Marymount Hospice (H.O., C.K., S.R., F.K.), Cork, Ireland.
Marymount Hospice (H.O., C.K., S.R., F.K.), Cork, Ireland.
J Pain Symptom Manage. 2023 Oct;66(4):320-327.e13. doi: 10.1016/j.jpainsymman.2023.06.021. Epub 2023 Jun 26.
GP's provide palliative care in the community. Managing complex palliative needs can be challenging for GPs and even more so for GP trainees. During the postgraduate training period GP trainees are working in the community but have more time for education. This time in their career could present a good opportunity for palliative care education. For any education to be effective their educational needs must first be clarified.
To explore the perceived palliative care education needs and preferred education methods of GP trainees.
A national, multisite qualitative study involving a series of semistructured focus group interviews with third and fourth year GP trainees. Data were coded and analyzed using Reflexive Thematic Analysis.
Perceived Educational Needs: five themes were conceptualized: 1) Empowerment vs. Disempowerment; 2) Community Practice; 3) Intra- and Interpersonal Skills; 4) Formative Experiences; 5) Contextual Challenges.
Three themes were conceptualized: 1) Oriented Learning-experiential vs. didactic; 2) Practicalities; 3) Communication Skills.
This is the first multisite national qualitative study exploring the perceived palliative care educational needs and preferred educational methods of GP trainees. Trainees expressed a unanimous need for experiential palliative care education. Trainees also identified means to address their educational requirements. This study suggests that a collaborative approach between specialist palliative care and general practice is necessary to create educational opportunities.
全科医生在社区提供姑息治疗。管理复杂的姑息治疗需求对全科医生来说具有挑战性,对全科医生培训生来说更是如此。在研究生培训期间,全科医生培训生在社区工作,但有更多的时间接受教育。他们职业生涯中的这段时间可能是姑息治疗教育的好机会。任何教育要想有效,首先必须明确他们的教育需求。
探讨全科医生培训生对姑息治疗教育的需求和偏好的教育方法。
这是一项全国性的、多地点的定性研究,涉及对第三年和第四年全科医生培训生进行一系列半结构化焦点小组访谈。使用反思性主题分析对数据进行编码和分析。
感知教育需求:概括了五个主题:1)赋权与无权;2)社区实践;3)人际技能;4)形成性经验;5)背景挑战。
概括了三个主题:1)定向学习——体验式与说教式;2)实际情况;3)沟通技巧。
这是第一项探索全科医生培训生对姑息治疗教育的需求和偏好的教育方法的多地点全国性定性研究。培训生一致表示需要体验式姑息治疗教育。培训生还确定了满足他们教育需求的方法。这项研究表明,需要姑息治疗专家和全科医生之间的合作方法来创造教育机会。