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一名初级医生对西澳大利亚肿瘤学和姑息医学教育的看法:毕业与实习结束之间的比较

A Junior Doctor's Perspective on Oncology and Palliative Medicine Education in Western Australia: Comparison Between Graduation and Completion of Internship.

作者信息

Langworthy Kristyn

机构信息

Fiona Stanley Hospital, 11 Robin Warren Drive, Murdoch, WA, 6150, Australia.

出版信息

J Cancer Educ. 2019 Oct;34(5):1038-1041. doi: 10.1007/s13187-019-1479-0.

Abstract

Cancer is a leading cause of death in Australia and is also the leading cause of disease burden as survivorship continues to improve. Given the prevalence of oncology patients in the community, it is likely to be a condition encountered by every junior doctor. Despite this oncology and in conjunction with that, palliative care has not been a core component of medical curriculum until recently. This means that the junior doctor experience is often complicated by lack of knowledge, poor understanding of the disease process, treatment options and complications and therefore makes managing these patients complicated and often an uncessarily stressful process. This reflective article explores current issues in cancer education, a reflection and comparison between pre- and post-internship experience and offers some potential solutions to these issues.

摘要

癌症是澳大利亚主要的死因,并且随着生存率持续提高,它也是疾病负担的主要原因。鉴于社区中肿瘤患者的普遍性,每位初级医生都有可能遇到这种病症。尽管如此,直到最近,肿瘤学以及与之相关的姑息治疗都不是医学课程的核心组成部分。这意味着初级医生的经历常常因知识匮乏、对疾病过程、治疗选择和并发症理解不足而变得复杂,因此对这些患者的管理也变得复杂,而且往往是一个不必要的压力过程。这篇反思性文章探讨了癌症教育中的当前问题,对实习前和实习后的经历进行了反思和比较,并为这些问题提供了一些潜在的解决方案。

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