临终关怀和息医学奖学金期间的门诊培训:全国调查
Harry J Han1, Michelle C Ouellette1, Jonathan C Yeh1
1Section of Palliative Care (H.J.H, M.C.O., J.C.Y.), Division of General Internal Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Journal of pain and symptom management
|June 30, 2024
概括
美国临床和息医学 (HPM) 奖学金中的门诊息护理 (PC) 培训与住院培训相比显示出显著的差距. 项目主管认为门诊PC教育质量不足,引发了对同学准备的担忧.
科学领域:
- 医学教育 医学教育
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于熟练的门诊息护理 (PC) 临床医生的需求日益增加.
- 关于研究生门诊PC教育质量的有限文献.
- 需要评估当前的严重疾病护理培训.
研究的目的:
- 描述美国临终关怀和息医学 (HPM) 奖学金中的门诊培训.
- 评估门诊PC教育的感知质量.
- 确定HPM奖学金课程需要改进的领域.
主要方法:
- 美国HPM奖学金计划主任 (PD) 的横截面调查.
- 在2023年3月至7月期间收集的数据.
- 85个项目参与 (53%的响应率).
主要成果:
- 惠普研究员在门诊PC中平均花费4.8周,而在住院治疗中花费24周.
- 超过一半的研究员对各种严重疾病的接触有限.
- 诊断人员认为门诊培训质量低于住院培训 (3.58比4.62).
- PDs认为研究员对门诊诊所的准备不够好 (4.06对比4.73).
结论:
- 在HPM奖学金中,门诊和住院PC培训之间存在显著的差距.
- 目前的门诊PC培训可能不足以准备研究员.
- 对门诊PC教育进行改革是必要的,以满足劳动力需求.
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