Metalios Eva E, Asgary Ramin G, Cooperman Nina, Smith Clyde L, Du Evelyn, Modali Laxmi, Sacajiu Galit
Department of Medicine, Montefiore Medical Center, Bronx, NY, USA.
J Gen Intern Med. 2008 Jul;23(7):1038-42. doi: 10.1007/s11606-008-0592-2.
Despite the 1984 United Nations's Convention Against Torture calling to train doctors to work with torture survivors, many physicians are unaware of their obligation and few are taught the requisite clinical skills.
To describe the development, implementation, and evaluation of a curriculum to teach residents to work with torture survivors.
Medicine residents in New York City
A 2-component curriculum consisting of a series of workshops and clinical experiences, which provide content, skills, and practices regarding the medical, psychological, ethical, and legal aspects of evaluating and caring for torture survivors. CURRICULUM EVALUATION: All 22 trainees received surveys before and after training. Surveys assessed residents' relevant prior experience, beliefs, skills, and attitudes regarding working with torture survivors. At baseline, 23% of residents described previous human rights trainings and 17% had work experiences with torture survivors. Before the curriculum, 81% of residents reported doctors should know how to evaluate survivors, although only 5% routinely screened patients for torture. After the curriculum, residents reported significant improvements in 3 educational domains-general knowledge, sequelae, and self-efficacy to evaluate torture survivors.
This curriculum addresses the disparity between doctors' obligations, and training to work with torture survivors. It is likely to achieve its educational goals, and can potentially be adapted to other residencies.
尽管1984年联合国《禁止酷刑公约》呼吁培训医生为酷刑幸存者提供治疗，但许多医生并不知晓自身的这项义务，而且几乎没人接受过必要的临床技能培训。
描述一项旨在教导住院医师如何为酷刑幸存者提供治疗的课程的开发、实施及评估情况。
纽约市的内科住院医师
一个由一系列研讨会和临床实践组成的两部分课程，内容涉及评估和照料酷刑幸存者的医学、心理、伦理及法律方面，同时教授相关技能和实践方法。
所有22名学员在培训前后均接受了调查。调查评估了住院医师在处理酷刑幸存者问题方面的相关既往经历、信念、技能及态度。在基线阶段，23%的住院医师表示曾接受过人权培训，17%有过为酷刑幸存者提供治疗的工作经历。在课程开始前，81%的住院医师认为医生应该知道如何评估幸存者，然而只有5%的人会对患者进行常规的酷刑筛查。课程结束后，住院医师在三个教育领域——一般知识、后遗症以及评估酷刑幸存者的自我效能感方面均有显著提升。
该课程弥补了医生义务与为酷刑幸存者提供治疗培训之间的差距。它很可能实现其教育目标，并且有可能适用于其他住院医师培训项目。
