Youssef Sara W, Berninger Lauren E, Doberman Danielle J
Department of Medicine, Division of General Internal Medicine, Section of Palliative Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Am J Hosp Palliat Care. 2025 Apr 2:10499091251331200. doi: 10.1177/10499091251331200.
BackgroundEthics training is essential to hospice and palliative medicine (HPM) training. Ten residencies can lead into HPM fellowship, but clinical ethics tested on board certification exams vary in content and weight across specialties.ObjectiveWe reviewed EOL ethics content tested by board certification exams from residencies that lead into HPM fellowship across specialties.MethodsWe analyzed relative frequencies of EOL ethics categories across and within specialties from the respective board certification exam content outlines.ResultsThe relative frequencies of categories within specialties were 28.1% Surgery; 15.6% Emergency Medicine; 12.5% Anesthesiology; 12.5% Internal Medicine; 9.4% Psychiatry and Neurology; 6.3% Family Medicine; 6.3% Obstetrics and Gynecology; 6.3% Pediatrics; 3.1% PMR; and 0% Radiology.ConclusionOur findings indicate that end-of-life ethics content tested on these board certification exams vary across specialties. Given this variance, standardizing end-of-life ethics training for HPM fellowship programs presents an opportunity for educational improvement.
背景
伦理培训对临终关怀与姑息医学（HPM）培训至关重要。十个住院医师培训项目可通往HPM奖学金项目，但各专业委员会认证考试中所考查的临床伦理在内容和权重上存在差异。
目的
我们回顾了各专业通往HPM奖学金项目的住院医师培训项目的委员会认证考试所考查的临终伦理内容。
方法
我们根据各自委员会认证考试内容大纲分析了各专业间及专业内临终伦理类别的相对频率。
结果
外科28.1%；急诊医学15.6%；麻醉学12.5%；内科12.5%；精神病学与神经病学9.4%；家庭医学6.3%；妇产科6.3%；儿科6.3%；物理医学与康复3.1%；放射学0%。
结论
我们的研究结果表明，这些委员会认证考试所考查的临终伦理内容因专业而异。鉴于这种差异，为HPM奖学金项目标准化临终伦理培训为教育改进提供了契机。
