Institut Català d’Oncologia

Workshop 7: Training strategies

Xavier Gómez-Batiste MD, PhDCristina Lasmarias

WHO Collaborating Center for Public Health Palliative Care

ProgramsWHO Meeting

Institut Català d’Oncologia

Implementing Palliative

CareTraining strategies

Institut Català d’Oncologia

• Needs assessment and context analysis

• Palliative Care Competences

• Levels

• Targets

• Aims of coverage for the different settings

• Methods

• Faculty

• Implementation at short / mid / long terms

• Evaluation and monitorization of results

Elements of a National Training Plan

Institut Català d’Oncologia

Areas of competences and levels of results

• Technical • Instrumenta

l • Values• Attitudes• Behaviors

• Attitudes• Knowledge• Skills• Changes in practice• Influence context• Changes in the

experience of patients and families

• Social changes

Institut Català d’OncologiaICO DiR. Centre Col·laborador de l’OMS per Programes Públics de Cures Pal·liatives

Leadership competence

Clinical competence

Institut Català d’OncologiaICO DiR. Centre Col·laborador de l’OMS per Programes Públics de Cures Pal·liatives

Institut Català d’Oncologia

Components of leadership

Knowledge

Organization

Persons

Vision and strategy

StakeholdersAdvocacyQuality

Values: patient’s centered, commitment, respect, honesty, trust, compassion

Leadership competencies

Institut Català d’Oncologia

Nuclear Dimensions in Training plans

•Physical Dimension: symptoms management•Psyco Social Aspects: social and emotional suport•Social and family care: education and support•Ethical issues•Spiritual aspects•Team work development•Legacy•Organization •Training •Research

ICO DiR. Centre Col·laborador de l’OMS per Programes Públics de Cures Pal·liatives

Institut Català d’Oncologia

Time frames

• Short: < 2 years• Mid: 2-5 years• Long: > 5 years

Institut Català d’Oncologia

Implementation strategies of training: Aims at short / mid / long terms

Aim Methods

Short Create and consolidate a core nucleus of experiences

Leadership developmentClinical trainingTutorships / mentorshipsStages (international)

Mid Develop and Consolidate a critical mass of services

Stages (national)Intermediate coursesMasters

Long Coverage at all levels PregraduateInsertion in the common training of specialistsSpecialty

Institut Català d’Oncologia

Levels of training

Aim Targets Methods

Basic Attitudes and basic knowledge and skills

All professionals Pregraduate course or basic postgraduate Course

Intermediate

Knowledge and skills for prevalent situations

Professionals in services attending high proportions of advanced patients

Stage 1-2 months in specialist service Intermediate course

Advanced Respond to complex situations

Professionals in specialist services

Stage necessaryMaster or formal Specialty training

Institut Català d’Oncologia

Exercise:Training plan for 2 years

• Context analysis• Select objectives • Select and propose:

- Targets- Methods- Faculty- Actions- Indicators of monitorisation

Institut Català d’OncologiaICO DiR. The ‘Qualy’ End of Life Care Observatory - WHO Collaborating Centre for Public Health Palliative Care Programmes

The ‘Qualy’ End of Life Care Observatory WHO Collaborating Centre for Public Health Palliative Care Programmes

whocc.info@iconcologia.net+34 93 260 77 36

ICO l’HospitaletHospital Duran i ReynalsGran Via de l’Hospitalet, 199-20308908 l’Hospitalet de Llobregat

Institut Català d’Oncologia