Edwards Asher, Nam Samuel
1 Internal Medicine Department, Kaiser Permanente, Baldwin Park, CA, USA.
2 Division of General Internal Medicine, Harbor-UCLA Medical Center, Torrance, CA, USA.
Am J Hosp Palliat Care. 2018 Jan;35(1):41-44. doi: 10.1177/1049909116687986. Epub 2017 Jan 5.
As the baby boomer generation ages, the need for palliative care services will be paramount and yet training for palliative care physicians is currently inadequate to meet the current palliative care needs. Nonspecialty-trained physicians will need to supplement the gap between supply and demand. Yet, no uniform guidelines exist for the training of internal medicine residents in palliative care. To our knowledge, no systematic study has been performed to evaluate how internal medicine residencies currently integrate palliative care into their training. In this study, we surveyed 338 Accreditation Council for Graduate Medical Education-accredited internal medicine program directors. We queried how palliative care was integrated into their training programs. The vast majority of respondents felt that palliative care training was "very important" (87.5%) and 75.9% of respondents offered some kind of palliative care rotation, often with a multidisciplinary approach. Moving forward, we are hopeful that the data provided from our survey will act as a launching point for more formal investigations into palliative care education for internal medicine residents. Concurrently, policy makers should aid in palliative care instruction by formalizing required palliative care training for internal medicine residents.
随着婴儿潮一代步入老年，姑息治疗服务的需求将至关重要，但目前姑息治疗医生的培训不足以满足当前的姑息治疗需求。未经专科培训的医生将需要弥补供需之间的差距。然而，对于内科住院医师的姑息治疗培训，尚无统一的指导方针。据我们所知，尚未进行系统研究来评估内科住院医师培训项目目前如何将姑息治疗纳入其培训中。在本研究中，我们调查了338名经研究生医学教育认证委员会认证的内科项目主任。我们询问了姑息治疗是如何纳入他们的培训项目的。绝大多数受访者认为姑息治疗培训“非常重要”（87.5%），75.9%的受访者提供了某种姑息治疗轮转，通常采用多学科方法。展望未来，我们希望我们的调查所提供的数据将成为对内科学住院医师姑息治疗教育进行更正式调查的起点。同时，政策制定者应通过规范内科住院医师所需的姑息治疗培训来协助姑息治疗教学。
