Oral Papers: Palliative Care & Oncology II
Objective: To understand current practices in training consultation-liaison psychiatry fellows in palliative care and palliative care fellows in psychiatry and to contextualize these practices in the broader end-of-life mental health care workforce shortages.
Background: Patients at the end-of-life have significant mental health needs. Mental health conditions at the end of life contribute to worse health outcomes and higher costs. However, mental health services are poorly integrated with end-of-life care. Workforce issues contribute significantly to the division between mental health and end-of-life care. Creating an expert workforce at the intersection of mental health and end-of-life care is necessary, but not sufficient, to improve workforce shortages at the intersection of mental health and palliative care. Consultation-liaison psychiatrists and palliative care specialists are naturally positioned to assume a leadership role at this intersection, but there is little standardization by accrediting bodies of the requirements of cross-training in these fields. Additionally, no academic research on current cross-training practices in fellowship programs exist.
Methods: All consultation-liaison psychiatry and palliative care fellowship program directors as identified by FREIDA, the American Medical Association’s residency and fellowship database, will be invited to participate in a survey. Consultation-liaison program directors will be surveyed on clinical and didactic palliative care experiences built into their fellowship programs. Palliative care program directors will be surveyed on psychiatry didactic and clinical exposure built into their fellowship program. Survey data will be used to assess the frequency and type of cross-training exposure for consultation-liaison and palliative care fellows, as well as what topics are most frequently taught.
Results and discussion are pending collection of data.