Chen Jia-Lin, Ho Shung-Tai, Yeh Chun-Chang, Feng Chi-Wei, Hsu Che-Hao, Lin Tso-Chou
Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Department of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Ann Med. 2025 Dec;57(1):2466671. doi: 10.1080/07853890.2025.2466671. Epub 2025 Feb 22.
Taiwan implemented a reformed 6-year medical education in 2013, with a subsequent 2-year postgraduate training programme starting in August 2019. This study investigated the perceptions of acute and chronic pain management in postgraduate physicians.
In late July 2023, a cross-sectional questionnaire survey was conducted of Taiwanese physicians who had almost completed their postgraduate 2-year or 1-year training and those who were starting a postgraduate programme in early August 2023. This survey evaluated their knowledge, attitude and clinical experience related to opioid-based pain management and their perceptions of the opioid crisis in the United States and Taiwan.
Of the 197 postgraduate physicians, 169 (85.8%) responded to the survey. Physicians who had received postgraduate 2-year ( = 48) and 1-year ( = 51) training had a deeper understanding of opioids ( < 0.001) and exhibited greater confidence in acute and chronic pain management (both < 0.001) compared with those who were just starting a postgraduate programme ( = 70). Of the included physicians, 92 (54.4%) were aware of the ongoing opioid crisis in the United States, but only 28 (16.6%) disagreed with the notion of a current opioid problem in Taiwan. Approximately 27.8% had never heard of multimodal analgesia, and 86.4% expressed a need for further pain management education.
The postgraduate training programme in Taiwan provides enhanced knowledge of opioids and improves physicians' levels of confidence in acute and chronic pain management. However, only one-sixth of postgraduate physicians are aware that Taiwan does not have an opioid problem.
台湾于2013年实施了改革后的6年制医学教育，并于2019年8月开始了为期2年的研究生培训计划。本研究调查了研究生医师对急慢性疼痛管理的看法。
2023年7月下旬，对即将完成2年或1年研究生培训的台湾医师以及将于2023年8月初开始研究生课程的医师进行了横断面问卷调查。该调查评估了他们与阿片类药物疼痛管理相关的知识、态度和临床经验，以及他们对美国和台湾阿片类药物危机的看法。
197名研究生医师中，169名（85.8%）回复了调查。与刚开始研究生课程的医师（n = 70）相比，接受过2年（n = 48）和1年（n = 51）研究生培训的医师对阿片类药物有更深入的了解（P < 0.001），并且在急慢性疼痛管理方面表现出更大的信心（均P < 0.001）。在纳入的医师中，92名（54.4%）了解美国正在发生的阿片类药物危机，但只有28名（16.6%）不同意台湾目前存在阿片类药物问题的观点。约27.8%的医师从未听说过多模式镇痛，86.4%的医师表示需要进一步的疼痛管理教育。
台湾的研究生培训计划增强了对阿片类药物的知识，并提高了医师在急慢性疼痛管理方面的信心水平。然而，只有六分之一的研究生医师意识到台湾不存在阿片类药物问题。
