Diver Ruth, Quince Thelma, Barclay Stephen, Benson John, Brimicombe James, Wood Diana, Thiemann Pia
The Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
School of Clinical Medicine, University of Cambridge, Cambridge, UK.
BMJ Support Palliat Care. 2018 Sep;8(3):285-288. doi: 10.1136/bmjspcare-2017-001486. Epub 2018 Apr 4.
During their careers, all doctors will be involved in the care of the dying, and this is likely to increase with current demographic trends. Future doctors need to be well-prepared for this. Little is known about medical students' expectations about providing palliative care. Our aim was to investigate how satisfying students expect palliative care to be, and any attitudes towards palliative care associated with a negative expectation.
Fifteen UK medical schools participated in the study, with 1898 first and final year students completing an online questionnaire which investigated how satisfying they expect providing palliative care to be and their attitudes towards palliative care.
At both the beginning and end of their training, a significant proportion of students expect palliative care to be less satisfying than other care (19.3% first year, 16% final year). Students expecting palliative care to be less satisfying were more likely to be men, and their attitudes suggest that while they understand the importance of providing palliative care they are concerned about the potential impact of this kind of work on them personally.
Medical student education needs to address why palliative care is important and how to deliver it effectively, and the strategies for dealing positively with the impact of this work on future clinicians.
在其职业生涯中，所有医生都会参与临终关怀工作，而且随着当前人口趋势的发展，这种情况可能会增加。未来的医生需要为此做好充分准备。对于医学生对提供姑息治疗的期望了解甚少。我们的目的是调查学生期望姑息治疗能达到何种满意度，以及与负面期望相关的对姑息治疗的任何态度。
15所英国医学院校参与了这项研究，1898名一年级和最后一年的学生完成了一份在线问卷，该问卷调查了他们期望提供姑息治疗的满意度以及他们对姑息治疗的态度。
在培训开始和结束时，相当一部分学生预计姑息治疗的满意度低于其他护理（一年级为19.3%，最后一年为16%）。预计姑息治疗满意度较低的学生更可能是男性，他们的态度表明，虽然他们理解提供姑息治疗的重要性，但他们担心这类工作对自身的潜在影响。
医学生教育需要解决姑息治疗为何重要以及如何有效提供姑息治疗的问题，以及积极应对这项工作对未来临床医生影响的策略。
