Shipton Elspeth, Steketee Carole, Visser Eric
School of Medicine, University of Notre Dame Australia, Fremantle, WA, Australia.
Curtin Medical School, Curtin University, Perth, WA, Australia.
Front Pain Res (Lausanne). 2023 Jan 9;3:1057114. doi: 10.3389/fpain.2022.1057114. eCollection 2022.
Medical practitioners play an essential role in preventing pain, conducting comprehensive pain assessments, as well as promoting evidence-based practices. There is a need for the development of innovative, interprofessional and integrated pain medicine curricula for medical students. The Pain Medicine Curriculum Framework (PMCF) was developed to conceptualise a purposeful approach to the complex process of curriculum change and to prioritise the actions needed to address the gaps in pain medicine education. The PMCF comprises four dimensions: (1) future healthcare practice needs; (2) competencies and capabilities required of graduates; (3) teaching, learning and assessment methods; and (4) institutional parameters. Curricula need to meet the requirements of registration and accreditation bodies, but also equip graduates to serve in their particular local health system while maintaining the fundamental standards and values of these institutions. The curriculum needs to connect knowledge with experience and practice to be responsive to the changing needs of the increasingly complex health system yet adaptable to patients with pain in the local context. Appropriate learning, teaching and assessment strategies are necessary to ensure that medical practitioners of the future develop the required knowledge, skills and attitudes to treat the diverse needs of patients' experiencing pain. The historical, political, social and organisational values of the educational institution will have a significant impact on curriculum design. A more formalised approach to the development and delivery of a comprehensive pain medicine curriculum is necessary to ensure that medical students are adequately prepared for their future workplace responsibilities.
医学从业者在预防疼痛、进行全面的疼痛评估以及推广循证实践方面发挥着至关重要的作用。有必要为医学生开发创新的、跨专业的和综合的疼痛医学课程。疼痛医学课程框架（PMCF）的制定旨在为课程变革这一复杂过程构思一种有目的的方法，并优先采取行动来弥补疼痛医学教育中的差距。PMCF包括四个维度：（1）未来医疗实践需求；（2）毕业生所需的能力；（3）教学与评估方法；（4）机构参数。课程既要满足注册和认证机构的要求，又要使毕业生能够在其特定的地方卫生系统中服务，同时保持这些机构的基本标准和价值观。课程需要将知识与经验和实践联系起来，以应对日益复杂的卫生系统不断变化的需求，同时适应当地有疼痛问题的患者。适当的学习、教学和评估策略对于确保未来的医学从业者培养出满足疼痛患者多样化需求所需的知识、技能和态度是必要的。教育机构的历史、政治、社会和组织价值观将对课程设计产生重大影响。有必要采用一种更正式的方法来开发和提供全面的疼痛医学课程，以确保医学生为其未来的工作岗位责任做好充分准备。
