Brubaker Lindsay W, Moroney Marisa R, Thannickal Aneesa, Alston Meredith J, Amory Josephine H, Kumar Amanika, Lefkowits Carolyn
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Colorado, Aurora, Colorado, USA.
Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota, USA.
Palliat Med Rep. 2025 Feb 28;6(1):90-97. doi: 10.1089/pmr.2024.0082. eCollection 2025.
Palliative care focuses on providing relief from the stress and symptoms of serious illness. Obstetrician gynecologists (OBGYNs) manage a variety of complex clinical situations ranging from delivering a cancer diagnosis to caring for a neonatal demise to symptom management, all of which fall within the realm of palliative care. Palliative care is relevant to the practice of OBGYNs, yet residents rarely receive formal primary palliative care training. We sought to design, implement, and evaluate a dedicated curriculum on palliative care for OBGYN residents.
We performed a needs assessment of an OBGYN residency at a single institution. This information was used to develop a multidisciplinary palliative care curriculum. Post-curriculum surveys were distributed and analyzed. Descriptive statistics were utilized.
Our needs assessment identified a lack of knowledge and competency in palliative care concepts and skills. Using this information, we created a multidisciplinary palliative care curriculum, including clinical experiences, chalk talks, and online didactics. Post-curriculum surveys revealed a marked improvement in both knowledge base and perceived competence. Feedback was overwhelmingly positive; residents indicated that the curriculum was both a valuable use of time and would impact their provision of care in the future.
A dedicated palliative care curriculum is an impactful addition to OBGYN training.
姑息治疗专注于缓解重症疾病带来的压力和症状。妇产科医生处理各种复杂的临床情况,从做出癌症诊断到照顾新生儿死亡以及症状管理,所有这些都属于姑息治疗的范畴。姑息治疗与妇产科医生的执业相关,但住院医师很少接受正规的初级姑息治疗培训。我们试图设计、实施并评估一门针对妇产科住院医师的姑息治疗专门课程。
我们对一家机构的妇产科住院医师培训项目进行了需求评估。这些信息被用于制定多学科姑息治疗课程。课程结束后分发并分析了调查问卷。采用了描述性统计方法。
我们的需求评估发现,在姑息治疗概念和技能方面存在知识和能力的欠缺。利用这些信息,我们创建了一个多学科姑息治疗课程,包括临床经验、讲座和在线教学。课程结束后的调查显示,知识基础和感知能力都有显著提高。反馈绝大多数是积极的;住院医师表示,该课程不仅是对时间的宝贵利用,而且会影响他们未来的医疗服务提供。
一门专门的姑息治疗课程是妇产科培训中一项有影响力的补充。