Palliative Care Education Programs for Surgeons: A Review of Current Curriculum and Education Outcomes

IF 2.1 3区 医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Sabrina Hui Xian Cheok MBBS, MRCSI, MMED , Benjamin Paik MBBS , Hann Natalie Soh MBBS , Yang Yann Foo PhD , Alethea C.P. Yee MBBS, MRCP, FAMS , Sui An Lie MBBS, MRCP, MMed (Internal Medicine)MMed (Anaesthesiology), FAMS , Gerald C.A. Tay MBBS, MMed(Surg), FRCS , Jin Yao Teo MBBS, MMed (Surg), FRCS , Yu Guang Tan MBBS, MRCSDWDMCIFAMS , Mingzhe Cai MBBS, MMed (Surg), FRCS , Chin Jin Seo MB, BCh, MMed (Surg), FRCS , Johnny Chin-Ann Ong MBBS, MMed (Surg), FRCS, PhD , Claramae S Chia MBBS, MMed (Surg), FRCS , Jolene Si Min Wong MBBS, MMed (Surg), FRCS, MPH
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引用次数: 0

Abstract

Objective

Up to 40% of surgeries performed at academic centers are palliative in nature. However, most surgeons report a lack of training and exposure to palliative care (PC). This is often attributed to the lack of standardized PC education programs during surgical training. In this study, we summarize current PC education programs for surgeons and evaluate their efficacy in improving PC-related educational outcomes.

Design and Setting

Three electronic databases (PubMed, Embase and Cochrane) were systematically searched for studies between 1st January 2005 and 28th February 2023. We included studies on PC education programs for surgical residents or fellows. Learning objectives, content coverage, and mode of delivery of each program was recorded. Efficacy of the programs in improving PC related educational outcomes was measured and included PC knowledge, communication skills , and changes in attitudes and beliefs.

Participants

We included 10 studies in which 577 surgeons underwent PC education programs.

Results

Eight studies focused on communication skills, including breaking bad news, code status clarification and prognoses discussions. Five studies focused on PC knowledge, including management of end-of-life symptoms, hospice care, and outcomes of cardiopulmonary resuscitation. PC program duration and modes of delivery varied from didactic lectures, case-based discussions, role-play, to specialist PC work attachments. Post-program, all studies reported an increase in PC knowledge scores. 87% of studies reported improvements in communication skills and a change in attitude favoring PC.

Conclusion

PC education programs for surgeons vary widely in educational objectives, content, mode of delivery and efficacy measures. Our findings highlight the imperative to develop a standardized surgical PC curriculum to facilitate PC training among surgeons.
外科医生的姑息治疗教育计划:当前课程和教育成果的回顾。
目的:在学术中心进行的多达40%的手术本质上是姑息性的。然而,大多数外科医生报告缺乏培训和接触姑息治疗(PC)。这通常归因于外科训练中缺乏标准化的PC教育计划。在本研究中,我们总结了目前外科医生的PC教育计划,并评估其在改善PC相关教育成果方面的效果。设计和设置:系统检索了三个电子数据库(PubMed, Embase和Cochrane),检索了2005年1月1日至2023年2月28日之间的研究。我们纳入了针对外科住院医师或研究员的PC教育计划的研究。每个课程的学习目标、内容覆盖范围和交付模式都被记录下来。我们测量了项目在改善个人电脑相关教育成果方面的效果,包括个人电脑知识、沟通技巧、态度和信仰的改变。参与者:我们纳入了10项研究,其中577名外科医生接受了PC教育计划。结果:八项研究集中于沟通技巧,包括打破坏消息,代码状态澄清和预后讨论。五项研究关注PC知识,包括临终症状的管理、临终关怀和心肺复苏的结果。PC课程的持续时间和授课模式各不相同,从教学讲座、案例讨论、角色扮演到专业的PC工作附件。课程结束后,所有的研究都报告了PC知识分数的增加。87%的研究报告了沟通技巧的提高和对个人电脑的态度的改变。结论:外科医生PC教育方案在教育目标、内容、实施方式和效果措施等方面存在较大差异。我们的研究结果强调了制定标准化外科PC课程以促进外科医生PC培训的必要性。
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来源期刊
Journal of Surgical Education
Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY
CiteScore
5.60
自引率
10.30%
发文量
261
审稿时长
48 days
期刊介绍: The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.
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