LeGrand Susan B, Walsh Declan, Nelson Kristine A, Davis Mellar P
Palliative Medicine Fellowship Program, The Harry R. Horvitz Center for Palliative Medicine, The Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio, USA.
Am J Hosp Palliat Care. 2003 Jul-Aug;20(4):279-89. doi: 10.1177/104990910302000410.
Recent years have seen significant growth in palliative medicine training programs and positions. There are plans to pursue palliative medicine specialty status with the American Board of Medical Specialties and accreditation of fellowship programs with the American College of Graduate Medical Education. A work group of program directors, supported initially by the Cleveland Clinic and then by the American Board of Hospice and Palliative Medicine, has recently published standards for fellowship training. Despite this, fundamental questions remain about defining the field and delineating the knowledge and skills expected following completion of specialty training. In this article, we describe the first fellowship program in palliative medicine (PMP) in the United States, developed and supported by the Cleveland Clinic Foundation. The program has been implemented as part of the Harry R. Horvitz Center for Palliative Medicine, founded in 1987 as the first comprehensive integrated US program in this field. This training program, in existence since 1989, features a traditional rotational structure with an inpatient primary care service, inpatient consult services, and an outpatient consult/hospice service. This article outlines the syllabus developed for this fellowship, given what we believe to be the essential knowledge base for the field of palliative medicine.
近年来，姑息医学培训项目和职位显著增加。计划向美国医学专业委员会争取姑息医学专业地位，并寻求美国毕业后医学教育委员会对 fellowship 项目的认证。一个由项目主任组成的工作组，最初由克利夫兰诊所支持，后由美国临终关怀与姑息医学委员会支持，最近发布了 fellowship 培训标准。尽管如此，关于该领域的定义以及完成专业培训后应具备的知识和技能的界定，仍存在一些基本问题。在本文中，我们描述了美国首个由克利夫兰诊所基金会开发和支持的姑息医学 fellowship 项目（PMP）。该项目已作为哈利·R·霍维茨姑息医学中心的一部分实施，该中心于1987年成立，是美国该领域首个综合性综合项目。这个自1989年以来一直存在的培训项目，具有传统的轮转结构，包括住院初级保健服务、住院会诊服务和门诊会诊/临终关怀服务。鉴于我们认为姑息医学领域的基本知识基础，本文概述了为该 fellowship 制定的教学大纲。
