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Andersson et al. [ 35] reported that medical competencies were valued more than caring competencies in everyday work in the ED, but clinicians in that study agreed that caring competencies were necessary to build a relationship with the patients.
Developing a caring relationship requires skill and ontological human caring competencies [ 7].
Our results support the idea that both medical and caring competencies are important in hospital admission to ensure the involvement of older patients [ 36].
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Finally, spiritual care competencies for various clinical care team members should be refined.
Palliative care competencies in surgical training are recognized to improve the care of surgical patients with advanced or life-threatening illnesses.
The 2014 Institute of Medicine report recommended that healthcare providers caring for individuals with advanced illness have basic palliative care competencies in communication, inter-professional collaboration, and symptom management.
This would seem to be far more desirable than the often erratic opportunities for acquisition of acute and emergent care competencies in the clinical years on other rotations.
The need for more nurses trained in providing palliative care, symptom control, and support for patients and families has driven the proposed development of an advanced practice curricula that can accelerate palliative care competencies among Advanced Practice Doctor of Nursing Practice graduates.
One approach to developing self-care competencies among medical students is through enhancing mind-body skills.
These included specific health care competencies, planning, organizing, leading, controlling, legal and ethical, and self-management.
An inter-faculty students' assessment of palliative care competencies is needed to complete the picture in the future.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com