1. Institut Català d’Oncologia Workshop 7: Training strategies Xavier Gómez-Batiste MD, PhD Cristina Lasmarias WHO Collaborating Center for Public Health Palliative Care Programs WHO Meeting

2. Institut Català d’Oncologia Implementing Palliative CareTraining strategies

3. 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

4. Institut Català d’Oncologia Areas of competences and levels of results Technical Instrumental Values Attitudes Behaviors Attitudes Knowledge Skills Changes in practice Influence context Changes in the experience of patients and families Social changes

5. Institut Català d’Oncologia ICO DiR. Centre Col·laborador de l’OMS per Programes Públics de Cures Pal·liatives Leadership competence Clinical competence

6. Institut Català d’Oncologia ICO DiR. Centre Col·laborador de l’OMS per Programes Públics de Cures Pal·liatives Leadership competencies

7. 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

8. Institut Català d’Oncologia Time frames Short: < 2 years Mid: 2-5 years Long: > 5 years

9. Institut Català d’Oncologia Implementation strategies of training: Aims at short / mid / long terms AimMethods ShortCreate and consolidate a core nucleus of experiences Leadership development Clinical training Tutorships / mentorships Stages (international) MidDevelop and Consolidate a critical mass of services Stages (national) Intermediate courses Masters LongCoverage at all levelsPregraduate Insertion in the common training of specialists Specialty

10. Institut Català d’Oncologia Levels of training AimTargetsMethods BasicAttitudes and basic knowledge and skills All professionalsPregraduate course or basic postgraduate Course IntermediateKnowledge and skills for prevalent situations Professionals in services attending high proportions of advanced patients Stage 1-2 months in specialist service Intermediate course AdvancedRespond to complex situations Professionals in specialist services Stage necessary Master or formal Specialty training

11. Institut Català d’Oncologia Exercise: Training plan for 2 years Context analysis Select objectives Select and propose: -Targets -Methods -Faculty -Actions -Indicators of monitorisation

12. Institut Català d’Oncologia ICO 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’Hospitalet Hospital Duran i Reynals Gran Via de l’Hospitalet, 199-203 08908 l’Hospitalet de Llobregat Institut Català d’Oncologia