Development and Implementation of a Surgeon-Tailored Serious Illness and Palliative Care Education Program

IF 2.2 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2026-01-01 Epub Date: 2025-11-03 DOI:10.1016/j.jsurg.2025.103753

Xiaofan Zhong , Alethea Yee , Ye Min Lim , Gillian Phua , Sui An Lie , Claramae Shulyn Chia , Yu Guang Tan , Gerald Tay , Jin Yao Teo , Jolene Si Min Wong

{"title":"Development and Implementation of a Surgeon-Tailored Serious Illness and Palliative Care Education Program","authors":"Xiaofan Zhong , Alethea Yee , Ye Min Lim , Gillian Phua , Sui An Lie , Claramae Shulyn Chia , Yu Guang Tan , Gerald Tay , Jin Yao Teo , Jolene Si Min Wong","doi":"10.1016/j.jsurg.2025.103753","DOIUrl":null,"url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>To develop and implement a surgeon-tailored serious illness and palliative care education program</div></div><div><h3>DESIGN</h3><div>Fourteen surgeons from a single academic center were recruited and enrolled in a nontailored, general palliative care education program. Following the nontailored program, we conducted qualitative semi-structured interviews to examine learning needs that were unique to surgeons. Thematic analysis was performed to identify key learning needs. Using the Kern’s 6-step approach for curriculum development, we identified general and targeted learning needs, formulated goals and objectives, and using learning theories, developed and implemented a serious illness and palliative care education program that was tailored for surgeons.</div></div><div><h3>RESULTS</h3><div>We identified 3 key palliative care learning needs for surgeons. First, in pain and symptom management for patients with serious illness. Second, palliative surgery and the application of palliative concepts in routine surgical care. Finally, communication skills to improve engagement during difficult conversations on goals of care and prognoses with patients and their families near end-of-life. Adopting situated and adult learning theories, we developed and implemented an interactive 1.5-day surgeon-tailored serious illness and palliative care education (SPLICES) program in July 2024. The tailored program comprised of 3 key components: 1) Applied palliative care in surgery, 2) Palliative surgery and peri-operative considerations, and 3) Serious illness communication and shared-decision making in surgery.</div></div><div><h3>CONCLUSION</h3><div>A surgeon-tailored serious illness and palliative care education program is feasible and has the potential to improve engagement and application of palliative care concepts in surgical care.</div></div>","PeriodicalId":50033,"journal":{"name":"Journal of Surgical Education","volume":"83 1","pages":"Article 103753"},"PeriodicalIF":2.2000,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Surgical Education","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1931720425003344","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/11/3 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"EDUCATION, SCIENTIFIC DISCIPLINES","Score":null,"Total":0}

引用次数: 0

Abstract

OBJECTIVE

To develop and implement a surgeon-tailored serious illness and palliative care education program

DESIGN

Fourteen surgeons from a single academic center were recruited and enrolled in a nontailored, general palliative care education program. Following the nontailored program, we conducted qualitative semi-structured interviews to examine learning needs that were unique to surgeons. Thematic analysis was performed to identify key learning needs. Using the Kern’s 6-step approach for curriculum development, we identified general and targeted learning needs, formulated goals and objectives, and using learning theories, developed and implemented a serious illness and palliative care education program that was tailored for surgeons.

RESULTS

We identified 3 key palliative care learning needs for surgeons. First, in pain and symptom management for patients with serious illness. Second, palliative surgery and the application of palliative concepts in routine surgical care. Finally, communication skills to improve engagement during difficult conversations on goals of care and prognoses with patients and their families near end-of-life. Adopting situated and adult learning theories, we developed and implemented an interactive 1.5-day surgeon-tailored serious illness and palliative care education (SPLICES) program in July 2024. The tailored program comprised of 3 key components: 1) Applied palliative care in surgery, 2) Palliative surgery and peri-operative considerations, and 3) Serious illness communication and shared-decision making in surgery.

CONCLUSION

A surgeon-tailored serious illness and palliative care education program is feasible and has the potential to improve engagement and application of palliative care concepts in surgical care.

查看原文本刊更多论文

发展和实施外科量身定制的严重疾病和姑息治疗教育计划。

设计：从单一学术中心招募14名外科医生，并将其纳入非定制的一般姑息治疗教育计划。在非定制课程之后，我们进行了定性的半结构化访谈，以检查外科医生独特的学习需求。进行专题分析以确定主要的学习需要。使用Kern的六步课程开发方法，我们确定了一般和有针对性的学习需求，制定了目标和目的，并使用学习理论，开发并实施了为外科医生量身定制的严重疾病和姑息治疗教育计划。结果：我们确定了外科医生的3个关键姑息治疗学习需求。第一，在严重疾病患者的疼痛和症状管理方面。第二，姑息性手术及姑息概念在常规外科护理中的应用。最后，沟通技巧，以提高参与与病人和他们的家人在临终关怀的目标和预后困难的谈话。采用情境和成人学习理论，我们于2024年7月开发并实施了一个为期1.5天的互动外科医生定制的严重疾病和姑息治疗教育（SPLICES）项目。量身定制的课程包括3个关键部分：1)姑息治疗在手术中的应用；2)姑息手术和围手术期注意事项；3)手术中大病沟通和共同决策。结论：外科医生量身定制的大病和姑息治疗教育计划是可行的，并有可能提高姑息治疗概念在外科护理中的参与和应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.