Center to Advance Palliative Care of the Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
J Palliat Med. 2021 Apr;24(4):488-495. doi: 10.1089/jpm.2020.0514. Epub 2020 Dec 11.
Most clinicians in the United States do not receive pre-professional education in pain and symptom management, communication skills, and caregiver support. The use of these skills by clinicians improves the quality of care for persons living with serious illness and enables the specialty-trained palliative care workforce to focus on patients whose needs are most complex. To review current trends in hospital use of the Center to Advance Palliative Care (CAPC) online clinical training curriculum. Launched in 2015, CAPC clinical curriculum educates clinicians in the knowledge and skills necessary to improve care for patients with serious illness. CAPC currently offers 43 clinical courses and 4 Designations in recognition of successful completion of training by topic. From January 15, 2015, to August 31, 2019, 26,535 clinicians working in hospitals completed 172,684 clinical courses. Registered nurses represented half of learners, and advanced practice providers were most likely to seek Designation. Physicians made up 22% of all learners; 85% of physician learners came from specialties beyond palliative care. Two of every five U.S. hospitals with more than 300 beds had at least one learner. In post-course evaluations, 84% reported that they will make practice changes as a result, and 70% reported that the content was new. The CAPC clinical curriculum is a widely used and valued method for education in clinical skills specific to the care of people living with serious illness. Findings suggest that an increasing number of hospital leaders recognize the importance of these skills in caring for patients with serious illness and support the necessary training.
大多数美国临床医生在疼痛和症状管理、沟通技巧和护理人员支持方面没有接受过专业前教育。临床医生使用这些技能可以提高重病患者的护理质量，并使专业的姑息治疗人员能够专注于需求最复杂的患者。
审查美国医院使用推进姑息治疗中心（CAPC）在线临床培训课程的当前趋势。CAPC 临床课程于 2015 年推出，为临床医生提供了改善重病患者护理所需的知识和技能。CAPC 目前提供 43 门临床课程和 4 个专业认证，以表彰按主题成功完成培训。
从 2015 年 1 月 15 日至 2019 年 8 月 31 日，在医院工作的 26535 名临床医生完成了 172684 门临床课程。注册护士占学习者的一半，高级执业医师最有可能寻求专业认证。医生占所有学习者的 22%；85%的医生学习者来自姑息治疗以外的专业。每五家拥有 300 多张床位的美国医院中就有两家至少有一名学习者。在课程结束后的评估中，84%的人报告说他们将因此改变实践，70%的人报告说内容是新的。
CAPC 临床课程是一种广泛使用和重视的教育方法，针对的是照顾重病患者的临床技能。研究结果表明，越来越多的医院领导认识到这些技能在照顾重病患者方面的重要性，并支持必要的培训。
