El-Sourady Maie, Chen Heidi, Martin Sara F, Ritchie Joseph, Ellis Katreece, Richeson Ashley, Moore Don, Karlekar Mohana, Misra Sumi
1 Vanderbilt University Medical Center, The Vanderbilt Clinic, Nashville, TN, USA.
2 Vanderbilt Center for Health Services Research, Nashville, TN, USA.
Am J Hosp Palliat Care. 2019 Aug;36(8):675-681. doi: 10.1177/1049909119834854. Epub 2019 Mar 7.
Interest and appreciation for palliative care (PC) has resulted in increased demand for both PC services and education. The PC rotation has been shown to improve PC knowledge in medical students (MS) and internal medicine (IM) residents, and PC specialists stand poised to direct the primary PC education of learners at different levels of training. To concurrently teach learners of different levels of training on a busy PC service, we created an educational system that emphasizes management of learner schedules, organization of teaching activities, faculty development to improve teaching skills, and learner self-evaluation. Both MS and IM residents showed an improvement in self-assessed competence as well as increased comfort level with seriously ill patients after PC rotation. Careful adjustment of learner schedules has accommodated an increasing number of learners, while maintaining a low learner to faculty ratio. The PC educators face an exciting and daunting challenge as the number of patients with PC needs and the number of learners requesting PC experience grow. We continue to improve milestone-based PC assessment tools, to invest in faculty development, and to explore innovative ways to support PC educators as they strive to provide consistent PC education that is both useful for learners and can be incorporated into busy PC clinical practice.
对姑息治疗（PC）的兴趣和重视导致对PC服务和教育的需求增加。已证明PC轮转可提高医学生（MS）和内科（IM）住院医师的PC知识，并且PC专家准备指导不同培训水平学习者的初级PC教育。为了在繁忙的PC服务中同时教授不同培训水平的学习者，我们创建了一个教育系统，该系统强调学习者日程安排的管理、教学活动的组织、提高教学技能的教师发展以及学习者的自我评估。MS和IM住院医师在PC轮转后自我评估的能力有所提高，并且对重症患者的舒适度也有所增加。仔细调整学习者的日程安排，在保持低师生比的同时，接纳了越来越多的学习者。随着有PC需求的患者数量和寻求PC经验的学习者数量的增加，PC教育工作者面临着一个既令人兴奋又艰巨的挑战。我们继续改进基于里程碑的PC评估工具，投资于教师发展，并探索创新方法来支持PC教育工作者，因为他们努力提供既对学习者有用又能融入繁忙的PC临床实践的一致PC教育。
