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一项揭示疼痛医学继续教育和学科发展必要性的横断面调查。

A cross-sectional survey unveiling the imperatives for continuing education and discipline development in pain medicine.

作者信息

Jiang Ren, Li Hong, Peng Zhiyou, Zhang Yanfeng, Kang Xianhui, Feng Zhiying

机构信息

Department of Anesthesiology, Yinzhou No. 2 Hospital, Ningbo, China.

Department of Pain Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Front Med (Lausanne). 2025 Apr 2;12:1541403. doi: 10.3389/fmed.2025.1541403. eCollection 2025.

Abstract

OBJECTIVE

This study aims to investigate persistent gaps in pain medicine education and unmet training needs, while exploring the significance of continuing education in driving disciplinary evolution.

METHODS

A questionnaire was distributed online in the form of an e-Questionnaire link to the directors of the Pain Medicine Departments of 417 hospitals (covered all hospitals) in Zhejiang Province in China. This questionnaire aimed to identify the problems and needs in continuing education for pain medicine. Subsequently, a questionnaire link was sent to 163 physicians nationwide who had undergone advanced training in the Pain Medicine Department to survey the existing problems and needs in advanced training.

RESULTS

The survey revealed uneven development of pain medicine, with secondary hospitals notably lagging in pain clinic establishment (51.3% vs. 69.9% in tertiary hospitals). The number of pain physicians is insufficient, and their overall academic qualifications need to be improved. Most directors (81.9%) have a strong willingness to enhance their professional capabilities, recommending advanced training. The number of advanced trainee has increased significantly, most physicians said that inpatient teaching accounts for about 3/4 of the advanced training duration. Case-based learning is the most popular between instructors (93.3%) and advanced trainees (82.2%). 46% of physicians reported having no opportunities for independent or semi-independent outpatient consultation, highlighting insufficient clinical practice opportunities. Additionally, Most physicians (93.3%) are satisfied with their instructors.

CONCLUSION

The findings from this cross-sectional survey underscore the pressing need for a more robust and standardized continuing education framework in pain medicine in China.

摘要

目的

本研究旨在调查疼痛医学教育中持续存在的差距以及未满足的培训需求,同时探讨继续教育在推动学科发展中的重要性。

方法

以电子问卷链接的形式在中国浙江省417家医院(涵盖所有医院)的疼痛医学科主任中进行在线问卷调查。该问卷旨在确定疼痛医学继续教育中的问题和需求。随后,向全国163名在疼痛医学科接受过高级培训的医生发送问卷链接,以调查高级培训中存在的问题和需求。

结果

调查显示疼痛医学发展不均衡,二级医院在疼痛门诊设立方面明显滞后(51.3%对三级医院的69.9%)。疼痛科医生数量不足,整体学历有待提高。大多数主任(81.9%)有强烈的提升专业能力的意愿,推荐进行高级培训。高级培训学员数量显著增加,大多数医生表示住院教学约占高级培训时长的3/4。案例式学习在带教老师(93.3%)和高级学员(82.2%)中最受欢迎。46%的医生报告没有独立或半独立门诊会诊的机会,突出了临床实践机会不足。此外,大多数医生(93.3%)对带教老师满意。

结论

这项横断面调查的结果强调了中国疼痛医学需要一个更强大、更规范的继续教育框架的迫切需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb11/12000074/703f2c4a86ae/fmed-12-1541403-g001.jpg

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