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From European Association for Palliative Care Recommendations to a Blended, Standardized, Free-to-Access Undergraduate Curriculum in Palliative Medicine: The EDUPALL Project

21-jul-2020 | Revista: Journal of Palliative Medicine

Stephen R Mason  1 , Julie Ling  2 , Liliana Stanciulescu  3 , Cathy Payne  4 , Piret Paal  5 , Sorin Albu  6 , Antonio Noguera  7 , Estera Boeriu  8 , Vladimir Poroch  9 , Frank Elsner  10 , Daniela Mosoiu  11

(1) Faculty of Health and Life Sciences, University of Liverpool, Liverpool, United Kingdom of Great Britain and Northern Ireland.
(2) European Association for Palliative Care, Vilvoorde, Belgium.
(3) Education and National Development, Hospice Casa Sperantei, Brasov, Romania.
(4) All Ireland Institute of Hospice and Palliative Care, Dublin, Ireland.
(5) Institute of Nursing Science and Practice, Paracelsus Medical University Salzburg, Salzburg, Austria.
(6) Universitatea de Medicina si Farmacie din Targu Mures, Targu Mures, Romania.
(7) Medicina Paliativa, Clínica Universidad de Navarra, Pamplona, Spain.
(8) Universitatea de Medicina si Farmacie Victor Babes din Timisoara, Timisoara, Romania.
(9) Universitatea de Medicina si Farmacie Gr T Popa Iasi, Iasi, Romania.
(10) Palliative Medicine, RWTH Aachen University, Aachen, Germany.
(11) Medical School, Transilvania University of Brasov, Brasov, Romania.


The World Health Organization recommends that "palliative care should be integrated as a routine element of all Undergraduate Medical Education."

However, the provision of training for medical undergraduates is variable; only 18% of 51 European countries have mandatory training in palliative medicine. EDUPALL is an ERASMUS+ funded international collaborative project to develop and pilot an undergraduate program for training in palliative medicine.

The objective of this study was to critically review and revise current European Association for Palliative Care (EAPC) Recommendations for the Development of Undergraduate Curricula in Palliative Medicine and translating these into an updated curriculum document. Clinicians, academics, and researchers from Romania, Ireland, Germany, Austria, Spain, and the United Kingdom reviewed the EAPC recommendations using a variant of consensus methodology, Nominal Group Technique.

From the updated document, four working-groups translated each recommendation into a specific learning objective, and developed associated learning outcomes, stratified by domain: attitude, cognition, and skills.

The outcomes and objectives were organized into discrete teaching units and transferred into a curriculum template, identifying notional hours, teaching, and assessment strategies. To ensure quality control, the draft template was circulated to experts from 17 European countries, together with a brief survey instrument, for peer review purposes. All 17 reviewers returned overwhelmingly positive comments.

There was large agreement that: the teaching units were logically organized; learning outcomes covered core training needs; learning objectives provided guidance for teaching sessions; learning modalities were appropriately aligned; and assessment strategies were fit for purpose. An updated and standardized curriculum was developed, which provides a platform for the sequential development of the next phases of the EDUPALL project.

CITA DEL ARTÍCULO  J Palliat Med . 2020 Jul 21. doi: 10.1089/jpm.2020.0119

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