Review
Education & Educational Research
Sherill Goh, Ruth Si Man Wong, Elaine Li Ying Quah, Keith Zi Yuan Chua, Wei Qiang Lim, Aubrey Ding Rui Ng, Xiu Hui Tan, Cheryl Shumin Kow, Yao Hao Teo, Elijah Gin Lim, Anushka Pisupati, Eleanor Jia Xin Chong, Nur Haidah Ahmad Kamal, Lorraine Hui En Tan, Kuang Teck Tay, Yun Ting Ong, Min Chiam, Alexia Sze Inn Lee, Annelissa Mien Chew Chin, Stephen Mason, Lalit Kumar Radha Krishna
Summary: This study evaluates a combined novice, peer-, near-peer, and e-mentoring program along with interprofessional team-based mentoring to address the gaps in mentoring efforts in Palliative Medicine during the COVID-19 pandemic. A systematic scoping review reveals characteristics, mentoring stages, assessment methods, and host organizations as key domains in this program, suggesting a structured virtual and near-peer mentoring process can complement an accessible and non-hierarchical approach to create a robust mentoring program under the oversight of host organizations.
BMC MEDICAL EDUCATION
(2022)
Article
Psychology, Multidisciplinary
Susana Garcia-Cardo, Marian Queiruga-Dios, Araceli Queiruga-Dios
Summary: In the last decade, higher education has undergone significant changes, including the need for remote teaching during the COVID-19 pandemic and the rise of personal attention and mentoring programs in universities. This study compares the mentoring programs at 60 Spanish universities and provides detailed information about the mentor-mentee program at Francisco de Vitoria University, highlighting its advantages and benefits for students.
FRONTIERS IN PSYCHOLOGY
(2023)
Article
Medicine, General & Internal
Maria Herrera-Abian, Raul Castaneda-Vozmediano, Cristina Anton-Rodriguez, Domingo Palacios-Cena, Luz Maria Gonzalez-Morales, Bernadette Pfang, Antonio Noguera
Summary: Understanding patient and caregiver experience is crucial for person-centered care, especially in palliative care. This study aimed to compare the experiences of family caregivers in PCU and non-PCU units during their loved ones' last hospital admission. Differences were observed in terms of scientific appropriateness of care and person-centered care between the two groups.
ANNALS OF MEDICINE
(2023)
Article
Health Care Sciences & Services
Veronique Toussaint, Piret Paal, Rainer Simader, Frank Elsner
Summary: This study investigates the state of undergraduate palliative care education at Austrian medical schools. The findings show that the education is very heterogeneous and does not meet the minimum standards recommended by the European Association for Palliative Care (EAPC). However, some universities are planning measures to expand palliative care teaching, such as introducing mandatory teaching or establishing new teaching formats. Better coordination and networking within and between universities would be beneficial for the expansion and improvement of teaching.
BMC PALLIATIVE CARE
(2023)
Article
Education & Educational Research
Arja Suikkala, Anniina Tohmola, Eeva K. Rahko, Minna Hokka
Summary: The main competence needs within palliative care for the coming decade include palliative care competence at all levels within healthcare and social welfare services, individualized palliative care competence, person-centered encounters competence, and systematic competence development within palliative care. This highlights the importance of education and professional development in supporting physicians and registered nurses in meeting future palliative care competences. Recommendations for seamless cooperation between palliative care services and educational institutions to continuously assess competence requirements within the field of palliative care are provided, with the use of online multi-professional simulations as a potential tool for enhancing future competencies.
BMC MEDICAL EDUCATION
(2021)
Article
Multidisciplinary Sciences
Yun Ting Ong, Chrystie Wan Ning Quek, Anushka Pisupati, Eleanor Kei Ying Loh, Vaishnavi Venktaramana, Min Chiam, Lalit Kumar Radha Krishna
Summary: This study evaluates the experiences of peer-mentors within a local research mentoring program and suggests that peer-mentoring not only fills the gaps in mentoring programs but also provides mentees with mentoring roles. The findings can guide the design and execution of peer-mentoring training and assessment programs for other organizations.
Article
Medicine, General & Internal
Kirstine Dahmke, Elisabeth Nielsen-Hannerup, Ida Sondergaard Madsen, Sofie Rerup, Emilie Ramberg, Maurice A. Lembeck, Hanne Pedersen, Ellen Astrid Holm
Summary: Geriatric patients have varied attitudes towards advance care planning (ACP), with some expressing concerns about discussing end-of-life decisions and the capacity of the healthcare system to conduct ACP. The timing of ACP discussions is related to the perception of health situation rather than specific age. The involvement of well-trained and trustworthy healthcare professionals, as well as the participation of family members, are important factors. Themes mentioned by participants regarding content include quality of life, fear of losing their spouse, previous experiences with death, and practical concerns about funerals and wills.
Article
Medicine, General & Internal
Brent Taels, Kirsten Hermans, Chantal Van Audenhove, Joachim Cohen, Koen Hermans, Anja Declercq
Summary: This study aims to optimize the palliative care capacity of social workers in Flanders (Belgium) by developing a Palliative Care Program for Social Work (PICASO). The research will identify existing evidence and describe the problem through literature review and research among social workers. An appropriate intervention theory will be identified through expert panels, and the process and outcomes will be depicted in a logic model.
Article
Medicine, General & Internal
Qingyuan Zhuang, Joanna S. E. Chan, Lionel K. Y. See, Jianbang Chiang, Shariff R. Suhaimi, Tallie W. L. Chua, Anantharaman Venkataraman
Summary: Cancer patients admitted to the medical oncology department through the emergency department were found to have a high proportion of short stays, with factors such as younger age and lower NEWS scores associated with shorter admissions. Common medical issues among short admissions included infections, pain, gastrointestinal complaints, and respiratory complaints, which could be managed effectively in the ED.
ANNALS ACADEMY OF MEDICINE SINGAPORE
(2021)
Article
Health Care Sciences & Services
Chong Yao Ho, Nicole-Ann Lim, Yun Ting Ong, Alexia Sze Inn Lee, Min Chiam, Gillian Phua Li Gek, Shiva Sarraf-Yazdi, Stephen Mason, Lalit Krishna
Summary: This study explores how caring for the dying impacts the professional identity formation of nurses. The findings show that caring for the dying leads to conflicts between nurses' values, beliefs, and principles, resulting in changes to their individual and professional identities. However, experience and support help nurses attenuate the impact of difficult experiences and develop a more consistent professional identity.
BMC PALLIATIVE CARE
(2022)
Article
Education & Educational Research
Lalit Kumar Radha Krishna, Anushka Pisupati, Ong Yun Ting, Kelly Jia Hui Teo, Mac Yu Kai Teo, Vaishnavi Venktaramana, Chrystie Wan Ning Quek, Keith Zi Yuan Chua, Vijayprasanth Raveendran, Harpreet Singh, Sabine Lauren Chyi Hui Wong, Victoria Wen Wei Ng, Eleanor Kei Ying Loh, Ting Ting Yeoh, Jasmine Lerk Juan Owyong, Min Chiam, Eng Koon Ong, Gillian Li Gek Phua, Ruaraidh Hill, Stephen Mason, Simon Yew Kuang Ong
Summary: New data suggests that structured mentoring programs can contribute to the development of professional identity formation (PIF) in medical students. This article proposes a study to investigate the impact of the Palliative Medicine Initiative (PMI) on PIF in mentees.
BMC MEDICAL EDUCATION
(2023)
Review
Medicine, General & Internal
Kevin J. Karlic, Ellen K. Hummel, Nathan Houchens, Jennifer Meddings
Summary: Refractory dyspnoea is a challenging symptom, and access to palliative care specialists may be limited. Opioids are a safe and recommended pharmacological intervention, despite concerns about regulation and adverse effects. Current evidence suggests low rates of severe adverse effects when opioids are used for refractory dyspnoea, making them a valuable option for palliation, particularly in a hospital setting.
POSTGRADUATE MEDICAL JOURNAL
(2023)
Article
Medicine, General & Internal
Jia Qi Lee, Yew Yoong Ding, Aisyah Latib, Laura Tay, Yee Sien Ng
Summary: The study found a positive and significant association between intrinsic capacity (IC) and life-space mobility (LSM) among community-dwelling older adults, and this effect remained significant even after controlling for potential confounders. These results support the empirical rigor of the International Classification of Functioning, Disability and Health framework, which suggests that IC influences the extent to which a person participates in the community.
Article
Emergency Medicine
Sean Patrick Nordt, John M. Ryan, Daniel Kelly, Abdubadie Kutubi, Renad Saleh, Caitriona Quinn, Tariq Al Kharusi, Eoin J. Tiernan
Summary: This study aims to identify and assess the frequency of presenting complaints, primary diagnosis, triage acuity, and need for admission among palliative care patients in an Irish setting. The findings can help minimize unnecessary emergency department visits and improve patient care and quality of life.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Tara M. Catanzano, Priscilla Slanetz, Pamela W. Schaefer, Alison L. Chetlen, David M. Naeger, Tan-Lucien Mohammed, Vikas Agarwal, Mark E. Mullins
Summary: This article discusses the role and expectations of Vice Chairs for Education in radiology departments, providing suggestions for success and highlighting the key leadership skills needed to advocate for radiology education within a department.
ACADEMIC RADIOLOGY
(2021)
Article
Infectious Diseases
Kai Chee Hung, Lai Wei Lee, Yi Xin Liew, Lalit Krishna, Maciej Piotr Chlebicki, Shimin Jasmine Chung, Andrea Lay-Hoon Kwa
Summary: This study found that ceasing broad-spectrum antibiotics in terminally ill patients was safe and associated with a significantly shorter time-to-terminal discharge.
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
(2022)
Article
Health Care Sciences & Services
Madelon T. Heijltjes, Tatsuya Morita, Masanori Mori, Maria Heckel, Carsten Klein, Stephanie Stiel, Guido Miccinesi, Luc Deliens, Lenzo Robijn, Patrick Stone, Nigel Sykes, David Hui, Lalit Krishna, Johannes J. M. van Delden, Agnes van der Heide, Judith A. C. Rietjens
Summary: This study describes the experiences and opinions of physicians caring for terminally ill patients regarding the continuous use of sedatives (CUS) in the last days of life. The majority of physicians considered CUS acceptable for the relief of physical and psycho-existential suffering in the last days of life, but the acceptability was lower for psycho-existential suffering and for patients with a longer life expectancy.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Article
Health Care Sciences & Services
Jamie Xuelian Zhou, Cynthia Goh, Min Chiam, Lalit Kumar Radha Krishna
Summary: This is a case study and personal account written by a palliative care physician who provided specialized support to a patient who attempted self-immolation. The case highlights the risk of complicated grief faced by the patient's family due to the violent nature of the burns and the social stigma surrounding suicide. The article explores the use of art and poetry to establish therapeutic connections with the grieving family.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Review
Education, Scientific Disciplines
Vaishnavi Venktaramana, Eleanor Kei Ying Loh, Clarissa Jing Wen Wong, Jun Wei Yeo, Andrea York Tiang Teo, Celest Sin Yu Chiam, Dillon Jie Ming Foo, Faith Teo, Jonathan Liang, Vijayprasanth Raveendran, Luke Cheng Lin Chng, Shiwei Xiao, Kevin Chong, Seng Leong Quek, Christine Li Ling Chiang, Rachelle Qi En Toh, Caleb Wei Hao Ng, Elijah Gin Lim, Shariel Leong, Kuang Teck Tay, Amos Chan, Elisha Wan Ying Chia, Laura Hui Shuen Tan, Yun Ting Ong, Krish Sheri, Jun Xuan Ng, Annelissa Mien Chew Chin, Jamie Xuelian Zhou, Min Chiam, Alexia Sze Inn Lee, Stephen Mason, Lalit Kumar Radha Krishna
Summary: Communication skills training (CST) in medical schools is often undervalued, but a systematic scoping review found that it provides numerous benefits for physicians and patients. Teaching and assessment modalities align with Miller's Pyramid, and stage-based curricula are commonly used in medical schools.
Review
Education & Educational Research
Sherill Goh, Ruth Si Man Wong, Elaine Li Ying Quah, Keith Zi Yuan Chua, Wei Qiang Lim, Aubrey Ding Rui Ng, Xiu Hui Tan, Cheryl Shumin Kow, Yao Hao Teo, Elijah Gin Lim, Anushka Pisupati, Eleanor Jia Xin Chong, Nur Haidah Ahmad Kamal, Lorraine Hui En Tan, Kuang Teck Tay, Yun Ting Ong, Min Chiam, Alexia Sze Inn Lee, Annelissa Mien Chew Chin, Stephen Mason, Lalit Kumar Radha Krishna
Summary: This study evaluates a combined novice, peer-, near-peer, and e-mentoring program along with interprofessional team-based mentoring to address the gaps in mentoring efforts in Palliative Medicine during the COVID-19 pandemic. A systematic scoping review reveals characteristics, mentoring stages, assessment methods, and host organizations as key domains in this program, suggesting a structured virtual and near-peer mentoring process can complement an accessible and non-hierarchical approach to create a robust mentoring program under the oversight of host organizations.
BMC MEDICAL EDUCATION
(2022)
Review
Education & Educational Research
Clarissa Wei Shuen Cheong, Elaine Li Ying Quah, Keith Zi Yuan Chua, Wei Qiang Lim, Rachelle Qi En Toh, Christine Li Ling Chiang, Caleb Wei Hao Ng, Elijah Gin Lim, Yao Hao Teo, Cheryl Shumin Kow, Raveendran Vijayprasanth, Zhen Jonathan Liang, Yih Kiat Isac Tan, Javier Rui Ming Tan, Min Chiam, Alexia Sze Inn Lee, Yun Ting Ong, Annelissa Mien Chew Chin, Limin Wijaya, Warren Fong, Stephen Mason, Lalit Kumar Radha Krishna
Summary: This review examines the remediation of physicians in training to better guide the design, structuring, and oversight of new remediation programs. The importance of deliberate practice to improve performance is highlighted, but the variations in physician, program, and healthcare systems complicate efforts to create a consistent approach to remediation.
BMC MEDICAL EDUCATION
(2022)
Review
Health Care Sciences & Services
Elaine Li Ying Quah, Keith Zi Yuan Chua, Jun Kiat Lua, Darius Wei Jun Wan, Chi Sum Chong, Yun Xue Lim, Lalit Krishna
Summary: This article provides a systematic review of the relationship and perspectives on dignity, wish to hasten death, and personhood in the debate on assisted dying. The study found a close relationship between dignity and the wish to hasten death, and identified changes in patients' concepts of dignity at the end of life. Assessing and supporting patients' needs for dignity is crucial for medical decision-making.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Article
Biochemistry & Molecular Biology
Elinor A. Chapman, James Baker, Prashant Aggarwal, David M. Hughes, Amara C. Nwosu, Mark T. Boyd, Catriona R. Mayland, Stephen Mason, John Ellershaw, Chris S. Probert, Seamus Coyle
Summary: Predicting the dying process of advanced cancer patients is challenging. However, by analyzing the changes in volatile organic compounds (VOCs) in urine, it is possible to predict the dying process of patients with lung cancer. Specific changes in VOCs were identified and a prediction model using 8 VOCs showed promising results in stratifying patients into different risk groups.
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
(2023)
Article
Health Care Sciences & Services
Tamsin McGlinchey, Rebecca Early, Stephen Mason, Carl Johan-Furst, Lia van Zuylen, Susie Wilkinson, John Ellershaw
Summary: This study aimed to update the international consensus on the content of the '10/40 Model' of care for the dying. Through a Delphi study, minor amendments were made to the key principles and core outcomes of the model, and a new sub core outcome for care provided after death was added. The updated model will guide the delivery of high-quality care for dying patients regardless of the location of care.
PALLIATIVE MEDICINE
(2023)
Review
Education & Educational Research
Jia Yin Lim, Simon Yew Kuang Ong, Chester Yan Hao Ng, Karis Li En Chan, Song Yi Elizabeth Anne Wu, Wei Zheng So, Glenn Jin Chong Tey, Yun Xiu Lam, Nicholas Lu Xin Gao, Yun Xue Lim, Ryan Yong Kiat Tay, Ian Tze Yong Leong, Nur Diana Abdul Rahman, Min Chiam, Crystal Lim, Gillian Li Gek Phua, Vengadasalam Murugam, Eng Koon Ong, Lalit Kumar Radha Krishna
Summary: Reflective writing allows physicians to critically examine their thoughts, goals, and actions, and understand how their perspectives, motives, and emotions influence their conduct. It also enhances their learning and professional development. However, there is a lack of consistent approach and growing challenges to its place in medical training. Therefore, a review of theories and practices of reflective writing in medical education is proposed.
BMC MEDICAL EDUCATION
(2023)
Article
Education & Educational Research
Vaishnavi Venktaramana, Yun Ting Ong, Jun Wei Yeo, Anushka Pisupati, Lalit Kumar Radha Krishna
Summary: This study proposes a method to understand and bridge the knowledge gaps in mentoring relationships by studying the experiences of mentees in the Palliative Medicine Initiative. The program's well-defined mentoring approach, competency-based mentoring stages, and curated mentoring environment ensure consistent mentoring experiences. It is found that mentoring relationships have a significant impact on professional identity formation.
BMC MEDICAL EDUCATION
(2023)
Review
Health Care Sciences & Services
Kelly Jia Hui Teo, Mac Yu Kai Teo, Anushka Pisupati, Rui Song Ryan Ong, Chloe Keyi Goh, Claire Hui Xian Seah, You Ru Toh, Neha Burla, Natalie Song Yi Koh, Kuang Teck Tay, Yun Ting Ong, Min Chiam, Warren Fong, Limin Wijaya, Suzanne Pei Lin Goh, Lalit Kumar Radha Krishna
Summary: The influence of moral and ethical dilemmas faced by multi-professional teams caring for dying patients during Oncology and Palliative Medicine postings on a medical student's professional identity formation is significant. However, the lack of appreciation, inadequate assessments, and insufficient support jeopardize the opportunity to shape the thinking, emotions, and actions of medical students as future physicians. To address this gap, a systematic scoping review of assessment methods for professional identity formation in medical schools is proposed.
BMC PALLIATIVE CARE
(2022)
Correction
Health Care Sciences & Services
Kelly Jia Hui Teo, Mac Yu Kai Teo, Anushka Pisupati, Rui Song Ryan Ong, Chloe Keyi Goh, Claire Hui Xian Seah, You Ru Toh, Neha Burla, Natalie Song Yi Koh, Kuang Teck Tay, Yun Ting Ong, Min Chiam, Warren Fong, Limin Wijaya, Suzanne Pei Lin Goh, Lalit Kumar Radha Krishna
BMC PALLIATIVE CARE
(2023)
Review
Psychology, Clinical
Yin Wu, Brooke Levis, Federico M. Daray, John P. A. Ioannidis, Scott B. Patten, Pim Cuijpers, Roy C. Ziegelstein, Simon Gilbody, Felix H. Fischer, Suiqiong Fan, Ying Sun, Chen He, Ankur Krishnan, Dipika Neupane, Parash Mani Bhandari, Zelalem Negeri, Kira E. Riehm, Danielle B. Rice, Marleine Azar, Xin Wei Yan, Mahrukh Imran, Matthew J. Chiovitti, Jill T. Boruff, Dean McMillan, Lorie A. Kloda, Sarah Markham, Melissa Henry, Zahinoor Ismail, Carmen G. Loiselle, Nicholas D. Mitchell, Samir Al-Adawi, Kevin R. Beck, Anna Beraldi, Charles N. Bernstein, Birgitte Boye, Natalie Buel-Drabe, Adomas Bunevicius, Ceyhun Can, Gregory Carter, Chih-Ken Chen, Gary Cheung, Kerrie Clover, Ronan M. Conroy, Gema Costa-Requena, Daniel Cukor, Eli Dabscheck, Jennifer De Souza, Marina Downing, Anthony Feinstein, Panagiotis P. Ferentinos, Alastair J. Flint, Pamela Gallagher, Milena Gandy, Luigi Grassi, Martin Haerter, Asuncion Hernando, Melinda L. Jackson, Josef Jenewein, Nathalie Jette, Miguel Juliao, Marie Kjaergaard, Sebastian Kohler, Hans-Helmut Konig, Lalit K. R. Krishna, Yu Lee, Margrit Loebner, Wim L. Loosman, Anthony W. Love, Bernd Loewe, Ulrik F. Malt, Ruth Ann Marrie, Loreto Massardo, Yutaka Matsuoka, Anja Mehnert, Ioannis Michopoulos, Laurent Misery, Christian J. Nelson, Chong Guan Ng, Meaghan L. O'Donnell, Suzanne J. O'Rourke, Ahmet Ozturk, Alexander Pabst, Julie A. Pasco, Jurate Peceliuniene, Luis Pintor, Jennie L. Ponsford, Federico Pulido, Terence J. Quinn, Silje E. Reme, Katrin Reuter, Steffi G. Riedel-Heller, Alasdair G. Rooney, Roberto Sanchez-Gonzalez, Rebecca M. Saracino, Melanie P. J. Schellekens, Martin Scherer, Marcelo L. Schwarzbold, Vesile Senturk Cankorur, Louise Sharpe, Michael Sharpe, Sebastien Simard, Susanne Singer, Lesley Stafford, Jon Stone, Natalie A. Strobe, Serge Sultan, Antonio L. Teixeira, Istvan Tiringer, Alyna Turner, Jane Walker, Mark Walterfang, Liang-Jen Wang, Siegfried B. Weyerer, Jennifer White, Birgitt Wiese, Lana J. Williams, Lai-Yi Wong, Andrea Benedetti, Brett D. Thombsi
Summary: This study compared the screening accuracy of HADS-D and HADS-T for major depression and found no significant difference in diagnostic accuracy between the two. The shorter HADS-D would be preferred in most clinical and research settings as it not only reduces patient burden but also has equivalent diagnostic accuracy to HADS-T.
PSYCHOLOGICAL ASSESSMENT
(2023)
Article
Multidisciplinary Sciences
Yun Ting Ong, Chrystie Wan Ning Quek, Anushka Pisupati, Eleanor Kei Ying Loh, Vaishnavi Venktaramana, Min Chiam, Lalit Kumar Radha Krishna
Summary: This study evaluates the experiences of peer-mentors within a local research mentoring program and suggests that peer-mentoring not only fills the gaps in mentoring programs but also provides mentees with mentoring roles. The findings can guide the design and execution of peer-mentoring training and assessment programs for other organizations.