Dickinson George E
1 Department of Sociology and Anthropology, College of Charleston, Charleston, SC, USA.
Am J Hosp Palliat Care. 2017 Jul;34(6):559-565. doi: 10.1177/1049909116638071. Epub 2016 Mar 10.
The purpose of this longitudinal study of US medical schools over a 40-year period was to ascertain their offerings on end-of-life (EOL) issues. At 5-year intervals, beginning in 1975, US medical schools were surveyed via a questionnaire to determine their EOL offerings. Data were reported with frequency distributions. The Institute of Medicine has encouraged more emphasis on EOL issues over the past 2 decades. Findings revealed that undergraduate medical students in the United States are now exposed to death and dying, palliative care, and geriatric medicine. The inclusion of EOL topics has definitely expanded over the 40-year period as findings reveal that US undergraduate medical students are currently exposed in over 90% of programs to death and dying, palliative care, and geriatric medicine, with the emphasis on these topics varying with the medical programs. Such inclusion should produce future favorable outcomes for undergraduate medical students, patients, and their families.
这项对美国医学院校进行的为期40年的纵向研究，目的是确定它们在临终问题方面的课程设置。从1975年开始，每隔5年就通过问卷调查的方式对美国医学院校进行调查，以确定它们在临终问题方面的课程设置情况。数据以频率分布的形式报告。在过去20年里，美国医学研究所鼓励更加重视临终问题。研究结果显示，美国本科医学生现在接触到了死亡与濒死、姑息治疗和老年医学等内容。随着研究结果显示美国本科医学生目前在90%以上的课程中接触到了死亡与濒死、姑息治疗和老年医学，临终问题相关主题的纳入在这40年期间无疑有所增加，而且这些主题在不同医学课程中的侧重点有所不同。这样的纳入应该会为本科医学生、患者及其家属带来未来良好的结果。
