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Year : 2019  |  Volume : 8  |  Issue : 8  |  Page : 2563-2567

Primary palliative care competency framework for primary care and family physicians in India-Collaborative work by Indian Association of Palliative Care and Academy of Family Physicians of India

1 Department of Palliative Care and Psycho-oncology, Tata Medical Center, Kolkata, West Bengal, India
2 Department of Medical Oncology, Christian Medical College, Vellore, Tamil Nadu, India
3 Department of Palliative Medicine, Velindre NHS Trust, Cardiff, Wales, UK
4 Emmanuel Hospital Association, New Delhi, India
5 Emeritus Professor of Primary Palliative Care, Primary Palliative Care Research Group, The University of Edinburgh, Edinburgh, Scotland
6 School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa
7 National Academy of Medical Sciences, Kathmandu, Nepal
8 Institute of Palliative Medicine, Kozhikode, Kerala, India
9 Makerere University, Kampala, Uganda, Africa
10 MNJ Institute of Oncology and Regional Cancer Center, Hyderabad, Telangana, India
11 Department of Medicine, G Kuppuswamy Memorial Hospital, Coimbatore, Tamil Nadu, India
12 Department of Palliative Medicine, AMRI Dhakuria, Kolkata, West Bengal, India
13 Department of Distance Education, Christian Medical College, Vellore, Tamil Nadu, India
14 Academy of Family Physicians of India, New Delhi, India
15 Department of Palliative Medicine, Tata Memorial Centre, Mumbai, Maharashtra, India
16 Global Health Academy and the Primary Palliative Care Group, The University of Edinburgh, Edinburgh, Scotland

Correspondence Address:
Dr. Shrikant Atreya
Consultant in Palliative Medicine, Department of Palliative Care and Psychooncology, Tata Medical Center, 14 MAR (E-W), New Town, Rajarhat, Kolkata - 700 160, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_451_19

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The discrepancy in the demand for palliative care and distribution of specialist palliative care services will force patients to be eventually cared for by primary care/family physicians in the community. This will necessitate primary care/family physicians to equip themselves with knowledge and skills of primary palliative care. Indian National Health Policy (2017) recommended the creation of continuing education programs as a method to empower primary care/family physicians. With this intention, a taskforce was convened for incorporating primary palliative care into family/primary care practice. The taskforce comprising of National and International faculties from Palliative Care and Family Medicine published a position paper in 2018 and subsequently brainstormed on the competency framework required for empowering primary care/family physicians. The competencies were covered under the following domains: knowledge, skills and attitude, ethical and legal aspects, communication and team work. The competency framework will be presented to the National Board of Examinations recommending to be incorporated in the DNB curriculum for Family Medicine.

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