgesia (PCA), and how to treat acute pain crises.
Opioid pocket reference for providers including safe starting doses, equianalgesic chart, and standard dosing strengths.
Managing Common Symptoms
After completing this course, learners will be equipped with evidence-based strategies to identify and treat anxiety in patients living with a serious illness.
Constipation occurs in at least 70% of patients living with a serious illness and often goes unrecognized. After completing this course, learners will have the tools to successfully identify and manage the impact of constipation.
After completing this course, learners will have the tools to accurately identify and treat depression in patients living with a serious illness.
After completing this course, learners will have the tools they need to manage dyspnea, including the physical causes of shortness of breath and the emotional impact on the patient.
Nausea and vomiting are common symptoms of serious illness and can cause dangerous complications. After completing this course, learners will be equipped with practical skills to identify, manage, and reduce these symptoms.
Preventing Avoidable Crises
This course provides context and best practices for identifying older adults at risk for poor outcomes, including falls, delirium, and caregiving challenges.
This interactive whodunit game challenges learners to conduct a thorough clinical investigation of a patient with delirium to diagnose the cause(s).
This interactive escape room game challenges learners to conduct a thorough assessment of a patient whose multiple medications may be causing adverse effects, and determine which one(s) are candidates for deprescribing.
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