Bowden J, Dempsey K, Boyd K, Fallon M, Murray S A
Royal Infirmary of Edinburgh, Scotland, UK.
J R Coll Physicians Edinb. 2013;43(1):24-8. doi: 10.4997/JRCPE.2013.105.
To establish whether Foundation Year 1 (FY1) doctors in Edinburgh are sufficiently prepared to deliver generalist palliative care, with a view to informing developments in undergraduate and postgraduate medical education.
Questionnaires were sent to FY1 doctors and to supervising consultants. Semi-structured interviews were conducted with five FY1 doctors.
A total of 60 FY1 doctors and 31 consultants replied. The majority of FY1 doctors did not feel well-prepared to deliver basic palliative care, especially when managing distress and social issues. Consultants agreed that FY1 doctors were underprepared. Junior doctors reported high levels of distress themselves, with few seeking support from senior colleagues. Both sets of respondents made suggestions for curricular improvements.
Newly qualified doctors were not adequately prepared to deliver generalist palliative care and lacked first-hand experience of end-of-life issues. Current reviews of palliative care education should address the learning and supportive needs of our most junior doctors more effectively.
确定爱丁堡的一年级基础医生（FY1）是否为提供全科姑息治疗做好了充分准备，以便为本科和研究生医学教育的发展提供信息。
向FY1医生和督导顾问发放问卷。对五位FY1医生进行了半结构化访谈。
共有60名FY1医生和31名顾问回复。大多数FY1医生觉得自己没有为提供基本的姑息治疗做好充分准备，尤其是在处理痛苦和社会问题时。顾问们一致认为FY1医生准备不足。初级医生表示自己压力很大，很少向资深同事寻求支持。两组受访者都对课程改进提出了建议。
新获得资格的医生没有为提供全科姑息治疗做好充分准备，并且缺乏临终问题的第一手经验。当前对姑息治疗教育的审查应更有效地满足最年轻医生的学习和支持需求。
