Samala Renato V
Department of Palliative and Supportive Care, Cleveland Clinic, 9500 Euclid Ave. CA-53, Cleveland, OH, 44195, USA.
J Cancer Educ. 2023 Apr;38(2):731-733. doi: 10.1007/s13187-022-02229-w. Epub 2022 Oct 14.
I consider myself a "late bloomer," since I never encountered the practice of palliative care during medical school in the Philippines, nor during my internal medicine residency in the USA. It was 3 years into my first job after finishing residency, working both as a hospitalist and an urgent care physician, when I came to an early morning session on end-of-life care at a large medical society meeting. That talk changed my life. I now see palliative care as being more than a "profession" or a "medical specialty." It is my vocation, as serendipitous events called me into this line of work. For more than 5 years now, I have been practicing palliative care, both in the inpatient and outpatient settings, at our institution's cancer center. In this article, I reflect on my experiences during fellowship, and how I continue to derive satisfaction and joy from teaching palliative care to different levels of learners and through the meaningful connections I form with patients and their loved ones.
我认为自己是个“大器晚成者”，因为我在菲律宾读医学院期间以及在美国内科住院医师培训期间，都从未接触过姑息治疗。完成住院医师培训后的第一份工作干了3年，我当时身兼住院医师和急诊医生两职，就在那时，我参加了一个大型医学协会会议上的一场关于临终关怀的早间研讨会。那场演讲改变了我的人生。我现在认为姑息治疗不仅仅是一种“职业”或“医学专业”。它是我的使命，一系列机缘巧合让我投身于这一领域。至今已有5年多了，我一直在我们机构的癌症中心从事姑息治疗工作，涵盖住院和门诊服务。在本文中，我回顾了自己在进修期间的经历，以及我如何通过向不同层次的学习者传授姑息治疗知识，并通过与患者及其亲人建立有意义的联系，持续获得满足感和喜悦。
