A Delphi study to develop the Association for Palliative Medicine consensus syllabus for undergraduate palliative medicine in Great Britain and Ireland

Abstract

The Association for Palliative Medicine (APM) produced a previous undergraduate palliative medicine syllabus in 1992. This study describes the process of developing the new APM consensus syllabus against the background of changes in medical education and palliative medicine since 1992. The syllabus was derived by means of a Delphi study carried out amongst experts in palliative medicine across Britain and Ireland. Forty-three participants agreed to take part. Three rounds of the Delphi study took place. Consensus (75% agreement) was achieved in over 90% of the outcomes. The new syllabus is broken down into the following sections: basic principles, physical care, psychosocial care, culture, language, religious and spiritual issues, ethics and legal frameworks. Learning outcomes are categorised as essential or desirable. Using a Delphi study, we have developed a consensus syllabus for undergraduate palliative medicine. This is sufficiently flexible to allow all medical schools to ensure that their students achieve the essential learning outcomes by the time they graduate, whereas those with more generous curricular space will additionally be able to deliver selected desirable learning outcomes.

Keywords

Delphi education palliative medicine undergraduate

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References

1 General Medical Council . Tomorrow’s doctors. London: General Medical Council; 2003.

2 Doyle D . Palliative medicine training for physicians. J Neurol 1997; 244(Suppl. 4): S26–S29.

3 Tiernan E Kearney M Lynch A Holland N Pyne P . Effectiveness of a teaching programme in pain and symptom management for junior house officers. Support Care Cancer 2001; 9: 606–610.

4 Field D Wee B . Preparation for palliative care: teaching about death, dying and bereavement in UK medical schools 2000–2001. Med Educ 2002; 36: 561–567.

5 Association for Palliative Medicine of Great Britain and Ireland . Palliative medicine curriculum. Southampton: APMGBI; 1992.

6 Schonwetter R Robinson B . Educational objectives for medical training in the care off the terminally ill. Acad Med 1994; 69: 688–690.

7 Ury W Reznich C Weber C . A needs assessment for a palliative care curriculum. J Pain Symptom Manage 2000; 20: 408–416.

8 McDonald N Mount B Boston W Scott J . The Canadian palliative care undergraduate curriculum. J Cancer Educ 1993; 8: 197–201.

9 Grauel R Eger R Finley R Hawtin C . Educational programme in palliative and hospice care at the University of Maryland School of Medicine. J Cancer Educ 1996; 11: 144–147.

10.

10 Lynn M Layman E Englebardt S . Nursing administration priorities: a National Delphi study. J Nurs Adm 1998; 28: 7–11.

11.

11 Dunn W . Hamilton, D, Harden, R. Techniques of Identifying Competencies Needed of Doctors. Med Teach 1985; 7: 15–25.

12.

12 Walker A Selfe J . The Delphi method: a useful tool for the allied health researcher. Br J Ther Rehabil 1996; 3: 677–680.

13.

13 Joint Committee on Higher Medical Training (JCHMT) . Higher Medical Training for Palliative Medicine. London: JCHMT; 2003.