Cao Ling, Hull Stephen Z
Department of Biomedical Sciences, College of Osteopathic Medicine, University of New England, 11 Hills Beach Road, Biddeford, ME 04005 USA.
Mercy Pain Center, Mercy Hospital, Portland, ME 04101 USA.
Med Sci Educ. 2021 Jan 13;31(2):479-488. doi: 10.1007/s40670-020-01189-4. eCollection 2021 Apr.
To address the need for increased and more effective medical education regarding chronic pain and pain management, an inter-professional (IP) training program in the form of a supervised student IP pain clinic was implemented in 2016. In the current study, we evaluated its feasibility and effectiveness in improving health care professional students' skills in (1) managing chronic pain and (2) working in an IP team.
From January 2016 to December 2018, we assembled 12 IP teams that included students from the following six professions at the University of New England: nursing, osteopathic medicine (OM), occupational therapy (OT), pharmacy, physical therapy (PT), and social work (SW). During this 12-week training program, each team conducted the initial evaluation, generated treatment plans, and performed follow-up examinations for its assigned patient under the supervision of a pain specialist at the Mercy Pain Center. Surveys were conducted with all participating students and patients.
Overall, students showed significant improvement in knowledge regarding pain physiology and chronic pain management as well as attitude and perception regarding IP practice and perceived team skills. Specifically, prior to the program, nursing students showed the greatest pain-related knowledge and perceived team skills, while OT students scored the highest in attitude and perception regarding IP practice. Following the program, improvement in various measures was observed in all professions with PT students showing the most significant improvement in all areas. Surveys also indicated patients' satisfaction with their IP pain clinic experience.
These results demonstrated the feasibility and the effectiveness of this IP training program for all participating professions.
为满足对慢性疼痛及疼痛管理方面强化且更有效医学教育的需求,2016年实施了一项以学生跨专业疼痛诊所为形式的跨专业(IP)培训项目。在本研究中,我们评估了该项目在提高医护专业学生以下两方面技能的可行性和有效性:(1)管理慢性疼痛;(2)在跨专业团队中工作。
2016年1月至2018年12月,我们组建了12个跨专业团队,成员包括来自新英格兰大学以下六个专业的学生:护理、整骨医学(OM)、职业治疗(OT)、药学、物理治疗(PT)和社会工作(SW)。在这个为期12周的培训项目中,每个团队在慈悲疼痛中心的疼痛专家监督下,对分配给他们的患者进行初始评估、制定治疗计划并进行随访检查。对所有参与的学生和患者进行了调查。
总体而言,学生在疼痛生理学和慢性疼痛管理知识以及对跨专业实践和团队技能的态度及认知方面有显著提高。具体而言,在项目开始前,护理专业学生的疼痛相关知识和团队技能认知最强,而职业治疗专业学生在跨专业实践的态度和认知方面得分最高。项目结束后,所有专业在各项指标上均有改善,物理治疗专业学生在所有领域的改善最为显著。调查还表明患者对他们在跨专业疼痛诊所的体验感到满意。
这些结果证明了该跨专业培训项目对所有参与专业的可行性和有效性。