Completing advanced training in plastic surgery at Johns Hopkins University in Baltimore, Maryland.
Professor in the Division of Trauma, Critical Care and Acute Care Surgery at Oregon Health and Science University in Portland.
AMA J Ethics. 2021 Oct 1;23(10):E800-805. doi: 10.1001/amajethics.2021.800.
Without training in how to identify and relieve pain and suffering, surgeons miss opportunities to offer palliative services to patients. Despite explicit calls for expanding palliative care education since the 1990s, palliative care training in surgical curricula is often limited to end-of-life discussions. A growing consensus among palliative care experts suggests that formal palliative care education during surgical training should include structured communication and prognostication tools, strategies for symptom management, and an understanding of palliative care specialists' role in treating patients at all disease stages.
由于缺乏识别和缓解疼痛和痛苦的培训,外科医生错过了为患者提供姑息治疗服务的机会。尽管自 20 世纪 90 年代以来,人们一再呼吁扩大姑息治疗教育,但手术课程中的姑息治疗培训通常仅限于临终讨论。姑息治疗专家之间日益达成共识,认为在外科培训期间进行姑息治疗教育应包括结构化的沟通和预测工具、症状管理策略,以及姑息治疗专家在治疗各个疾病阶段患者方面的角色的理解。