Abstracts From the Proceedings of the 2014 Annual Meeting of the Clerkship Directors of Internal Medicine (CDIM)
Abstracts From the Proceedings of the 2014 Annual Meeting of the Clerkship Directors of Internal Medicine (CDIM)
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DOI：
10.1080/10401334.2015.1044752
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发表时间：
2015-07-03
影响因子：
2.5
通讯作者：
LaRochelle, Jeffrey
中科院分区：
文献类型：
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作者：
Denton, G. Dodd;Shaheen, Amy W.;LaRochelle, Jeffrey
背景：临终关怀和姑息治疗教育（EOL/PC）是本科医学教育的重要组成部分。我们的目标是开发紧凑、多学科且有效的 EOL/PC 课程。结果衡量包括知识获取的有效性、可持续性以及对学生体验的影响。方法：2012 年 10 月至 2013 年 6 月期间为期 4 周的门诊医学实习的所有 127 名学生都参加了。第一天，所有学生都参加了预测试并参加了 EOL/PC 目标设定会议。所有学生都与临终关怀护士一起度过了两天，并独立审查了基于网络的症状管理教学。在代祷期间，所有学生都参加了后测和形成性客观结构化临床考试（OSCE），以讨论垂死患者的护理目标。 68 名学生在休会前完成了临终关怀，58 名学生在休会后完成了临终关怀。比较各组之间的前测、后测和 OSCE 分数。在轮换结束时，学生提交了一篇关于他们的临终关怀经历的反思文章，并与临终关怀护士和同伴分享。对论文进行了定性分析。与学生一起工作的 18 名姑息治疗和临终关怀护士和医生接受了匿名调查。
Background: End-of-life and palliative care education (EOL/PC) is an essential component of undergraduate medical education. We aimed to develop an EOL/PC curriculum that was compact, multidisciplinary, and effective. Outcome measures included effectiveness of knowledge acquisition, sustainability, and impact on student experience.Methods: All 127 students in the 4-week Outpatient Medicine clerkship from October 2012 to June 2013 participated. On Day 1, all students took a pretest and participated in an EOL/PC goal-setting session. All students spent 2 days with a hospice nurse and independently reviewed a web-based didactic on symptom management. At the intercession, all students took a posttest and a formative Objective Structured Clinical Examination (OSCE) to discuss goals of care with a dying patient. Sixty-eight students completed hospice prior to the intersession and 58 after the intersession. Pretest, posttest, and OSCE scores were compared between the groups. At the end of the rotation, students submitted a reflective essay about their hospice experience and shared it with the hospice nurse and a peer. A qualitative analysis of the essays was performed. The 18 palliative care and hospice nurses and doctors with whom the students worked were surveyed anonymously.