Palliative Care Fellowship

姑息治疗奖学金

• 批准号: 6794738
• 负责人: JANET L ABRAHM
• 金额: $ 18.35万
• 依托单位: DANA-FARBER CANCER INST
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-08-25 至 2008-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6794738
• 关键词: adult human (21+); children; clinical research; curriculum; education evaluation /planning; extended care facility; hospices; interdisciplinary collaboration; neoplasm /cancer education; neoplasm /cancer palliative treatment; pediatrics; psychological aspect of cancer; psychosocial service; role model; terminal patient care; training

DESCRIPTION (provided by applicant): As the IOM reports in 1997 and 2001 document, there is a paucity of trained experts, educators, and researchers in palliative and end-of-life care. Physicians therefore lack expertise in palliative medicine, do not acquire the needed communication and self-reflection skills, and do not know how to work as members of an interdisciplinary team. They are unable to ameliorate the suffering of patients during active antineoplastic therapy; relieve the psychological, spiritual, and physical distress of patients who stop responding to chemotherapy agents; assist patients and their families in defining and achieving their last goals; or provide bereavement support for the survivors. This proposal describes a continuation and expansion of the previously funded year-long fellowship program in palliative and end-of-life care. Using the resources of Harvard Medical School, the Dana-Farber Cancer Institute, the Brigham and Women's Hospital, the Children's Hospital of Boston, a long-term care facility, and a community hospice, we now hope to train physicians who wish to become role models, educators, and researchers in adult or pediatric palliative medicine and end-of-life care. Training will include an adult and a pediatric tract, each with closely mentored didactic and clinical training. Required didactic training includes an introductory palliative care lecture series, palliative care grand rounds, and monthly palliative care seminars and journal club. Fellows will also be trained as palliative care educators. Fellows will receive the bulk of their clinical training as members of interdisciplinary palliative care and psychosocial oncology consult teams, and as members of a hospice team. Fellows will follow patients across treatment settings (inpatient, outpatient, home, and hospice). Other adult training sites include Anesthesia Pain Clinic, a geriatric long-term care facility, advanced cardiac/pulmonary disease or ALS clinics, the ethics committee, and chaplaincy service. For qualified fellows, a research elective is available. The fellow's progress will be formally assessed with tools designed to measure attitudes and knowledge; the fellowship director will closely monitor fellow skill development by personal observation and by discussion with other preceptors.

描述（由申请人提供）：正如IOM在1997年和2001年的文档中报道的那样，受过训练的专家，教育工作者和研究人员的姑息和临终护理研究人员很少。 因此，医师缺乏姑息医学方面的专业知识，不要获得所需的沟通和自我反思技巧，也不知道如何担任跨学科团队的成员。 他们无法在主动抗肿瘤治疗期间改善患者的痛苦；缓解停止对化学疗法反应的患者的心理，精神和身体困扰；协助患者及其家人定义和实现他们的最后目标；或为幸存者提供丧亲支持。 该提案描述了先前资助的为期一年的奖学金计划的姑息和临终护理计划的延续和扩展。 利用哈佛医学院的资源，达纳 - 法伯癌症研究所，杨百翰和妇女医院，波士顿儿童医院，长期护理机构以及社区临终关怀医院，我们现在希望培训那些希望成为榜样，教育者和研究人员的医生，教育家和研究人员，成人或儿童paliatiati paliatial palliatiative Medicine and Life Life Care。 培训将包括成人和小儿区，每道培训都有密切指导的教学和临床培训。 所需的教学培训包括一个入门姑息治疗讲座系列，姑息治疗大回合以及每月的姑息治疗研讨会和期刊俱乐部。 研究员还将接受姑息治疗教育者的培训。 作为跨学科的姑息治疗和心理肿瘤学咨询团队以及临终关怀团队的成员，研究员将接受大部分临床培训。 研究员将在治疗环境（住院，门诊，家庭和临终关怀）中跟随患者。 其他成人培训地点包括麻醉疼痛诊所，老年长期护理机构，晚期心脏/肺部疾病或ALS诊所，伦理委员会和牧师服务。 对于合格的研究员，可以进行研究选修课。 同伴的进度将通过旨在衡量态度和知识的工具进行正式评估；奖学金总监将通过个人观察和与其他主持人的讨论密切监视技能发展。