Chaumier François, Angoulvant Denis, Gyan Emmanuel, Calvel Laurent
Palliative Care Team, University Hospital of Tours, INSERM U1246 SPHERE, University of Tours, Tours, France.
Cardiology, University Hospital of Tours, INSERM U1327 ISCHEMIA, University of Tours, Tours, France.
Med Educ Online. 2025 Dec;30(1):2520380. doi: 10.1080/10872981.2025.2520380. Epub 2025 Jun 18.
Palliative care (PC) is recognized as a universal right, aimed at improving the quality of life for patients and their families facing life-threatening conditions. Training healthcare professionals, particularly physicians, is crucial for high-quality PC. Currently, France lacks a Palliative Medicine residency or fellowship (PMR-F), offering only a Palliative Care tracks (PCT) for voluntary postgraduate students. The aim of this study was to describe motivations and career plans of students enrolled in the PCT and to identify the proportion of those who would have preferred a PMR-F if it had been available.
A national online survey was conducted between April and August 2024 among 128 students enrolled in PCT. A 12-item questionnaire, using a 10-point Likert scale, was designed and pilot-tested by PC educators and former students. The questionnaire was sent to identify their motivations and career plans.
The response rate was 76% (97/128). For 76% (74/97) of students, the purpose was to acquire skills complementary to their original specialty. While 48% (47/97) also aimed to gain skills for future specialist PC practice, only 10% (10/97) enrolled due to the lack of a specialized certificate. Career plans varied, with 30% intending to practice in their original discipline and 31% in PC facilities. Finally, 23% of students aiming to work in specialized PC facilities planned to continue their training with a continuing medical education program in PM (7/30).
The findings align with the official objectives of a track, emphasizing complementary skills acquisition. Our study reveals the coexistence of a variety of professional goals and projects within the same class of residents, which does not seem relevant for the same training program. It highlights the opportunity for setting up, in addition to PCT, a specialized PM curriculum in France, to better address specialized training needs for future PM experts.
姑息治疗（PC）被视为一项普遍权利，旨在提高面临危及生命状况的患者及其家属的生活质量。培训医疗保健专业人员，尤其是医生，对于高质量的姑息治疗至关重要。目前，法国缺乏姑息医学住院医师培训或进修项目（PMR - F），仅为自愿的研究生提供姑息治疗轨道（PCT）。本研究的目的是描述参加PCT的学生的动机和职业规划，并确定如果有PMR - F，那些希望参加该项目的学生比例。
2024年4月至8月间，对128名参加PCT的学生进行了全国性在线调查。由姑息治疗教育工作者和往届学生设计并进行预测试了一份包含12个项目的问卷，采用10分制李克特量表。该问卷用于确定他们的动机和职业规划。
回复率为76%（97/128）。对于76%（74/97）的学生来说，目的是获得与其原专业互补的技能。虽然48%（47/97）的学生还旨在获得未来专科姑息治疗实践的技能，但只有10%（10/97）的学生因缺乏专业证书而报名。职业规划各不相同，30%的学生打算在其原学科领域执业，31%的学生打算在姑息治疗机构工作。最后，计划在专科姑息治疗机构工作的学生中有23%（7/30）打算通过继续医学教育项目继续进行姑息医学培训。
研究结果与该轨道的官方目标一致，强调了互补技能的获取。我们的研究揭示了同一批住院医师中存在多种专业目标和项目，这对于同一个培训项目似乎并不合适。它凸显了在法国除了PCT之外，设立专门的姑息医学课程的机会，以更好地满足未来姑息医学专家的专业培训需求。
