Pilkey Jana, Downar James, Dudgeon Deborah, Herx Leonie, Oneschuk Doreen, Schroder Cori, Schulz Valerie
1 Section of Palliative Medicine, Department of Family Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.
2 Palliative Care Program, Winnipeg Regional Health Authority, St Boniface General Hospital, Winnipeg, Manitoba, Canada.
J Palliat Care. 2017 Jul/Oct;32(3-4):113-120. doi: 10.1177/0825859717741027. Epub 2017 Nov 13.
The discipline of palliative medicine in Canada started in 1975 with the coining of the term "palliative care." Shortly thereafter, the provision of clinical palliative medicine services started, although the education of the discipline lagged behind. In 1993, the Canadian Society of Palliative Care Physicians (CSPCP) started to explore the option of creating an accredited training program in palliative medicine. This article outlines the process by which, over the course of 20 years, palliative medicine training in Canada went from a mission statement of the CSPCP, to a 1 year of added competence jointly accredited by both the Royal College of Physicians and Surgeons of Canada (Royal College) and the College of Family Physicians of Canada, to a 2-year subspecialty of the Royal College with access from multiple entry routes and a formalized accrediting examination.
加拿大的姑息医学学科始于1975年“姑息治疗”一词的提出。此后不久，临床姑息医学服务开始提供，尽管该学科的教育滞后。1993年，加拿大姑息治疗医师协会（CSPCP）开始探索创建姑息医学认可培训项目的选项。本文概述了在20年的时间里，加拿大姑息医学培训从CSPCP的使命声明，发展到由加拿大皇家内科医师和外科医师学院（皇家学院）和加拿大家庭医师学院联合认可的为期1年的附加能力培训，再到皇家学院的为期2年的亚专科培训，有多条进入途径并设有正式的认证考试的过程。
