Preparing for the Marathon: Piloting a Self-Care and Resilience Workshop for Oncology Fellows (TH325-B)

Abstract

fellows’ self-assessments in managing a patient at theendof life (mean6.1 2.5)andmanagingapatient with distal RTA (mean 7.3 2.0) were also lower than managing a patient on hemodialysis (mean 8.9 1.2, all P<0.001). The rankings of the quality of teaching during fellowship in all areas (mean 4.1 0.8 on a scale of 0-5 in which 0 is poor and 5 is excellent) and specific to endof-life care (mean 2.4 1.1) did not change between time 1 and time 2, however, the knowledge of annual gross mortality rates for patients on dialysis was significantly worse at time 2 with only 57.4% of fellows selecting the correct answer (P1⁄40.048). Twoand four-tenths percent of respondents completed a palliative medicine rotation during fellowship, 60% did so during medical school or residency, and 86% reported that no palliative care rotation was offered during fellowship. When asked what one change would most improve end-of-life care education for fellows, the most common write-in answer was to require a palliative medicine rotation during fellowship. Conclusions. Our results demonstrate that although the amount of teaching specific to palliative and EOL care has not improved over the last decade, fellows increasingly believe that they should learn how to provide this care during fellowship. Implications for research, policy, or practice. Training in palliative care should be incorporated into nephrology fellowship program curricula.