From Rusk Rehabilitation, New York University Grossman School of Medicine, New York City, New York (FAB); Harvard Medical School, Boston, Massachusetts (DWT); and Spaulding Rehabilitation Hospital, Charlestown, Massachusetts (DWT).
Am J Phys Med Rehabil. 2021 Oct 1;100(10):e144-e146. doi: 10.1097/PHM.0000000000001708.
Hospice and palliative medicine is one of seven accredited fellowship subspecialties available to graduates of physical medicine and rehabilitation residency programs. Hospice and palliative medicine and physical medicine and rehabilitation share many of the same principles and practices, and physical medicine and rehabilitation residency training can be excellent preparation for hospice and palliative medicine fellowship. However, unlike the other six physical medicine and rehabilitation subspecialties, there is currently no requirement for hospice and palliative medicine training during physical medicine and rehabilitation residency. As a result, physical medicine and rehabilitation residents may encounter limited hospice and palliative medicine exposure or education, and lack explicit opportunities to develop the basic set of palliative care symptom management and communication tools that can be applied across the spectrum of physiatry care. Here, we provide five strategies that residents can use within their own programs to develop knowledge and experience in hospice and palliative medicine.
缓和医学和姑息医学是康复医学住院医师培训项目毕业生可获得的七个认可的专科培训之一。缓和医学和姑息医学与康复医学有许多共同的原则和实践,康复医学住院医师培训可以为缓和医学和姑息医学的专科培训做好很好的准备。然而,与其他六个康复医学专科不同,目前在康复医学住院医师培训期间并不要求进行缓和医学和姑息医学培训。因此,康复医学住院医师可能会接触到有限的缓和医学和姑息医学知识或教育,并且缺乏明确的机会来发展一套基本的姑息治疗症状管理和沟通工具,这些工具可以应用于整个康复医学护理领域。在这里,我们为住院医师提供了五种策略,可以在自己的培训项目中使用这些策略来获得缓和医学和姑息医学方面的知识和经验。