Evidence map›Paper›PMID 40403778›Full record

ArticleJournal of pain and symptom management2025

Primary Mental Health Competencies for Hospice and Palliative Medicine Physicians: A Delphi Study.

Lisa Podgurski, Danielle Chammas, Keri O Brenner, Leah B Rosenberg, Neha G Goyal, Maria I Lapid, Sue E Morris, William F Pirl, Bridget Sumser, Benjamin W Thompson and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Lisa PodgurskiSection of Palliative Care and Medical Ethics (L.P.), University of Pittsburgh, Pittsburgh, Pennsylvania, USA. Electronic address: podgurskil@upmc.edu.
Danielle ChammasDivision of Palliative Medicine (D.C., B.S.), University of California San Francisco, San Francisco, California, USA.
Keri O BrennerSection of Palliative Care (K.O.B.), Stanford University School of Medicine, Stanford, California, USA.
Leah B RosenbergDivision of Palliative Care and Geriatrics (L.B.R.), Massachusetts General Hospital, Boston, Massachusetts, USA.
Neha G GoyalDepartment of Psycho-Oncology (N.G.G.), Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California, USA.
Maria I LapidDepartment of Psychiatry & Psychology (M.I.L.), Mayo Clinic, Rochester, Minnesota, USA.
Sue E MorrisDepartment of Psychosocial Oncology and Palliative Care (S.E.M., W.F.P.), Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
William F PirlDepartment of Psychosocial Oncology and Palliative Care (S.E.M., W.F.P.), Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Bridget SumserDivision of Palliative Medicine (D.C., B.S.), University of California San Francisco, San Francisco, California, USA.
Benjamin W ThompsonDepartment of Medicine (B.W.T.), Prisma Health, Columbia, South Carolina, USA.
Lindsey WrightNYU Langone Health (L.W.), Laura and Isaac Perlmutter Cancer Center, Supportive Oncology, Palliative Care, New York, New York, USA.
Daniel ShalevDivision of Geriatrics and Palliative Medicine (D.S.), Weill Cornell Medicine, New York, New York, USA.

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
CoCM-PAL: Adapting Collaborative Care for Older Adults with Serious Illness and Comorbid Depression or Anxiety Receiving Ambulatory Palliative CareK76AG083287 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Daniel Shalev · 2024 to 2026
$729k
NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NIA NIH HHS K76 AG083287
6 · The paper itself

Abstract

contextPsychiatric and psychological care in serious illness is a core domain of hospice and palliative medicine (HPM), encompassing both normative psychosocial responses and mental health comorbidities. While social workers serve as psychosocial leaders on HPM interdisciplinary teams, commitment to supporting whole-person care remains the responsibility of the entire team. However, training and scope of practice for HPM physicians in the mental health domain are poorly standardized.

objectivesTo establish and prioritize "primary mental health competencies" for specialist hospice and palliative medicine physicians using expert consensus methods.

methodsWe convened a panel of eight physicians, one social worker, two psychologists, and one nurse practitioner with expertise at the intersection of palliative care and mental health. Using group meetings and 1:1 interviews with the project leads, the expert panel generated initial competencies. A purposive voting panel of 36 palliative care physicians representing a range of practice settings and areas of career focus finalized high-priority competencies using a two-phase modified Delphi approach.

resultsThe expert panel proposed 68 competencies divided into: (A) psychological foundations of serious illness care, (B) diagnosis and management of mental health disorders in serious illness, and (C) systems-based practice. After first-round voting, 23 competencies were recirculated for a second vote. Following second-round voting, 32 competencies were included in the final list: seven from part A, 20 from part B, and five from part C.

conclusionsThis consensus-based, expert-led process successfully generated and prioritized essential competencies in the psychological and psychiatric aspects of palliative care for specialist physicians.

Indexed as

Clinical CompetenceHospice CareMental HealthPalliative CarePalliative MedicinePhysiciansConsensusDelphi TechniqueFemaleHumansMalecompetenciesmental healthPalliative carephysician trainingpsychiatricpsychological

Identifiers

PMID40403778
PMCPMC12257607

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.