血液科住院医师缓和医疗临床教学培养

Discussion on the Teaching Mode of Palliative Care in the Standardized Training of Resident in Department of Hematology

缓和医疗可预防和缓解恶性肿瘤患者和家属的身心痛苦,提高生活质量,在血液恶性肿瘤治疗中具有重要地位,为培养血液科住院医师的缓和医疗理念和临床行为,需对所有参加血液科住院医师规范化培训的住院医师进行缓和医疗教学。首先应以课堂教学的形式介绍缓和医疗的原则、主要内容及其教学的重要性,在此基础上借助综合性医院的优势,开展多学科多模式的缓和医疗教学,包括:医药结合—药剂科进行定期癌痛管理的培训、身心结合—精神科进行癌症心理学的培训、病例中心教学法—师生进行模拟情景教学、医联体模式—分级诊疗模式下对于缓和医疗的交流学习。在出科考核中加入针对缓和医疗的核心理念、主要工作内容以及工作技巧方面的考核,同时进行教学方法、教学理念的问卷调查,据此,不断改善缓和医疗教学模式,提高教学效果,以满足临床缓和医疗的需求。

To cultivate the concept and clinical behavior of palliative care for hematology residents, it is necessary to conduct palliative care teaching for all residents participating in the standardized training of hematology. This paper aims to explore this teaching mode. First of all, the principle and main content of palliative care and the importance of palliative care teaching are clarified, and then the multi-disciplinary and multi-mode palliative care teaching should be carried out. The specific contents include: regular cancer pain management training combined with medicine, cancer psychology training combined with body and mind, situational teaching combined with case center teaching method, and communication learning under medical association mode Xi. The core concept, main work content and working skills of palliative care are included in the examination. Meanwhile, the questionnaire survey of teaching methods and teaching concepts is carried out, In order to gradually improve the palliative medical teaching mode and meet the needs of palliative medical care.