A Structured End-of-Life Curriculum for Neonatal–Perinatal Postdoctoral Fellows

Leslie L. Harris, Frank X. Placencia, Jennifer L. Arnold, Charles G. Minard, Toi B. Harris, Paul M. Haidet

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Death in tertiary care neonatal intensive care units is a common occurrence. Despite recent advances in pediatric palliative education, evidence indicates that physicians are poorly prepared to care for dying infants and their families. Numerous organizations recommend increased training in palliative and end-of-life care for pediatric physicians. The purpose of this study is to develop a structured end-of-life curriculum for neonatal–perinatal postdoctoral fellows based on previously established principles and curricular guidelines on end-of-life care in the pediatric setting. Results demonstrate statistically significant curriculum effectiveness in increasing fellow knowledge regarding patient qualification for comfort care and withdrawal of support (P =.03). Although not statistically significant, results suggest the curriculum may have improved fellows’ knowledge of appropriate end-of-life medical management, comfort with addressing the family, and patient pain assessment and control.

Original languageEnglish (US)
Pages (from-to)253-261
Number of pages9
JournalAmerican Journal of Hospice and Palliative Medicine
Volume32
Issue number3
DOIs
Publication statusPublished - May 15 2015

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All Science Journal Classification (ASJC) codes

  • Medicine(all)

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