PALLIATIVE CARE FELLOWSHIP

姑息治疗奖学金

• 批准号: 2458195
• 负责人: JANET L ABRAHM
• 金额: $ 5.55万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-09-30 至 2001-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2458195
• 关键词: bereavement; cancer pain; curriculum; education evaluation /planning; ethics; hospices; medical education; neoplasm /cancer education; neoplasm /cancer palliative treatment; role model; training

DESCRIPTION: (Applicant's Description) While a great deal of support has been given to training physicians in therapies designed to eradicate cancer, fewer experts have been trained to manage the symptoms of patients either at diagnosis or in the terminal phases of their disease. Moreover, since increasing numbers of oncology patients will be managed by family and primary care physicians, more generalists will need to develop expertise in symptom management and palliative care. This proposal describes a one year palliative care fellowship to be offered by the Hematology/Oncology Section at the Philadelphia Veteran's Affairs Medical Center (PVAMC) and the University of Pennsylvania Cancer Center. The fellowship will consist of multidisciplinary training in the palliative care and will be designed to impart the required attitudes, knowledge and skills to internists, family physicians, geriatricians, oncologists, or hematologists who wish to become practitioners and educators in the area of palliative care. The fellows will: 1) Demonstrate the attitudes, knowledge and skills needed to assess and manage the symptoms of patients with cancer, and the problems that develop in the families of cancer patients at all stages of the disease (i.e. diagnosis to death); 2) Demonstrate expertise in working with a multidisciplinary team of clinicians; and 3) Demonstrate mastery of the educational techniques needed to teach colleagues, patients, and their families by implementing an educational program. Training will include service throughout the year on an inpatient Hospice Consultation Team, and responsibility for the inpatient and outpatient management of the symptoms of patients in the PVAMC Lung Cancer Clinic. The fellow will also have the opportunity to learn psychosocial assessment and counseling skills using this clinic population, will participate in the clinic's bereavement program and will learn how to evaluate families at high risk for pathological grieving. The fellow will also have a choice of sites of in-home experiences, including a hospice service. Other rotations will include 1) a pain service run by nursing and neurology 2) a pain and symptom management clinic staffed by anesthesia 3) performing consults and attending the monthly meeting of an ethics advisory committee 4) a course entitled "Loss, Grief and Bereavement" and 5) group or individual therapy sessions for breast cancer or bone marrow transplant patients. Elective rotations include 1) an inpatient hospice 2) a variety of courses offered by the Bioethics Center and 3) an impatient oncology Unit. The Palliative Care Fellowship Committee will monitor the success of the program, its fellows, preceptors and curriculum. The fellows' progress will be monitored both with tools designed to measure attitudes and knowledge, and by the preceptors, who will assess the fellow's attitudes, knowledge and skills. The long term success of the fellows will be assessed by their later completion of a contract prepared during the fellowship.

描述：（申请人的描述）虽然有很多支持 被授予旨在消除癌症的疗法的培训医生， 培训较少的专家以管理患者的症状。 诊断或疾病的末期。 而且，从那以后 越来越多的肿瘤患者将由家庭管理和 初级保健医生，更多的通才需要发展 症状管理和姑息治疗。 该建议描述了一年 血液学/肿瘤科提供的姑息治疗奖学金 在费城退伍军人事务医疗中心（PVAMC）和 宾夕法尼亚大学癌症中心。 奖学金将包括 姑息治疗中的多学科培训，将设计为 向内科医生，家庭赋予所需的态度，知识和技能 希望成为的医师，老年医生，肿瘤学家或血液学家 姑息治疗领域的从业者和教育者。 研究员 意志：1）证明评估所需的态度，知识和技能 并管理癌症患者的症状，以及 在疾病的各个阶段，在癌症患者的家庭中发展 （即诊断为死亡）； 2）展示与A合作的专业知识 临床医生的多学科团队； 3）掌握了 需要教会同事，患者及其的教育技术 通过实施教育计划的家庭。 培训将包括 全年服务于住院临终关怀咨询团队， 负责症状的住院和门诊管理 PVAMC肺癌诊所中的患者。 这个家伙还将有 使用的机会学习社会心理评估和咨询技能 该诊所人口将参加诊所的丧亲计划 并将学习如何评估病理高风险的家庭 悲伤。 这个家伙还将可以选择在家中 经验，包括临终关怀服务。 其他轮换将包括1）a 由护理和神经病学运行的疼痛服务2）疼痛和症状管理 诊所由麻醉3）进行咨询并参加 道德咨询委员会的月度会议4）题为“损失， 悲伤和丧亲”和5）小组或个人治疗课程 乳腺癌或骨髓移植患者。 选修旋转 包括1）住院临终关怀2） 生物伦理学中心和3）不耐烦的肿瘤科。 姑息治疗 奖学金委员会将监视该计划的成功，其研究员， 主持人和课程。 研究员的进度将受到监控 使用旨在衡量态度和知识的工具，以及 主持人将评估同伴的态度，知识和技能。 研究员的长期成功将由他们的稍后评估 完成奖学金期间准备的合同。