May 7, 2026 · Journal of palliative medicine · DOI: 10.1177/10966218261449538

Cultural Adaptation and Pilot Implementation of Education in Palliative and End-of-Life Care for Emergency Physicians (EPEC-EM) for Emergency Medicine Practice in Japan

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The authors aimed to assess the feasibility of culturally adapting the U.S.-developed Education in Palliative and End-of-Life Care for Emergency Medicine (EPEC-EM) program for emergency physicians in Japan, addressing the need for formal palliative care training amidst an aging population. Through an iterative process, they adapted and piloted three specific modules, enhancing their clarity and cultural relevance for Japanese practitioners. The study concludes that this adaptation process lays the groundwork for developing a tailored curriculum for broader implementation in Japan.

Kenji Numata, Masaya Higuchi, Hideyuki Kashiwagi, Shunsuke Kosugi, Tammie E Quest, Joshua Hauser, Kirsten G Engel, Kei Ouchi

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