日本本科医学课程中的姑息医学教育调查。

A survey of palliative medicine education in Japan's undergraduate medical curriculum.

机构信息

Department of Clinical Oncology, School of Medicine, Faculty of Medicine, Toho University, 5-21-16 Omorinishi, Ota city, Tokyo, 143-8540, Japan.

Palliative Care Team, Toho University Ohashi Medical Center, Meguro city, Tokyo, Japan.

出版信息

BMC Palliat Care. 2017 Jun 7;16(1):38. doi: 10.1186/s12904-017-0212-1.

DOI:10.1186/s12904-017-0212-1

PMID:28592238

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5463397/

Abstract

BACKGROUND

This study aimed to examine the status of undergraduate palliative care education among Japanese medical students using data from a survey conducted in 2015.

METHODS

A questionnaire was originally developed, and the survey forms were sent to universities. The study's objectives, methods, disclosure of results, and anonymity were explained to participating universities in writing. Responses returned by the universities were considered to indicate consent to participate. Descriptive statistical methodology was employed.

RESULTS

The response rate was 82.5% (66 of 80 medical faculties and colleges). Palliative care lectures were implemented in 98.5% of the institutions. Regarding lecture titles, "palliative medicine," "palliative care," and "terminal care" accounted for 42.4, 30.3, and 9.1% of the lectures, respectively. Teachers from the Department of Anesthesia, Palliative Care, and Psychiatry administered 51.5, 47.0, and 28.8% of lectures, respectively. Subjects of lectures included general palliative care (81.8%), pain management (87.9%), and symptom management (63.6%). Clinical clerkship on palliative care was a compulsory and non-compulsory course in 43.9 and 25.8% of the schools, respectively; 30.3% had no clinical clerkship curriculum.

CONCLUSIONS

Undergraduate palliative care education is implemented in many Japanese universities. Clinical clerkship combined with participation in actual medical practice should be further improved by establishing a medical education certification system in compliance with the international standards.

摘要

背景

本研究旨在使用 2015 年进行的一项调查数据，考察日本医学生本科阶段临终关怀教育的现状。

方法

最初开发了一份问卷，并将调查问卷发送给各所大学。以书面形式向参与大学解释了研究目的、方法、结果披露和匿名性。各大学的回复被视为同意参与的表示。采用描述性统计方法。

结果

回复率为 82.5%（80 所医学院校中的 66 所）。98.5%的机构都开设了临终关怀讲座。关于讲座的标题，分别有 42.4%、30.3%和 9.1%的讲座为“姑息医学”、“姑息治疗”和“终末期关怀”。来自麻醉科、姑息治疗和精神病学系的教师分别讲授了 51.5%、47.0%和 28.8%的课程。讲座的主题包括一般姑息治疗（81.8%）、疼痛管理（87.9%）和症状管理（63.6%）。临终关怀临床实习在 43.9%的学校中是必修课，在 25.8%的学校中是选修课；30.3%的学校没有临床实习课程。