Educational objectives for medical training in the care of the terminally ill
Educational objectives for medical training in the care of the terminally ill
复制标题
绝症患者护理医学培训的教育目标
DOI：
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发表时间：
1994
期刊：
影响因子：
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通讯作者：
B. Robinson
中科院分区：
文献类型：
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作者：
R. Schonwetter;B. Robinson
背景姑息医学正在世界范围内发展成为一门独特的临床学科。美国文献描述了姑息医学教育的目标，但这篇文献缺乏有效的教育目标。法为了制定和验证适当的教育目标，在医疗培训的照顾绝症，200名随机选择的成员的临终关怀医师学会被要求在1992年评估39个教育目标的项目目标一致性程序。每个目标被评定为-1（不适当）、0（不确定）或1（适当）。结果在接受调查的200名成员中，有127人（64%）作出了答复。在39个目标中，34个被认为是有效的，平均得分>或= .8。内容效度指数为.87。被认为无效的目标都涉及与临终关怀或姑息治疗有关的非医学问题。结论这项研究验证了34个教育目标的医疗培训在照顾绝症。使用这些目标并针对特定受众进行修改的培训项目应纳入美国医学教育的各个级别中。
BACKGROUND. Palliative medicine is developing as a distinct clinical discipline worldwide. The U.S. literature describes goals for education in palliative medicine, yet this literature lacks validated educational objectives. METHOD. To develop and validate appropriate educational objectives for medical training in the care of the terminally ill, 200 randomly selected members of the Academy of Hospice Physicians were asked in 1992 to evaluate 39 educational objectives by an item-objective congruence procedure. Each objective was rated as −1 (inappropriate), 0 (unsure), or 1 (appropriate). RESULTS. Of the 200 members surveyed, 127 (64%) responded. Of the 39 objectives, 34 were considered valid, with a mean score of > or = .8. The index of content validity was .87. The objectives not considered valid all dealt with nonmedical issues related to hospice or palliative care. CONCLUSION. This study validated 34 educational objectives for medical training in the care of the terminally ill. Training programs using these objectives, amended for specific audiences, should be included in the various levels of U.S. medical education.