Department of Palliative Medicine, The University of Bristol and Bristol Haematology and Oncology Centre, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Palliat Med. 2010 Apr;24(3):299-305. doi: 10.1177/0269216309356029. Epub 2010 Feb 22.
In their first year of work, newly qualified doctors will care for patients who have palliative care needs or who are dying, and they will need the skills to do this throughout their medical career. The General Medical Council in the United Kingdom has given clear recommendations that all medical students should receive core teaching on relieving pain and distress together with caring for the terminally ill. However, medical schools provide variable amounts of this teaching; some are able to deliver comprehensive programmes whilst others deliver very little. This paper presents the results of a mixed methods study which explored the structure and content of palliative care teaching in different UK medical schools, and revealed what coordinators are trying to achieve with this teaching. Nationally, coordinators are aiming to help medical students overcome the same fears held by the lay public about death, dying and hospices, to convey that the palliative care approach is applicable to many patients and is part of every doctors' role, whatever their specialty. Although facts and knowledge were thought to be important, coordinators were more concerned with attitudes and helping individuals with the transition from medical student to foundation doctor, providing an awareness of palliative medicine as a specialty and how to access it for their future patients.
在工作的第一年，新合格的医生将照顾有姑息治疗需求或临终的患者，并且他们需要在整个医疗生涯中具备这些技能。英国医学总会（General Medical Council）明确建议所有医学生都应接受核心教学，内容包括缓解疼痛和痛苦以及照顾绝症患者。然而，医学院提供的这种教学量存在差异；有些学校能够提供全面的课程，而有些则提供得很少。本文介绍了一项混合方法研究的结果，该研究探讨了英国不同医学院的姑息治疗教学的结构和内容，并揭示了协调员在这方面的教学中试图实现的目标。在全国范围内，协调员的目标是帮助医学生克服与普通公众对死亡、临终和临终关怀相同的恐惧，让他们了解姑息治疗方法适用于许多患者，并且是每位医生（无论其专业如何）角色的一部分。尽管协调员认为事实和知识很重要，但他们更关心态度，并帮助个人从医学生过渡到基础医生，让他们了解姑息医学作为一个专业，以及如何为未来的患者提供服务。
