The Role of Palliative Care in the Home in Medical Education: Report from a National Consensus Conference

作者: J. Andrew Billings , Frank D. Ferris , Neil MacDonald , Charles von Gunten

DOI: 10.1089/109662101753123986

关键词:

摘要: A working group on teaching palliative care in the home was convened at The National Consensus Conference Medical Education for Care Near End of Life. Our consensus statement includes: (1) a justification education home; (2) general guidelines about this site; (3) identification major barriers to training home, and some suggestions overcoming these barriers; (4) specific how what teach. We find that is an excellent site comprehensive medicine. Housecalls afford unusually rich compelling opportunity learn patient's family's experience severe illness impact culture environment health care, can have broad humanizing effect trainees. propose all medical students be familiar with form care. Trainees should potential benefits difficulties managing terminal community, appreciate role teams assuring safe, secure, high-quality acquire special knowledge, skills, attitudes required providing state-of-the-art patients families facing including those dying home. Instituting setting will require faculty development, support more visiting by physicians, supervision trainees other members team. Academic centers hospice/home agencies collaborate develop effective programs.

参考文章(20)
J B Reuler, D A Nardone, Role modeling in medical education. Western Journal of Medicine. ,vol. 160, pp. 335- 337 ,(1994)
P. Maguire, K. Booth, C. Elliott, B. Jones, Helping health professionals involved in cancer care acquire key interviewing skills—the impact of workshops European Journal of Cancer. ,vol. 32, pp. 1486- 1489 ,(1996) , 10.1016/0959-8049(96)00059-7
Neil MacDonald, Balfour Mount, Wesley Boston, John Scott, The Canadian Palliative Care Undergraduate Curriculum. Journal of Cancer Education. ,vol. 8, pp. 197- 201 ,(1993) , 10.1080/08858199309528229
J J Cohen, Dying patients need better doctoring. Academic Medicine. ,vol. 72, pp. 704- ,(1997) , 10.1097/00001888-199708000-00016
John K. Iglehart, Medicare and Graduate Medical Education New England Journal of Medicine. ,vol. 338, pp. 402- 407 ,(1998) , 10.1056/NEJM199802053380620
THOMAS S. SZASZ, A Contribution to the Philosophy of medicine A.M.A. Archives of Internal Medicine. ,vol. 97, pp. 585- 592 ,(1956) , 10.1001/ARCHINTE.1956.00250230079008
Joanne Itano, Jenny Williams, Marcia Deaton, Noboru Oishi, Impact of a student interdisciplinary oncology team project. Journal of Cancer Education. ,vol. 6, pp. 219- 226 ,(1991) , 10.1080/08858199109528125
M Z Solomon, L O'Donnell, B Jennings, V Guilfoy, S M Wolf, K Nolan, R Jackson, D Koch-Weser, S Donnelley, Decisions near the end of life: professional views on life-sustaining treatments. American Journal of Public Health. ,vol. 83, pp. 14- 23 ,(1993) , 10.2105/AJPH.83.1.14
A C Mermann, D B Gunn, G E Dickinson, Learning to care for the dying: a survey of medical schools and a model course. Academic Medicine. ,vol. 66, pp. 35- 38 ,(1991) , 10.1097/00001888-199101000-00010