Marcer D, Deighton S
Department of Psychology, The University, Southampton.
J R Soc Med. 1988 Dec;81(12):698-700. doi: 10.1177/014107688808101206.
Unease over the previous management of 67 patients referred for treatment to 3 pain relief clinics led us to investigate the current state of education in pain and pain control in the UK. Twenty-seven medical schools provided data which revealed; (i) in 4 schools no teaching whatsoever is given in these subjects; (ii) in the remainder it is accorded an average of 3.5 hours during the 5 year course, with little evidence of multidisciplinary teaching; (iii) only 10 schools (37%) regularly set questions on pain control in formal examinations. A survey of 219 general practitioners revealed a wide-ranging lack of knowledge about the facilities and approach to treatment at their local pain relief clinic. These findings have wide reaching implications for medical education. At the undergraduate level they demonstrate a need for more multidisciplinary teaching and practical experience in specialist units. Thereafter specialists in pain control must enable practising doctors to keep abreast of new developments. This may require them to devote more time writing for a non-specialist audience and devising short, postgraduate courses.
将67名患者转诊至3家疼痛缓解诊所进行治疗，对之前的管理方式的不安促使我们对英国疼痛与疼痛控制方面的教育现状展开调查。27所医学院提供的数据显示：（i）4所学校完全没有开设这些课程；（ii）其余学校在5年的课程中平均安排了3.5小时，几乎没有多学科教学的迹象；（iii）只有10所学校（37%）在正式考试中经常设置有关疼痛控制的问题。对219名全科医生的调查发现，他们对当地疼痛缓解诊所的设施和治疗方法普遍缺乏了解。这些发现对医学教育具有广泛影响。在本科阶段，表明需要在专科单位开展更多的多学科教学和实践经验。此后，疼痛控制专家必须使执业医生能够跟上新进展。这可能需要他们投入更多时间为非专业读者写作，并设计简短的研究生课程。
