From 2002 to 2004, a project team headed by Richard Payne, MD, created a new curriculum that teaches essential clinical competencies and practical skills needed to provide culturally appropriate palliative and end-of-life care to African Americans.
The project was part of the Robert Wood Johnson Foundation's (RWJF) national program Targeted End-of-Life Projects Initiative.
APPEAL (A Progressive Palliative Care Educational Curriculum for Care of African Americans at Life's End; previously called EPEC2) was adapted from Education in Palliative and End-of-Life Care (EPEC), an end-of-life-care curriculum for practicing physicians, developed with primary support from the Robert Wood Johnson Foundation (RWJF).
Small teams of faculty piloted the curriculum at seven sites across the country, including at historically black medical schools and at the 2003 annual meeting of the National Medical Association. Some 400 professionals involved in the end-of-life care of African Americans attended a training session.
Based on the pilot trainings, the project team is revising the curriculum and raising funds for a wider dissemination of the program.