Division of Radiation Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; and, Division of Radiation Oncology, Tygerberg Academic Hospital, Cape Town.
Afr J Prim Health Care Fam Med. 2022 Jul 7;14(1):e1-e7. doi: 10.4102/phcfm.v14i1.3202.
Basic palliative care teaching should be included in training curricula for health care providers (HCPs) at all levels of the health service to ensure that the goal set by the South African (SA) National Policy Framework and Strategy for Palliative Care, to have an adequate number of appropriately trained HCPs in South Africa, is achieved. Furthermore, palliative learning objectives for nurses and doctors should be standardised. Many SA medical schools have integrated elements of Palliative Medicine (PM) teaching into undergraduate medical training programmes for doctors; however, the degree of integration varies widely, and consensus and standardisation of the content, structure and delivery of such PM training programmes are not yet a reality.
This joint position paper aims to describe the current state of undergraduate medical PM teaching in South Africa and define the PM competencies required for an SA generalist doctor.
Palliative Medicine programme leads and teachers from eight medical schools in South Africa.
A survey exploring the structure, organisation and content of the respective medical undergraduate PM programmes was distributed to PM programme leads and teachers.
Responses were received from seven medical schools. Through a process of iterative review, competencies were defined and further grouped according to suitability for the pre-clinical and clinical components of the curriculum.
Through mapping out these competencies in a spiralled medical curriculum, the authors hope to provide guidance to medical curriculum designers to effectively integrate PM teaching and learning into current curricula in line with the goals of the SA National Policy Framework and Strategy on Palliative Care (NPFSPC).
基本的姑息治疗教学应该纳入各级卫生服务医疗保健提供者（HCPs）的培训课程中，以确保实现南非（SA）国家姑息治疗政策框架和战略所设定的目标，即在南非拥有足够数量的经过适当培训的 HCPs。此外，护士和医生的姑息学习目标应该标准化。许多南非医学院已经将姑息医学（PM）教学的元素纳入医生的本科医学培训计划中；然而，整合的程度差异很大，此类 PM 培训计划的内容、结构和交付的共识和标准化尚未成为现实。
本联合立场文件旨在描述南非本科医学 PM 教学的现状，并定义南非通科医生所需的 PM 能力。
南非八所医学院的姑息医学项目负责人和教师。
一项调查探索了各自医学本科 PM 课程的结构、组织和内容，并分发给 PM 项目负责人和教师。
从七所医学院收到了回复。通过迭代审查的过程，确定了能力，并根据其适合课程的临床前和临床部分进一步分组。
通过在螺旋式医学课程中勾画出这些能力，作者希望为医学课程设计者提供指导，以便根据南非国家姑息治疗政策框架和战略（NPFSPC）的目标，有效地将 PM 教学融入当前课程中。
