Outcomes 1. Identify shared challenges of palliative care delivery in diverse patient populations in resource-limited settings 2. Illustrate a psychoeducational approach to enhancing resilience for palliative care providers working in local and global health settings with diverse patient populations in East Africa, India, and the Navajo Nation 3. Highlight resilience interventions applied to healthcare and advocacy work in the correctional system Due to rising rates of burnout, the importance of resilience training and self-care in the field of hospice and palliative medicine is a central issue for all providers.1,2 Delivering care to diverse patient populations in resource-limited settings conveys unique challenges for providers caring for patients with variable access to care.3 These settings have high rates of late presentation, challenges around financial and housing limitations often related to systemic racism, and variable ongoing access to care, particularly highlighted during the COVID-19 pandemic.4 These healthcare disparities, when encountered globally or locally by patients and caregivers, lead to moral distress and burnout for healthcare providers as they struggle with observing suffering and optimizing care in an inherently limited system.5,6 To ensure these populations receive the highest quality of care from well-functioning providers, it is critical to identify and share best practices in resilience training for providers working in these settings. We explore this issue by examining approaches to resilience training with two case studies of palliative care delivery in resource limited settings: Resilience training and structured debriefing for global health palliative care providers working in international settings in partnership with Pallium India, Mulago Hospital in Uganda, and Navajo Nation in the United States; and integrative resilience interventions in prison healthcare and advocacy work in the Louisiana and California departments of corrections. Both featured programs highlight a unique interdisciplinary approach to resilience training design and delivery, drawing on teams of physicians, psychologists, and chaplains, both locally and globally. Through these case studies, we identify innovative approaches to enhancing resilience and decreasing moral distress in resource-limited palliative care settings.
