Evidence map›Paper›PMID 38616006›Full record

ArticleJournal of cardiac failure2024

Palliative Care Education in Cardiovascular Disease Fellowships: A National Survey of Program Directors.

Sarah Godfrey, Jill M Steiner, Abdulla A Damluji, Ramya Sampath, Sarah Chuzi, Haider Warraich, Ashok Krishnaswami, Gwen Bernacki, Sarah Goodlin, Richard Josephson and 2 more

Abstract read
In one paragraph

Article in Journal of cardiac failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

12 authors.

Sarah GodfreyUniversity of Texas Southwestern Medical Center, Dallas, TX. Electronic address: sarah.godfrey@utsouthwestern.edu.
Jill M SteinerUniversity of Washington Medical Center, Seattle, WA.
Abdulla A DamlujiInova Center of Outcomes Research, Falls Church, VA; Johns Hopkins University School of Medicine, Baltimore, MD.
Ramya SampathYale New Haven Hospital, New Haven, CT.
Sarah ChuziNorthwestern Memorial Hospital, Chicago, IL.
Haider WarraichBrigham and Women's Hospital, Boston, MA.
Ashok KrishnaswamiKaiser Permanente, San Jose Medical Center, San Jose, CA.
Gwen BernackiUniversity of Washington Medical Center, Seattle, WA; Veterans' Administration of Puget Sound, Seattle, WA.
Sarah GoodlinPatient-Centered Education and Research, Oregon Health and Sciences University, Portland, OR.
Richard JosephsonCase Western Reserve University, Cleveland, OH.
John MulrowCardiology Clinic of San Antonio, San Antonio, TX.
Caroline DohertyUniversity of Pennsylvania School of Nursing, Philadelphia, PA.

Funding

Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
Physical Rehabilitation for Older Patients with Acute HFpEF-The REHAB-HFpEF TrialR01AG078153 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KITZMAN, DALANE W · 2022 to 2025
$26.6M
Assessing and Promoting Resilience in Adults with Adult Congenital Heart DiseaseK23HL151801 · NHLBI · UNIVERSITY OF WASHINGTON · PI STEINER, JILL MARIE · 2021 to 2025
$920k
Frailty and Resiliency in Older Adults with Acute Myocardial InfarctionK23HL153771 · NHLBI · INOVA HEALTH CARE SERVICES · PI DAMLUJI, ABDULLA AL · 2020 to 2024
$916k
NHLBI NIH HHS K23 HL151801NHLBI NIH HHS K23 HL153771NIA NIH HHS P30 AG021334NIA NIH HHS R01 AG078153
6 · The paper itself

Abstract

backgroundPalliative care (PC) is an essential component of high-quality care for people with cardiovascular disease (CVD). However, little is known about the current state of PC education in CVD training, including attitudes toward integration of PC into training and implementation of PC by the program's leadership.

methodsWe developed a nationwide, cross-sectional survey that queried education approaches, perspectives and barriers to PC education in general CVD fellowship training. The survey was distributed to 392 members of the American College of Cardiology Program Director (PD) listserv, representing 290 general CVD fellowships between 1/2023 and 4/2023. We performed descriptive and ꭕ

resultsOf the program's representatives, 56 completed the survey (response rate = 19.3%). Respondents identified themselves as current PDs (89%), associate PDs (8.9%) or former PDs (1.8%), representing a diverse range of program sizes and types and regions of the country. Respondents reported the use of informal bedside teaching (88%), formal didactics (59%), online or self-paced modules (13%), in-person simulation (11%), and clinical rotations (16%) to teach PC content. Most programs covered PC topics at least annually, although there was variability by topic. We found no associations between program demographics and type or frequency of PC education. Most respondents reported dissatisfaction with the quantity (62%) or quality (59%) of the PC education provided. Barriers to PC education included an overabundance of other content to cover (36%) and perceived lack of fellow (20%) or faculty (18%) interest. Comments demonstrated the importance of PC education in fellowship, the lack of a requirement to provide PC education, difficulty in covering all topics, and suggestions of how PC skills should be taught.

conclusionsIn a national survey of CVD educational leadership concerning approaches to PC education in CVD training, respondents highlighted both challenges to implementation of formal PC curricula in cardiology training and opportunities for comprehensive PC education.

Indexed as

Cardiovascular DiseasesFellowships and ScholarshipsPalliative CareCardiologyCross-Sectional StudiesCurriculumEducation, Medical, GraduateFemaleHumansMaleSurveys and QuestionnairesUnited States

Identifiers

PMID38616006
PMCPMC11470968

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.