家庭医学住院医师是否接受了足够的姑息治疗培训？
Are family medicine residents adequately trained to deliver palliative care?
作者信息
Mahtani Ramona, Kurahashi Allison M, Buchman Sandy, Webster Fiona, Husain Amna, Goldman Russell
出版信息
Can Fam Physician. 2015 Dec;61(12):e577-82.
OBJECTIVE
To explore educational factors that influence family medicine residents' (FMRs') intentions to offer palliative care and palliative care home visits to patients.
DESIGN
Qualitative descriptive study.
SETTING
A Canadian, urban, specialized palliative care centre.
PARTICIPANTS
First-year (n = 9) and second-year (n = 6) FMRs.
METHODS
Semistructured interviews were conducted with FMRs following a 4-week palliative care rotation. Questions focused on participant experiences during the rotation and perceptions about their roles as family physicians in the delivery of palliative care and home visits. Participant responses were analyzed to summarize and interpret patterns related to their educational experience during their rotation.
MAIN FINDINGS
Four interrelated themes were identified that described this experience: foundational skill development owing to training in a specialized setting; additional need for education and support; unaddressed gaps in pragmatic skills; and uncertainty about family physicians' role in palliative care.
CONCLUSION
Residents described experiences that both supported and inadvertently discouraged them from considering future engagement in palliative care. Reassuringly, residents were also able to underscore opportunities for improvement in palliative care education.
目的
探讨影响家庭医学住院医师（FMRs）为患者提供姑息治疗及姑息治疗家访意愿的教育因素。
设计
定性描述性研究。
地点
加拿大城市的一家专业姑息治疗中心。
参与者
一年级（n = 9）和二年级（n = 6）的家庭医学住院医师。
方法
在为期4周的姑息治疗轮转结束后，对家庭医学住院医师进行半结构式访谈。问题聚焦于轮转期间参与者的经历，以及他们对自身作为家庭医生在提供姑息治疗和家访中的角色认知。对参与者的回答进行分析，以总结和解读与他们轮转期间教育经历相关的模式。
主要发现
确定了四个相互关联的主题来描述这一经历：在专业环境中接受培训带来的基础技能发展；对教育和支持的额外需求；实用技能方面未得到解决的差距；以及家庭医生在姑息治疗中角色的不确定性。
结论
住院医师描述了既支持他们也无意中阻碍他们考虑未来参与姑息治疗的经历。令人欣慰的是，住院医师也能够强调姑息治疗教育方面的改进机会。
Zotero 插件