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Table 1 Outline of the two half days training

From: Shifting palliative care paradigm in primary care from better death to better end-of-life: a Swiss pilot study

1st half-day

Title

Goal, learning objective

Method

1:30 pm

Introduction

Presentations, program

Oral exchange

1:40 pm

What challenges when caring for severe cancer patient as GP?

Ice breaking, expectations

Reflection in pairs, sharing in plenary

1:50 pm

Witness of a patient’s husband expressing experience of palliative care for his wife at home

catch attention

Video

2:00 pm

What is a “good” death?

Clarification of expectations and fears

Reflexion in pairs, sharing in plenary

2:30 pm

Project presentation

Presentation of project steps, inclusion criteria, material (questionnaires, etc), network and resources

Power point and discussion

 

How to explain the project to my patient?

Training of recruitment process

Role play in pairs

 

Questions-Answers

Clarify project

Answer questions

3:00 pm

Break

  

3:30 pm

Symptoms assessment

Assess frequent symptoms in palliative care

Power point

  

Use of Edmonton symptom assessment scale

Role play in pairs

4:00 pm

Treatment of pain

Review strategies for treatment

Power point

4:15 pm

Existing local network in palliative care

Presentation of existing network by teams (nurses and doctors)

Oral presentation and power-point, document

4:30 pm

Advance directives (AD)

Presentation of legal and practical background

Powerpoint

  

Practice discussion on AD

Role play with simulated patients in two groups

5:25 pm

Conclusions

Share on what was learned

Plenary

2nd Half day

 1:30 pm

Introduction

Sharing experiences

Plenary

 2:00 pm

How to deal with palliative care emergencies (dyspnea, nausea, neurologic symptoms, etc

Recognize and dealing with palliative care emergencies

Power point and discussion based on participants’ experiences

 3:00 pm

Break

  

 3:30 pm

How to plan advance care

Presentation of intermediate consultations possible topics (patient preferences and values, choice of end-of-life care and place, spiritual and psychological needs

Power point and discussion in plenary

 3:50 pm

How to address difficult conversations

Discover and experience “go-wish” cards

Practice in pairs (and with go-wish cards)

 4:10 pm

How to address difficult conversations?

Practice difficult conversations

Role play with simulated patients in 2 groups

 5:15 pm

How to say good-bye?

Reflection on difficult separations with patients

 
  

Reflection on key messages and practice how to say goodbye

Exercise in pairs

 5: 25 pm

Conclusions

Reflection on key messages

Plenary