Dr Colin GiamSpecialty Doctor

St Luke’s Hospice, Plymouth

� Pallied talk

� Discussion in small groups – any ideas for Pallied, useful link resources

� Feedback from each group

� Recruitment to Pallied working group

� Website created in October 2013

� Online resource for medical undergraduates

� Originally for the Peninsula Medical Students but now available for all

� Consists of:

Clinical Cases

Links to videos

Links to other useful online resources

� Attempt to standardise and provide a more rounded experience for students

� Reduce the ‘repeat every week’ teaching I was giving

� Provide a hub to other useful resources

www.pallied.com

Monday Tuesday Wednesday Thursday

SDL

Clerkpatient on

IPU for clinical

feedback

Pallied Cases:SYRINGE DRIVERSOPIOIDS & PRESCRIBING

Ward Round IPU (shown Syringe Driver)

Pallied Cases:SIGNS OF DYING PTDEATH CERTIFICATION

Ward Round IPU (focus on terminal phase)

Clinical Feedback

2 exercises:

Write up mock drug chart for anticipatory meds & syringe driver

Write up mock death certificate

(access to electronic resources made available)

� A resource is only useful if it is used

� Creating clinical cases is a great way to consolidate one’s own knowledge

� Reinforce clinical case learning with practical application

� Clinical cases have helped to reduce teaching required during clinical feedback sessions and more of an opportunity to assess and check what has been learnt during the week

‘Pallied was really useful’‘Pallied is a very good resource’‘really useful and helpful. good layout of the site and the cases

made learning interesting’‘The clinical vignettes and questions helped me to pinpoint where I

lacked knowledge and so where to focus learning’‘After completing some of the SBA exercises on PalliEd a few

similar questions came up on the AMK so in essence very useful! Also appreciated the time set aside to complete these exercises’

‘great website- very student orientated which was excellent’‘PalliEd is a very useful resource. It would be good to have this sort

of site for other weeks’‘The PalliEd site is really useful and I did the clinical cases and

learned from that. It's a good way to get students thinking.’

� More clinical cases – Mental Capacity & DOLS, Discharge process, other symptom management cases, emergencies

� Further useful links/videos

� Redesign of the website – allow students to log in and track their progress

� Encourage Consultants/SpRs to contribute to content (Pallied working group)

Any Questions?

� Palliative care guidelines plus

� E-ELCA (access via university for students)

� Opioids in palliative care clinical cases – NICE

� Mental Capacity Act – SCIE

� Scottish Palliative Care guidelines

� European Journal Palliative Care cases by hayward publishing (require subscription) http://www.haywardpublishing.co.uk/case-study-masterclass.aspx

� Hospice UK - http://learning.hospiceuk.org/

� Cardiff Pain Community Centre -http://www.paincommunitycentre.org/cpd

� BMJ Modules - http://learning.bmj.com/learning/home.html