Attitudes, Beliefs, and Awareness of Graduate Medical Education Trainees Regarding Palliative Care at a Comprehensive Cancer Center

作者：Wong Angelique; Reddy Akhila; Williams Janet L; Wu Jimin; Liu Diane; Bruera Eduardo

来源：Journal of Oncology Practice, 2016, 12(2): 149-+.

DOI：10.1200/JOP.2015.006619

<jats:p> </jats:p><jats:sec><jats:title>QUESTION ASKED:</jats:title><jats:p> What are graduate medical education trainees’ attitudes and beliefs regarding palliative care, what is their awareness of the availability and role of palliative care services, and does previous exposure to a palliative care rotation facilitate a better awareness of palliative care? </jats:p></jats:sec><jats:sec><jats:title>SUMMARY ANSWER:</jats:title><jats:p> A vast majority of oncology trainees perceived palliative care services to be beneficial for patient care (92%) and were supportive of mandatory palliative care training (74%). Surgical oncology trainees and trainees with no previous palliative care exposure were significantly less likely to consult palliative care and had significantly less awareness of palliative care. </jats:p></jats:sec><jats:sec><jats:title>METHODS:</jats:title><jats:p> We conducted an institutional review board–approved online survey to determine awareness of palliative care among graduate medical trainees at MD Anderson. One hundred seventy oncology trainees who completed at least 9 months of training in medical, surgical, gynecologic, and radiation oncology fellowship and residency program during the 2013 academic year completed an online questionnaire. Descriptive, univariate, and multivariate analyses were performed. </jats:p></jats:sec><jats:sec><jats:title>BIAS, CONFOUNDING FACTOR(S), DRAWBACKS:</jats:title><jats:p> Although there was a substantial response rate (78%), the results may not be generalizable as the survey was conducted at a single institution. Also, the frequency of palliative care referrals is self-reported. </jats:p></jats:sec><jats:sec><jats:title>REAL-LIFE IMPLICATIONS:</jats:title><jats:p> Our findings suggest that exposure to palliative care training may lead to increased awareness of palliative care among oncologists, and thus, increased overall and early referrals to palliative care. Surgical oncology trainees may benefit from increased exposure to palliative care rotations. More research is needed to characterize the impact of training on referral patterns to palliative care. In the meantime, efforts should be made to include formal palliative care rotations in oncology training. [Table: see text] </jats:p></jats:sec>

• 出版日期2016-2
• 单位University of Texas, MD Anderson Cancer Center; University of Texas M. D. Anderson Cancer Center; The University of Texas, MD Anderson Cancer Center; University of Texas M.D. Anderson Cancer Center; The University of Texas M.D Anderson Cancer Center; University of Texas, M.D. Anderson Cancer Center; University of Texas M.D.Anderson Cancer Center; the university of Texas MD Anderson Cancer Center; University of Texas,M.D.Anderson Cancer Center; The University of Texas M.D.Anderson Cancer Center; University Of Texas MD Anderson Cancer Center; The University of Texas MD Anderson Cancer Center; The university of Texas,M.D.Anderson Cancer Center; University of Texas M.D.Anderson cancer center; The University of Texas MD, Anderson Cancer Center; The University of Texas M.D anderson Cancer Center; UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER