Presented by: Coumba Gueye
The institute is part of Aristide Le Dantec University teaching Hospital and is the main center for national and sub regional patients suffering from cancer. It was created in 1964 and has a 25-bed hospitalization capacity. Twenty six physicians from six countries are completing residencies in 2015 inside and it receives an average of 3000 patients each year. Most of them arrive at hospital with advanced cancer: pharynx: 93% T3 and T4 (Ndiaye IC et Al 2009).
Palliative care has been integrated in the Institute recently in November 2014. The aim of this study is to measure the impact of training for oncology residents.
In order to assess training needs, a pre-test questionnaire was submitted to 26 physicians residents in oncology in order to evaluate their knowledge in palliative care. After that a training on three topics was organized: introduction in palliative care, pain management and breaking bad news. A post evaluation questionnaire was then conducted afterward.
- Palliative care concept is effective for all participants after the training versus 15% before.
- Adequate communication skills to announce cancer diagnosis are acquired in 85% of oncology residents.
- Morphine prescription was realized by anesthesiologist for severe pain. Now all residents are able to prescribe oral morphine. Six months after training course, pain is controlled in 90% patients.
The training of professionals has greatly improved palliative care awareness. The impact of that awareness in daily care of the patients was immediate and tremendously beneficial.