A Pilot Curriculum on Physician-Assisted Dying for Hospice and Palliative Medicine Fellows.

IF 1.8 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of palliative medicine Pub Date : 2026-10-01 Epub Date: 2026-06-16 DOI:10.1177/10966218261460505

Antoinette R Esce, James Cescon, Melanie Koren, Edith Meyerson, Mollie A Biewald, Robert M Arnold, Anup Bharani, Laura Belland

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引用次数: 0

Abstract

Introduction: Physician-assisted dying (PAD) is legal in an increasing number of jurisdictions across the United States. Despite this, formal hospice and palliative medicine (HPM) fellowship curricula on PAD are lacking. To address this, a neutral (nonadvocacy) PAD pilot curriculum was developed and implemented in one large HPM fellowship program.

Methods: A five-lecture curriculum was developed by an interdisciplinary group using Kern's six-step method. Comfort, knowledge, and satisfaction were assessed.

Results: 17 fellows were eligible to complete curriculum assessments with a 76% response rate on the postcurriculum survey (N = 13). Self-reported comfort improved significantly across all measured domains. Ninety-two percent of respondents were very or somewhat satisfied; 85% of respondents agreed the curriculum maintained a neutral tone.

Conclusion: HPM fellows value PAD education, even when practicing in a state where it is illegal. A neutral curriculum is feasible, improves comfort, and is well received. This offers a model for integrating PAD education into HPM training.

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临终关怀与缓和医学研究员医师协助死亡试点课程。

医生协助死亡（PAD）在美国越来越多的司法管辖区是合法的。尽管如此，关于PAD的正式的临终关怀和姑息医学（HPM）奖学金课程是缺乏的。为了解决这个问题，一个中立的（非倡导的）PAD试点课程被开发出来，并在一个大型HPM奖学金项目中实施。方法：一个跨学科小组使用Kern的六步法开发了一个五课时的课程。舒适度、知识和满意度被评估。结果：17名研究员有资格完成课程评估，课程后调查的回复率为76% （N = 13）。自我报告的舒适度在所有测量领域都有显著提高。92%的受访者表示非常满意或比较满意；85%的受访者认为课程保持中性基调。结论：HPM研究员重视PAD教育，即使在一个非法的州执业。一个中立的课程是可行的，提高舒适度，并受到好评。这为将PAD教育整合到HPM培训中提供了一个模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of palliative medicine 医学-卫生保健

CiteScore

3.90

自引率

10.70%

发文量

345

审稿时长

2 months

期刊介绍： Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.