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Palliative
Medicine
Components
of Training
Core Training
- A minimum of two years is required.
- At least 18 months must be spent in a palliative medicine service
under the supervision of a specialist who is an FRACP. If the supervisor
is not a Fellow, then a co-supervisor, who holds Fellowship, must
be appointed.
- A minimum of six months must be spent in a specialist palliative
medicine service in a teaching hospital.
- During core training a minimum of six months must be spent in a
clinical oncology position approved for advanced training in medical
oncology or in radiation oncology.
- This period should include an adequate exposure to the delivery
of palliative care services to the community and in clinics.
- You are strongly discouraged from undertaking core palliative medicine
training during the year in which you sit for the Examination.
The content of training
should include:
- Experience in
clinical decision making.
- Development of
management strategy in the light of personal priorities of the patient.
- Experience in
communication and counselling with patients, their families and health
care professionals, with respect to information transfer, therapeutic
strategy development, and for purposes of support.
- Assessment, diagnosis
and management of various symptom complexes (including various pain
syndromes with due regard to medical and non- medical measures).
- Studies of pathology,
pathophysiology including clinical pharmacology of relevance to major
symptoms.
- Experience elucidation
and management of confusional states and psychiatic syndrome in liaison
with psychiatric staff.
- Experience in
the psychosocial, cultural and spiritual issues in relation to the
dying children and their family.
- Experience in
the ward and outpatient and domiciliary situation of the problems
encountered by the nursing staff in palliative medicine.
- Interdisciplinary
contact with professionals.
- Development of
skills in team management.
Procedural Skills
Competence in procedures such as paracentesis and thoracocentesis is essential.
Elective Training
- A maximum of one year could be spent in an area with a strong palliative
component such as HIV medicine, respiratory medicine, geriatric medicine,
clinical pharmacology, pain management, intensive care, research,
liaison psychiatry or further experience in palliative medicine.
- Experience in a suitable training post outside Australia is encouraged.
Early discussion with the SAC is recommended to ensure suitability.
- With respect to training undertaken in other services, the supervisor
should be the director or supervisor of training in that service and
the program should be approved by the SAC.
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