Dickinson George E
College of Charleston, Charleston, South Carolina, USA.
Death Stud. 2002 Oct;26(8):635-46. doi: 10.1080/07481180290088347.
This study examined medical school offerings on end-of-life issues between 1975 and 2000. Five national surveys of US medical schools were conducted in 1975, 1980, 1985, 1995, and 2000 (response rates of 95%, 96%, 90%, 93%, and 92%, respectively). Results revealed that between 1975 and 2000, the offerings in death and dying increased. A multidisciplinary-team approach continued over the 25-year period. In 2000, palliative care was directly addressed in 87% of medical schools responding, and the majority of students were exposed to a hospice patient. The increased attention to death and dying in medical schools should enhance the medical student's relationship with terminally ill patients. An awareness of, and acquired knowledge about, these issues in the medicalization of students should result in end-of-life concerns being more tolerable for both patients, their families, and physicians.
本研究调查了1975年至2000年间医学院校在临终问题方面的课程设置情况。于1975年、1980年、1985年、1995年和2000年对美国医学院校进行了五次全国性调查（回复率分别为95%、96%、90%、93%和92%）。结果显示，在1975年至2000年间，有关死亡与临终的课程设置有所增加。在这25年期间，多学科团队教学方法得以延续。2000年，在做出回复的医学院校中，有87%直接开设了姑息治疗课程，并且大多数学生接触过临终关怀患者。医学院校对死亡与临终问题日益增加的关注，应能增进医学生与绝症患者之间的关系。学生在医学教育过程中对这些问题的认识及所学知识，应能使临终关怀问题对于患者及其家属以及医生而言更易于接受。
