Palliative Care Training in Surgical Oncology and Hepatobiliary Fellowships: A National Survey of the Fellows

Albert Amini, John T. Miura, Greg Larrieux, Susan Tsai, Kiran K. Turaga, Kathleen K. Christians, Karen Brasel, T. Clark Gamblin, David E. Weissman, Ann B. Nattinger, Fabian M. Johnston

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background: Surgical oncologists (SO) and hepatobiliary (HPB) surgeons frequently care for patients with advanced diseases near the end of life, yet little is known about their training, comfort, and readiness in the provision of palliative care. This study sought to assess the quality, adequacy, and extent of palliative care training and the readiness of SO and HPB fellows in delivering palliative care.

Methods: A self-administered survey was distributed to all fellows enrolled in Society of Surgical Oncology (SSO) and HPB fellowships during the 2013–2014 academic year. The survey assessed attitudes, training, experience, and readiness of fellows in caring for patients at the end of life. Descriptive analysis was performed, and Chi square, Student’s t test, and the Mann–Whitney U test were used to compare mean or median values as appropriate.

Results: The response rate was 47.2 %, and 50.9 % of the fellows reported exposure to a palliative care specialty service during their fellowship. Of the study participants, 75 % observed their faculty discussing the side effects of surgery compared with 54 % who observed faculty communication with patients regarding end-of-life goals (p 

Conclusion: The fellows rated the quality of their palliative care education as poor compared with other aspects of their fellowship training, implying the lack and need of palliative care teaching. Surgical oncology and HPB fellows and ultimately patients may benefit from increased clinical and didactic palliative care training.

Original languageEnglish (US)
Pages (from-to)1761-1767
Number of pages7
JournalAnnals of Surgical Oncology
Volume22
Issue number6
DOIs
StatePublished - Jun 1 2015
Externally publishedYes

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Palliative Care
Surgical Oncology
Surveys and Questionnaires
Patient Care
Teaching
Communication
Students
Education

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

Amini, A., Miura, J. T., Larrieux, G., Tsai, S., Turaga, K. K., Christians, K. K., ... Johnston, F. M. (2015). Palliative Care Training in Surgical Oncology and Hepatobiliary Fellowships: A National Survey of the Fellows. Annals of Surgical Oncology, 22(6), 1761-1767. https://doi.org/10.1245/s10434-014-4226-0

Palliative Care Training in Surgical Oncology and Hepatobiliary Fellowships : A National Survey of the Fellows. / Amini, Albert; Miura, John T.; Larrieux, Greg; Tsai, Susan; Turaga, Kiran K.; Christians, Kathleen K.; Brasel, Karen; Clark Gamblin, T.; Weissman, David E.; Nattinger, Ann B.; Johnston, Fabian M.

In: Annals of Surgical Oncology, Vol. 22, No. 6, 01.06.2015, p. 1761-1767.

Research output: Contribution to journalArticle

Amini, A, Miura, JT, Larrieux, G, Tsai, S, Turaga, KK, Christians, KK, Brasel, K, Clark Gamblin, T, Weissman, DE, Nattinger, AB & Johnston, FM 2015, 'Palliative Care Training in Surgical Oncology and Hepatobiliary Fellowships: A National Survey of the Fellows', Annals of Surgical Oncology, vol. 22, no. 6, pp. 1761-1767. https://doi.org/10.1245/s10434-014-4226-0
Amini, Albert ; Miura, John T. ; Larrieux, Greg ; Tsai, Susan ; Turaga, Kiran K. ; Christians, Kathleen K. ; Brasel, Karen ; Clark Gamblin, T. ; Weissman, David E. ; Nattinger, Ann B. ; Johnston, Fabian M. / Palliative Care Training in Surgical Oncology and Hepatobiliary Fellowships : A National Survey of the Fellows. In: Annals of Surgical Oncology. 2015 ; Vol. 22, No. 6. pp. 1761-1767.
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