A Novel Interprofessional Palliative Care and Geriatrics Curriculum for Nephrology Teams

Author:

Fulton Ana Tuya123,Richman Katherine14,Azar Maroun15,Sanzen Kelley25,Devine Jessica5,Ferrone Christine6,Tanzer Joshua Ray6,Lally Kate78ORCID

Affiliation:

1. Geriatrics & Palliative Care, Care New England Health System, Providence, RI, USA

2. The Warren Alpert School of Medicine, Brown University, Providence, RI, USA

3. Integra Community Care Network, LLC, Providence, RI, USA

4. Providence VA Medical Center, Lifespan, Providence, RI, USA

5. Brown Medicine, Inc, Providence, RI, USA

6. Rhode Island Geriatric Education Center, University of Rhode Island, Kingston, RI, USA

7. Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA, USA

8. Harvard Medical School, Harvard University, Boston, MA, USA

Abstract

Background: The population of older adults with chronic kidney disease (CKD) is increasing and nephrologists need education on the principles of geriatrics and palliative care to effectively care for this population. Objectives: Our objective was to develop and deliver a curriculum to interprofessional clinicians caring for older adults with CKD. The aim of this curriculum would be to improve knowledge of the principles of geriatrics and palliative care. Design: We have previously developed a curriculum on geriatrics and palliative care targeted toward primary care teams. In this project, we used an interdisciplinary steering committee to modify the curriculum for nephrology teams. Setting: This curriculum was delivered in a live grand rounds setting and was recorded and made available via online platform for virtual learning. Participants: The 6-session curriculum was delivered to 611 live and online learners between January 2018 and April 2019, with more than half of the participants (n = 317) completing more than 1 session. Participants came from a variety of disciplines including medicine, nursing, pharmacy, and social work. Results: Participants had a high rate of agreement with the statement that the curriculum met learning objectives, with live participants having stronger agreement. Participants reported that the activity would change their practice behavior by calling palliative care earlier, as well as improving their communication skills. Conclusion: Interprofessional collaboration can result in improved learning around the management of patients with CKD or end-stage kidney disease.

Funder

Health Resources and Services Administration

Publisher

SAGE Publications

Subject

General Medicine

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