UMass Memorial Medical Center, 55 Lake Avenue North, Worcester, MA, 01655, USA.
UMass Chan Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA.
BMC Med Educ. 2022 Sep 1;22(1):654. doi: 10.1186/s12909-022-03702-2.
Patients with serious illness look to their clinicians for discussion and guidance on high-stakes treatment decisions, which are complex, emotional and value-laden. However, required training in serious illness communication is rare in U.S. medical schools, with efforts at curricular reform stymied by competing institutional demands, lack of resources and accreditation requirements. We describe an approach to building and scaling medical student training in serious illness communication through the creation of a statewide collaborative of medical schools.
The Massachusetts Medical Schools' Collaborative is a first-of-its-kind group that promotes longitudinal, developmentally-based curricula in serious illness communication for all students. Convened externally by the Massachusetts Coalition for Serious Illness Care, the collaborative includes faculty, staff, and students from four medical schools.
The collaborative started with listening to member's perspectives and collectively developed core competencies in serious illness communication for implementation at each school. We share early lessons on the opportunities, challenges and sustainability of our statewide collective action to influence curricular reform, which can be replicated in other topic areas.
Our next steps include curriculum mapping, student focus groups and faculty development to guide successful and enduring implementation of the competencies to impact undergraduate medical education in Massachusetts and beyond.
重病患者期望临床医生与他们讨论并指导他们进行高风险的治疗决策，这些决策复杂、情绪化且充满价值观。然而，美国医学院很少提供严重疾病沟通方面的培训，课程改革的努力受到竞争机构需求、资源匮乏和认证要求的阻碍。我们通过创建全州医学学校合作组织，描述了一种建立和扩大医学生严重疾病沟通培训的方法。
马萨诸塞州医学院合作组织是一个首创的组织，为所有学生提供纵向、基于发展的严重疾病沟通课程。该合作组织由马萨诸塞州重病护理联盟外部召集，包括来自四所医学院的教师、员工和学生。
合作组织从倾听成员的观点开始，共同制定了严重疾病沟通方面的核心能力，以便在每所学校实施。我们分享了关于我们全州集体行动的机会、挑战和可持续性的早期经验，以影响课程改革，这可以在其他主题领域复制。
我们的下一步包括课程映射、学生焦点小组和教师发展，以指导成功和持久地实施这些能力，从而影响马萨诸塞州及其他地区的本科医学教育。
