Terminal Performance Objectives
Extensive curricular mapping was performed in building the Master of Science in Palliative Care curriculum. Resources used include consensus guidelines and competency statements from:
- The Joint Commission
- National Consensus Project for Quality Palliative Care
- American Academy of Hospice and Palliative Medicine Entrustables
- Certification exams for physicians, advanced practice nurses, nurses, social workers, chaplains and others
Key - Terminal Performance Objectives (TPOs)
- Apply the knowledge of one’s own role and those of other professions to appropriately assess and address the healthcare needs of patients with serious or life-threatening illnesses and their families.
- Assess and develop practices that reflect patient or surrogate’s goals, preferences and choices for care within currently accepted standards of medical care, professional standards of practice and applicable state and federal law.
- Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient/population-centered care that is safe, timely, efficient, effective, and equitable.
- Collaborate with the interdisciplinary team in a climate of mutual respect and shared values to identify and manage the symptoms of patients at the end of life, and the needs of patients and families.
- Contribute as part of the interdisciplinary team in the assessment and management of pain and/or other physical symptoms that demonstrate evidence-based best practices.
- Contribute as part of the interdisciplinary team in the assessment and management of psychological and psychiatric aspects of care that demonstrates evidence-based best practices.
- Complete a comprehensive, person-centered interdisciplinary assessment that identifies the social strengths, needs and goals of each patient and family, and develop a care plan designed to meet these needs, promote achievement of goals, and maximize strengths and well-being.
- Conduct an interdisciplinary assessment of spiritual, religious and existential aspects of care, and facilitate a plan that reflects rituals or practices as desired by patient and family, including at and after the time of death.
- Develop practices that reflect consideration of patient, family and community cultural beliefs and linguistic needs.
- Identify, acknowledge and resolve ethical issues that arise in the care of patients with advanced illnesses.
- Communicate with patients, families, communities, and other health professionals in a responsive and responsible manner that supports the interdisciplinary team approach to the management of patients with advanced illnesses and their families.
- Demonstrate a commitment to excellence through continuing professional development and lifelong learning, and the education and training of patients, families, caregivers, interdisciplinary team members, other healthcare professionals, and other relevant stakeholders.
- Describe strategic planning process of HPC program development and management, and data-driven processes that drive programmatic continuing quality improvement.
- Implement self-care strategies to support coping with suffering, loss, moral distress and compassion fatigue.
Key - Course Name
A. Principles and Practice of Hospice and Palliative Care
B. Communication and Healthcare Decision-Making
C. Psychosocial, Cultural and Spiritual Care
D. Symptom Management in Advanced Illness
E. Advanced Pain Management and Opioid Dosing
F. Advanced Non-Pain Symptom Management
G. Advanced Disease State Management
H. Clinical Management of Special Patient Populations
I. Advanced Decision-Making and Communication Skills
J. Advanced Spirituality and Psychosocial Skills
K. Self-Care
L. Principles and Practice of Palliative Care Education
M. Pinnacle Project
N. Advanced Team Based Care
Terminal Performance Objectives (TPOs)
TPO # | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Course | 1* | 2 | 3* | 4* | 5 | 6 | 7 | 8 | 9 | 10 | 11** | 12 | 13 | 14 |
Principles and Practice of Hospice and Palliative Care | I | I | I | I | I | I | I | |||||||
Communication and Healthcare Decision-Making | I | I | I | I | I | I | I | |||||||
Psychosocial, Cultural and Spiritual Care | I | I | I | I | I | I | ||||||||
Symptom Management in Advanced Illness | I | I | I | I | I | |||||||||
Advanced Pain Management and Opioid Dosing | E | E | E | E | E | |||||||||
Advanced Non-Pain Symptom Management | E | E | E | E | E | |||||||||
Advanced Disease State Management | E | E | E | E | E | |||||||||
Clinical Management of Special Patient Populations | E | E | E | E | E | |||||||||
Advanced Decision-Making and Communication Skills | E | E | E | E | E | E | E | |||||||
Advanced Spirituality and Psychosocial Skills | E | E | E | E | E | E | E | |||||||
Self-Care | E | |||||||||||||
Principles and Practice of Palliative Care Education | E | |||||||||||||
Pinnacle Project | R | |||||||||||||
Advanced Team Based Care | R | R | R | R | R | R | R | R | R | R | R | R | R | R |
* Denote Interprofessional TPOs
**Enrollment limited to physicians, advanced practice nurses, nurses, pharmacists, physician assistants or with permission of Program Director.
I | TPO is introduced in course |
E | TPO is emphasized in course |
R | TPO is reinforced in course |