Evidence map›Paper›PMID 33411046›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

Needs assessment of current palliative care education in U.S. hematology/oncology fellowship programs.

Jafar H Al-Mondhiry, Aaron D Burkenroad, Eric Zhang, Christopher J Pietras, Ambereen K Mehta

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Jafar H Al-MondhiryDivision of Hematology & Oncology, Department of Medicine, University of California, Los Angeles, Box 951678 Factor Building, Los Angeles, CA, 90095-1678, USA. jalmondhiry@mednet.ucla.edu.ORCID https://orcid.org/0000-0001-8317-2251
Aaron D BurkenroadDepartment of Medicine, University of California, Los Angeles, Los Angeles, CA, 90095, USA.
Eric ZhangDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, 90095, USA.
Christopher J PietrasPalliative Care Program, Department of Medicine, University of California, Los Angeles, Los Angeles, CA, 90095, USA.
Ambereen K MehtaPalliative Care Program, Department of Medicine, University of California, Los Angeles, Los Angeles, CA, 90095, USA.
University of California, Los Angeles · USJohns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPalliative care (PC) education for fellows in hematology/oncology (H/O) training programs is widely accepted, but no studies to date have assessed PC education practices and values among program leadership.

methodsProgram Directors and Associate Program Directors of active H/O fellowship programs in the U.S.A. were surveyed.

resultsOf 149 programs contacted, 84 completed the survey (56% response rate), of which 100% offered some form of PC education. The most frequently utilized methods of PC education were didactic lectures/conferences (93%), required PC rotations (68%), and simulation/role-playing (42%). Required PC rotations were ranked highest, and formal didactic seminars/conferences were ranked fifth in terms of perceived effectiveness. The majority felt either somewhat (60%) or extremely satisfied (30%) with the PC education at their program. Among specific PC domains, communication ranked highest, addressing spiritual distress ranked lowest, and care for the imminently dying ranked second lowest in importance and competency. Solid tumor oncologists reported more personal comfort with pain management (p = 0.042), non-pain symptom management (p = 0.014), ethical/legal issues (p = 0.029), reported their fellows were less competent in pain assessment/management (p = 0.006), and communication (p = 0.011), and were more satisfied with their program's PC education (p = 0.035) as compared with hematologists.

conclusionsSignificant disparities exist between those modalities rated most effective for PC education and those currently in use. Clinical orientation of program leadership can affect both personal comfort with PC skills and estimations of PC curriculum effectiveness and fellows' competency. H/O fellowship programs would benefit from greater standardization and prioritization of active PC education modalities and content.

Indexed as

Education, Medical, GraduateFellowships and ScholarshipsFemaleHumansMaleNeeds AssessmentPalliative CareUnited StatesFellowshipHematologyMedical educationMedical oncologyPalliative care

Identifiers

PMID33411046
OpenAlexW3120597156

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.