found in my internet wanderings at stanford faculty deveolpment center
end-of-life care curriculum for medical teachers
Until recently, end-of-life care (elc) has been neglected in physician training. a number of studies show serious deficiencies in end-of-life care, both in the u.s. and in other countries. this has resulted in bad dying experiences for patients, their families, physicians and other health care workers. with support from the robert wood johnson foundation, the stanford faculty development center
(sfdc) developed a 16-hour faculty development course incorporating basic material designed to be used by physicians in any area of expertise. this web-based curriculum
is an adaptation of materials developed for that course.
The overall goals of the end-of-life care curriculum for medical teachers are to enhance physician skills in elc, foster a commitment to improving care for the dying, improve the dying experience for patients, families, and health care providers, and improve teaching related to RLC
Teacher's Handbook for the curriculum includes guidance for each module:
- Overview: Death and Dying in the U.S.A.
- Pain Management
- Communicating with Patients and Families
- Making Difficult Decisions
- Non-Pain Symptom Management
- Venues and Systems of Care
- Psychiatric Issues and Spirituality
- Instituting Change
2. pain management
after a consideration of barriers to care, provides a pain assessment tool, and discusses non-pharmacologic and pharmacologic interventions, including opioids and the process of opioid conversion and adjustment.
5. non-pain symptom management
offers a frame shift for thinking about symptoms, provides an analytic tool for identifying appropriate therapies, and uses this tool to address nausea and vomiting, dyspnea, terminal syndrome characterized by respiratory secretions, and cachexia, anorexia, and asthenia.