作者: J. Andrew Billings , Frank D. Ferris , Neil MacDonald , Charles von Gunten
DOI: 10.1089/109662101753123986
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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.