Weissman David E, Mullan Patricia B, Ambuel Bruce, von Gunten Charles
Medical College of Wisconsin, Milwaukee, USA.
J Palliat Med. 2002 Aug;5(4):497-506. doi: 10.1089/109662102760269733.
In 1998 we initiated a pilot project to evaluate the feasibility of recruiting and training internal medicine residency programs in methods designed to enhance and integrate end-of-life (EOL) instruction and assessment into their curriculum.
To evaluate participants' assessment of the training program and the 12-month impact of the training on the 32 residency programs' EOL teaching.
Prospective multi-institutional study.
After participating in training, all participants agreed/strongly agreed that the skills-related objectives of the training were met. Mean ratings of intention to continue with the program were consistent across trainees representing different academic ranks (F = 2.8, p = 0.07), levels of experience in EOL education (F = 1.3, p = 0.28), and involvement in other national EOL training programs (F = 1.5, p = 0.23). Twelve months after training, most programs (78%) continued with the project and had initiated EOL curriculum reform in seven key EOL domains.).
The study suggests that focused training in EOL teaching methods and institutional change strategies can facilitate EOL curriculum reform.
1998年，我们启动了一个试点项目，以评估招募和培训内科住院医师培训项目的可行性，这些项目采用的方法旨在加强临终关怀（EOL）教学并将其评估纳入课程体系。
评估参与者对培训项目的评价以及培训对32个住院医师培训项目的临终关怀教学的12个月影响。
前瞻性多机构研究。
参与培训后，所有参与者均同意/强烈同意培训的技能相关目标已达成。不同学术等级（F = 2.8，p = 0.07）、临终关怀教育经验水平（F = 1.3，p = 0.28）以及参与其他国家临终关怀培训项目情况（F = 1.5，p = 0.23）的受训者继续参与该项目的意愿平均评分一致。培训12个月后，大多数项目（78%）继续开展该项目，并在七个关键临终关怀领域启动了临终关怀课程改革。
该研究表明，针对临终关怀教学方法和机构变革策略的集中培训可促进临终关怀课程改革。
