Division of Palliative Care and Geriatrics (B.R.D., M.S.), Massachusetts General Hospital, Boston, Massachusetts, USA; Harvard Medical School (B.R.D., M.S.), Boston, Massachusetts, USA.
Programa Medicina Paliativa y Cuidados Continuos (P.E.P.C., O.L.), Departamento de Medicina Interna - Facultad de Medicina - Pontificia Universidad Católica de Chile, Santiago, Chile.
J Pain Symptom Manage. 2022 Aug;64(2):128-136. doi: 10.1016/j.jpainsymman.2022.04.181. Epub 2022 May 4.
The vast majority of people with serious health-related suffering in low- and middle-income countries lack access to palliative care (PC). In Latin America, this shortage is critical, and PC education is greatly needed.
This study aims to assess the effects of an advanced PC diploma course in Chile through assessment of participants' satisfaction, knowledge, behavior, and self-efficacy.
We developed and implemented a 12-day, hybrid-setting, advanced PC diploma course for Latin American clinicians and collected and analyzed pre course, immediate post course, and 6-month post course quantitative and qualitative data on satisfaction, knowledge, behaviors, and self-efficacy.
Thirteen Latin American doctors participated in this advanced PC diploma course. Overall knowledge and self-efficacy increased post course. One hundred percent of participants described the course as "very high quality" or "high quality," described the course's teaching methods as "very easy to understand" or "easy to understand," and ranked role-play as a "very useful" tool.
There is a critical shortage of PC in Latin America where PC education is greatly needed. The lessons learned from this pilot advanced PC diploma course will inform further PC educational development in Latin America. The results of our course assessments show that an advanced diploma course can increase participants' PC knowledge, behaviors, and self-efficacy with a goal of leveraging the Train the Trainer model to increase PC educational leadership and enable training at participants' home institutions.
绝大多数中低收入国家严重受健康问题影响的人都无法获得姑息治疗（PC）。在拉丁美洲，这种短缺情况很严重，急需 PC 教育。
本研究旨在通过评估参与者的满意度、知识、行为和自我效能，评估智利高级 PC 文凭课程的效果。
我们为拉丁美洲的临床医生开发并实施了为期 12 天的混合设置高级 PC 文凭课程，并收集和分析了课程前、课程结束后立即以及 6 个月后的满意度、知识、行为和自我效能的定量和定性数据。
13 名拉丁美洲医生参加了这一高级 PC 文凭课程。课程结束后，总体知识和自我效能都有所提高。100%的参与者表示课程“非常高质量”或“高质量”，课程的教学方法“非常容易理解”或“易于理解”，并将角色扮演评为“非常有用”的工具。
拉丁美洲 PC 严重短缺，急需 PC 教育。从这一试点高级 PC 文凭课程中吸取的经验教训将为拉丁美洲进一步的 PC 教育发展提供信息。我们的课程评估结果表明，高级文凭课程可以提高参与者的 PC 知识、行为和自我效能，目标是利用培训师培训模式来增加 PC 教育领导力，并使培训在参与者的家乡机构进行。
