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Advancing Interprofessional Hospice and Palliative Care Teamwork with Entrustable Professional Activities (SA300)
Abstract   Open access   Peer reviewed

Advancing Interprofessional Hospice and Palliative Care Teamwork with Entrustable Professional Activities (SA300)

Kashelle Lockman, Lindy Landzaat, Laura Morrison, Barbara Jones and Rabia Atayee
Journal of pain and symptom management, Vol.63(5), pp.826-827
05/2022
DOI: 10.1016/j.jpainsymman.2022.02.289
url
https://doi.org/10.1016/j.jpainsymman.2022.02.289View
Published (Version of record) Open Access

Abstract

Outcomes 1. Contrast entrustable professional activities (EPAs) and competencies 2. Compare EPAs for hospice and palliative medicine physicians and hospice and palliative care (HAPC) pharmacists 3. Discuss benefits and challenges of integrating EPAs as a framework in HAPC training programs Effective interprofessional teamwork is a core component of providing quality palliative care, but team dynamics and effectiveness can be compromised when roles and responsibilities are ambiguous or misunderstood by team members from different professions. Entrustable professional activities (EPAs) establish a consensus of essential roles and responsibilities that clinicians can be entrusted to perform without supervision, after achieving and integrating multiple competencies in a profession or specialty. EPAs in hospice and palliative care have been developed for physicians and pharmacists; hospice and palliative care (HAPC) EPAs are yet to be developed for other professions on HAPC interprofessional teams, including chaplaincy, nursing, and social work. This session will explore the utility of EPAs as a framework to address the identified gap in defining team member roles and responsibilities more clearly and to support effective teamwork and interprofessional training within HAPC teams. We will use physician and pharmacist EPAs to examine this as a proof of concept. Areas of role overlap and differentiation in HPM physician and HAPC pharmacist EPAs will be highlighted. Physicians and pharmacists will share how EPAs were developed for each of their professions. In a panel discussion, session faculty will discuss lessons learned in developing and implementing EPAs and provide case examples of how EPAs may be implemented in interprofessional clinical education and practice. Participants from all professions will be invited to discuss the potential utility of EPAs or other models for professions without EPAs to date and to brainstorm potential EPA lists and overlaps for those groups. Concepts and case examples in this session will support HAPC teams in integrating existing pharmacist and physician EPAs into clinical practice and HAPC training programs. In addition, ideas discussed in this session may inform development of HAPC EPAs for additional professions on interprofessional HAPC teams.

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