Morrison Laura J, Scott Judy Opatik, Block Susan D
Section of Geriatrics, Baylor College of Medicine, Institute for Palliative Medicine, The Methodist Hospital, Houston, Texas 77030, USA.
J Palliat Med. 2007 Apr;10(2):313-30. doi: 10.1089/jpm.2006.9980.
As a newly recognized subspecialty, the field of hospice and palliative medicine (HPM) must transition existing pathways for board certification, fellowship standards, and fellowship accreditation to one based on the Accreditation Council for Graduate Medical Education and American Board of Medical Specialties competency framework. The Competencies Work Group of the American Board of Hospice and Palliative Medicine, using an iterative process informed by the field, has developed a set of Initial Competency-based Outcomes for the HPM Subspecialist. These competencies will set the standard for the "competent hospice and palliative medicine subspecialist physician," guiding future HPM fellowship training and potential midcareer HPM training opportunities. Lessons learned are highlighted.
作为一个新认可的亚专业领域，临终关怀与姑息医学（HPM）领域必须将现有的委员会认证、专科培训标准和专科培训认证途径转变为基于毕业后医学教育认证委员会和美国医学专业委员会能力框架的途径。美国临终关怀与姑息医学委员会的能力工作组通过该领域提供信息的迭代过程，制定了一套针对HPM亚专科医生的基于初始能力的成果。这些能力将为“合格的临终关怀与姑息医学亚专科医生”设定标准，指导未来的HPM专科培训以及潜在的职业中期HPM培训机会。文中突出了所吸取的经验教训。
