Table 1

Examples of spread of Pallium Canada’s programmes across micro, meso and macro levels

Health system levelExamples in each levelExamples of spread and programmes*
  • Individual health professional or health professions student

  • Family health clinic

  • Hospital unit/ward or service

  • Medical or nursing school course

  • Unit of floor in a long-term care (LTC) or nursing home

  • Home care team

  • Petawawa, Bruyere and Jane Finch Family Health teams in Ontario, Canada (LEAP Core)

  • Select medical units in Lakeridge Health hospitals in Ontario (LEAP Hospital)

  • Select medical units in North York Hospital in Ontario (LEAP Hospital)

  • Health Sciences Undergraduate Degree Programme at Brock University (LEAP Health Sciences)

  • Family Medicine and Medicine Residency Programmes, McMaster University (various LEAP courses)

  • Large groups of family health clinics

  • Whole hospital

  • Whole cancer centre or centre dedicated to disease group (eg, heart or lung cancer and renal centre)

  • Whole long-term care facility or nursing home

  • While undergraduate or postgraduate university or college training programme

  • Bayshore Home Care Nursing Agency (LEAP Core and LEAP Home Care)

  • William Osler Health System emergency departments (ED) (LEAP ED)

  • LEAP Renal across all Ontario renal and dialysis units

  • LEAP Inuktitut version for Inuit personal support workers and nurses in the far north

  • INTEGRATE Project across cancer centres in Ontario and eastern Quebec

  • Across a whole region or whole province

  • Across the whole country

  • Across a whole national organisation

  • LEAP Core and LEAP LTC across the whole country

  • New Brunswick province (LEAP In-Depth and LEAP Core)

  • LEAP Paramedic across the following provinces: Nova Scotia, Prince Edward Island, New Brunswick, Alberta, British Columbia and Ontario

  • Compassionate communities programme

  • COVID-19 webinars across Canada

  • *These are only select examples. There are many other examples for each level across Canada. For a full list, please contact Pallium Canada directly.

  • LEAP, Learning Essential Approaches to Palliative Care.