development of a palliative and end-of-life care curriculum quebec faculties of medicine ruqsp...
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Development of a Palliative and Development of a Palliative and End-of-Life Care Curriculum End-of-Life Care Curriculum Quebec Faculties of Medicine Quebec Faculties of Medicine
RUQSPRUQSP
Réseau Universitaire Québécois Réseau Universitaire Québécois de Soins Palliatifsde Soins Palliatifs
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Relations RUQSP vs Governments + EFPPECRelations RUQSP vs Governments + EFPPECGovernment of Canada
MDs17 Universities
EFPPECConsensus
EducationHealth workers, Educators
Volonteers
Promote & coordinatePC in Canada
5 Working Groups
HEALTH CanadaNational Strategies in PC en 1991Rapport Sénatorial Kerby oct 2002
Secrétariat en Soins Palliatifs Juin 2000
Government of Quebec
AcademicNetwork in
Palliative Care
4 Regions4 Universities
Academic AffairsRUIS
Réseaux Universitaires Intégrés en Santé
Implementation Advise Comity
Palliative CarePolicy
Programme Québécois Luttecontre Cancer
MSSS/Health & Social ServicesDGAMU
Clinical networkin
Palliative Care
CLINICAL NETWORKHealth & Social Services CENTER
CHUINSTITUTES
MSSS/Health & Social ServicesLocal Agencies
Local Network inHealth & Social Services
RUQSPRUQSP
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GROUP together people dedicated GROUP together people dedicated to Palliative Care Trainingto Palliative Care Training
Necessary alignmentNecessary alignment
TEACHING NETWORKTEACHING NETWORK CLINICAL NETWORK CLINICAL NETWORK
ACADEMIC ACADEMIC STRUCTURESTRUCTURE
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SENSITIZE & OBTAIN SUPPORT from SENSITIZE & OBTAIN SUPPORT from 44 FAC MED FAC MED
The The Strategic ChoiceStrategic Choice : :
Work togetherWork together
The The 44 faculties faculties
Credibility Credibility
Avoid work in silosAvoid work in silos
Optimize the effortsOptimize the efforts
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CredibilityCredibility
OBTAINOBTAIN
Support approval from the Support approval from the 4 deans / associate-deans 4 deans / associate-deans
Group together experts / Group together experts / valid representatives valid representatives
SENSITIZE the DECISIONS MAKERSSENSITIZE the DECISIONS MAKERS
Academic
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CredibilityCredibility
OBTAINOBTAIN Setting up Committee of the new Setting up Committee of the new Palliative Care Policy of Palliative Care Policy of MSSSMSSS
RUISRUIS [Integrated Academic [Integrated Academic Network in Health] and Regional Network in Health] and Regional Agency of Agency of MSSSMSSS
Programme Québécois de lutte Programme Québécois de lutte contre le Cancer contre le Cancer
SENSITIZE the DECISIONS MAKERSSENSITIZE the DECISIONS MAKERS
Political
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HAVE MORE INFLUENCEHAVE MORE INFLUENCE
Necessary alignmentNecessary alignment
TEACHING NETWORKTEACHING NETWORK CLINICAL NETWORK CLINICAL NETWORK
ACADEMIC ACADEMIC STRUCTURESTRUCTURE
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SENSITIZE & OBTAIN SUPPORT from SENSITIZE & OBTAIN SUPPORT from 44 FAC MED FAC MED
DevelopDevelop Common CurriculumCommon CurriculumPalliative CarePalliative Care
Joint Workshops June 2003 Joint Workshops June 2003 CSPCP / RUQSP CSPCP / RUQSP
EFPPECEFPPEC
2002-20032002-2003
Work TogetherWork Together
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To DevelopTo Develop Common CurriculumCommon Curriculum in Palliative Carein Palliative Care
2004-20052004-2005
Tools :Tools :
Training in palliative and End-of-Life Training in palliative and End-of-Life Care : «A priority for Canadian Care : «A priority for Canadian faculties of Medicine» faculties of Medicine»
18 themes from the 18 themes from the undergraduate’s workshop undergraduate’s workshop
Palliative Medicine : A case based Palliative Medicine : A case based Manual -- 2005 Manual -- 2005
Palliative care curriculum of the Palliative care curriculum of the CHPCA -- 1991 CHPCA -- 1991
Group in Ontario Group in Ontario Dr Denise Marshall Dr Denise Marshall
CanMed’s Competencies CanMed’s Competencies from RCPSC from RCPSC
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To DevelopTo Develop Common CurriculumCommon Curriculum in Palliative Carein Palliative Care
2004-20052004-2005
Sub-committee of RUQSPSub-committee of RUQSP
Members :Members :
• Hubert Marcoux MD (Laval)
• Dominique Trempe (Montréal)
• Krista Lawlor (McGill)
• Yvon Beauchamp (Montréal)
• Jean Marc Bigonnesse (Sherbrooke)
UNDERGRADUATE POST-GRADUATEUNDERGRADUATE POST-GRADUATE
Development to come
keep it up with other members?
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Keeping with the Level of Training
Pre-ClinicalPC
ClerkshipC
UNDERGRADUATECompleted at the end
of the trainingLevel
ResidencyR
POSTGRADUATECompleted at the
end of theResidencie's Level
COMPETENCIESPalliative and End-Of-Life Care
Most Relevant at this Level of TrainingKey step to reach the targeted competencie
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Common Common Curriculum Curriculum inin
Palliative CarePalliative Care
2004-20052004-2005 HOW TO PRESENT the RESULTS?
DevelopSpecific
Objectives
DevelopSpecific
Competencies
To Identifyseveral
CONTENTS
Large and GeneralCompetencies
What kind oftasks
are we expectat this level?
Sorted according torelvance to
medical education atLevel of Training
Roles tailoredtaking into account
the nature ofPalliative and End-of-Life Care
7 CANMED'SROLES
Medical expert - Communicator - Collaborator - Manager Health advocate - Scholar - Professional
Classification by Classification by Training Level Training Level
PC C RPC C R
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Common Common Curriculum inCurriculum inPalliative CarePalliative Care
EXEMPLEEXEMPLE
SPECIFICOBJECTIVES
SPECIFICCOMPETENCIES
PAIN
SPECIFICCOMPETENCIES
DYSPNEA
SPECIFICCOMPETENCIES
RESPIRATORYDISTRESS
SPECIFICCOMPETENCIES
TERMINALRALES
RESPIRATORYPROBLEMS
IdentifySEVERAL
CONTENTS
Large and GeneralCompetencies
PCKnowledge
Patho-physiologysemiology
CProblem SolvingMore Complex
Aspects
Sorted according totheir relevance
to medical education atLevel of Training
Roles tailoredtaking into account
the nature ofPalliative and End-of-Life Care
CANMED'S ROLESMEDICAL EXPERT
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Advantage of combining forces togetherAdvantage of combining forces together
Legitimacy of the works Legitimacy of the works
Impact in our own facultyImpact in our own faculty
Interest in the final productionInterest in the final production
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Advantage of combining forces togetherAdvantage of combining forces together
Participation inside EFPPEC ProjectParticipation inside EFPPEC Project
In addition to other works in progress In addition to other works in progress
Document among others across country Document among others across country as a part of a hole as a part of a hole
Tool kit for all of us Tool kit for all of us
Final product will be share Final product will be share