Learning Path

ESPEC-O

Here's what you'll learn:

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ESPEC Oncology Introduction

Explore the goals and rationale for ESPEC, the ESPEC framework, and the eight NCP palliative care domains. Learn core principles of palliative care and the key competencies and skills essential for primary palliative social work practice.

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ESPEC Oncology: Orientation

This brief ESPEC Orientation guides you through program navigation, structure, and technical needs while introducing the purpose of ESPEC, core competencies, and key partnerships that shape this palliative and end-of-life social work training.

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ESPEC Oncology Module 1: Structure & Processes of Care

Learn the structure and processes of care in NCP Domain 1, apply key practices in palliative social work, and understand the ethical mandate to address disparities and social determinants of health that shape patient care and quality of life.

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ESPEC Oncology Module 2: Physical Aspects of Care

Recognize common symptoms in serious illness, understand the biopsychosocial–spiritual facets of pain, identify myths about symptom management, and explain the palliative social worker’s role in addressing physical concerns.

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ESPEC Oncology Module 3: Psychological & Psychiatric Aspects of Care

Recognize common psychological reactions to serious illness, identify distress, anxiety, and depression, assess mental health risks, and apply social work interventions that support coping and emotional well-being.

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ESPEC Oncology Module 4: Social Aspects of Care

Identify how social determinants shape illness experiences, assess family structure and caregiver capacity, and integrate social needs into a comprehensive palliative social work plan of care.

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ESPEC Oncology Module 5: Spiritual, Religious, & Existential Aspects of Care

Recognize how spiritual, religious, and existential concerns affect care and quality of life; identify patients’ and families’ beliefs; support meaningful practices; and address spiritual or existential distress in palliative social work.

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ESPEC Oncology Module 6: Cultural Aspects of Care

Recognize how culture shapes illness and end-of-life care, honor beliefs and traditions, tailor communication to health literacy, and provide culturally congruent support—acknowledging all conversations as cross-cultural and addressing disparities.

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ESPEC Oncology Module 7: Care of the Patient Nearing the End of Life

Recognize the social worker’s role in supporting all quality-of-life domains at end of life, engage in advance care planning, guide pre- and post-death planning, and assess and support patients and families through grief and bereavement.

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ESPEC Oncology Module 8: Ethical & Legal Aspects of Care

Explore ethical issues in serious illness, align NASW ethics with NCP, understand ACP and treatment laws, use holistic assessment for equitable care, and identify advocacy and leadership roles.

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