A survey of palliative medicine education in Japan's undergraduate medical curriculum.
A survey of palliative medicine education in Japan's undergraduate medical curriculum.
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DOI：
10.1186/s12904-017-0212-1
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发表时间：
2017-06-07
影响因子：
3.1
通讯作者：
Miyake S
中科院分区：
文献类型：
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作者：
Nakamura Y;Takamiya Y;Saito M;Kuroko K;Shiratsuchi T;Oshima K;Ito Y;Miyake S
本研究使用2015年的调查数据，对日本医学生的姑息治疗教育现状进行了调查。最初制定了一份调查问卷，并将调查表发送给各大学。该研究的目的，方法，结果的披露和匿名性以书面形式向参与大学解释。大学的回复被认为是同意参与。采用描述性统计方法。回应率为82.5%（80所医学院中的66所）。98.5%的机构开展了姑息治疗讲座。关于讲座题目，“姑息医学”、“姑息治疗”和“临终关怀”分别占42.4%、30.3%和9.1%。麻醉，姑息治疗和精神病学系的教师分别管理51.5%，47.0%和28.8%的讲座。讲座的主题包括一般姑息治疗（81.8%），疼痛管理（87.9%）和症状管理（63.6%）。临床见习姑息治疗是一个强制性和非强制性的课程，分别在43.9和25.8%的学校，30.3%没有临床见习课程。缓和医疗本科教育在许多日本大学实施。应进一步完善临床见习与实际医学实践相结合的教学模式，建立符合国际标准的医学教育认证制度。
This study aimed to examine the status of undergraduate palliative care education among Japanese medical students using data from a survey conducted in 2015. A questionnaire was originally developed, and the survey forms were sent to universities. The study’s objectives, methods, disclosure of results, and anonymity were explained to participating universities in writing. Responses returned by the universities were considered to indicate consent to participate. Descriptive statistical methodology was employed. The response rate was 82.5% (66 of 80 medical faculties and colleges). Palliative care lectures were implemented in 98.5% of the institutions. Regarding lecture titles, “palliative medicine,” “palliative care,” and “terminal care” accounted for 42.4, 30.3, and 9.1% of the lectures, respectively. Teachers from the Department of Anesthesia, Palliative Care, and Psychiatry administered 51.5, 47.0, and 28.8% of lectures, respectively. Subjects of lectures included general palliative care (81.8%), pain management (87.9%), and symptom management (63.6%). Clinical clerkship on palliative care was a compulsory and non-compulsory course in 43.9 and 25.8% of the schools, respectively; 30.3% had no clinical clerkship curriculum. Undergraduate palliative care education is implemented in many Japanese universities. Clinical clerkship combined with participation in actual medical practice should be further improved by establishing a medical education certification system in compliance with the international standards.