Department of Neurology, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA.
Pain Med. 2013 Mar;14(3):345-50. doi: 10.1111/pme.12051. Epub 2013 Feb 6.
The education of physicians is a fundamental obligation within medicine that must remain closely aligned with clinical care. And although medical education in pain care is essential, the current state of medical education does not meet the needs of physicians, patients, or society. To address this, we convened a committee of pain specialist medical student educators.
Tasked with creating systematically developed and valid recommendations for clinical education, we conducted a survey of pain medicine leadership within the American Academy of Pain Medicine (AAPM). The survey was conducted in two waves. We asked AAPM board members to rate 194 previously published pain medicine learning objectives for medical students; 79% of those eligible for participation responded.
The "Top 5" list included the awareness of acute and chronic pain, skillfulness in clinical appraisal, promotion of compassionate practices, displaying empathy toward the patient, and knowledge of terms and definitions for substance abuse. The "Top 10" list included the major pharmacological classes as well as skills in examination, communication, prescribing, and interviewing. The "Top 20" list included the pain care of cognitively impaired populations, those with comorbid illness, and older adults. With the survey results in consideration, the committee produced a new recommended topic list for curricula in pain medicine. We strongly recommend that adequate resources are devoted to fully integrated medical curricula in pain so that students will learn not only the necessary clinical knowledge but also be prepared to address the professional, personal, and ethical challenges that arise in caring for those with pain.
We conclude that improved medical education in pain is essential to prepare providers who manifest both competence and compassion toward their patients.
医生的教育是医学的基本义务，必须与临床护理紧密结合。尽管疼痛护理的医学教育至关重要，但目前的医学教育状况无法满足医生、患者和社会的需求。为了解决这个问题，我们召集了一个由疼痛专科医学生教育者组成的委员会。
我们的任务是为临床教育制定系统开发和有效的建议，为此，我们对美国疼痛医学学会（AAPM）内的疼痛医学领导进行了调查。该调查分两波进行。我们要求 AAPM 董事会成员对 194 项先前发表的医学生疼痛医学学习目标进行评分；有 79%符合条件的人参与了调查。
“前五名”包括对急性和慢性疼痛的认识、临床评估的熟练程度、促进富有同情心的实践、对患者表示同情、以及对物质滥用术语和定义的了解。“前十名”包括主要的药理学类别以及检查、沟通、处方和面试的技能。“前二十名”包括认知障碍人群、合并疾病患者和老年人的疼痛护理。在考虑调查结果的基础上，委员会为疼痛医学课程制定了一个新的推荐主题清单。我们强烈建议投入足够的资源，将疼痛的医学课程完全整合，以便学生不仅学习必要的临床知识，而且能够准备好应对在照顾疼痛患者时出现的专业、个人和伦理挑战。
我们得出结论，改善疼痛医学教育对于培养既具备能力又富有同情心的医护人员至关重要。
