Are family medicine residents adequately trained to deliver palliative care?
نویسندگان
چکیده
OBJECTIVE To explore educational factors that influence family medicine residents' (FMRs') intentions to offer palliative care and palliative care home visits to patients. DESIGN Qualitative descriptive study. SETTING A Canadian, urban, specialized palliative care centre. PARTICIPANTS First-year (n = 9) and second-year (n = 6) FMRs. METHODS Semistructured interviews were conducted with FMRs following a 4-week palliative care rotation. Questions focused on participant experiences during the rotation and perceptions about their roles as family physicians in the delivery of palliative care and home visits. Participant responses were analyzed to summarize and interpret patterns related to their educational experience during their rotation. MAIN FINDINGS Four interrelated themes were identified that described this experience: foundational skill development owing to training in a specialized setting; additional need for education and support; unaddressed gaps in pragmatic skills; and uncertainty about family physicians' role in palliative care. CONCLUSION Residents described experiences that both supported and inadvertently discouraged them from considering future engagement in palliative care. Reassuringly, residents were also able to underscore opportunities for improvement in palliative care education.
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عنوان ژورنال:
- Canadian family physician Medecin de famille canadien
دوره 61 12 شماره
صفحات -
تاریخ انتشار 2015