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Main arrow Archive of previous Issues arrow ¹3 2013 (31) arrow On including palliative care in curriculum of higher medical education
On including palliative care in curriculum of higher medical education Print
Tuesday, 09 July 2013

Summary. For the first time ever the 2011 Federal order "On fundamental healthcare principles in the Russian Federation" institutionalized palliative care as one type of medical care to be provided to the Russian population. Development of Federal guidelines for palliative care delivery to children and adults is under way. Education is one of the three fundamental pillars of the strategy aimed at successful development of palliative care as a healthcare sector along with availability of drugs and governmental policy on organization of services at all levels of care delivery. The role of education becomes even more important in case of problems related to workforce and organization of health care. The share of patients who died at home in Nizhniy Novgorod region increased 1.5 times in 2006 and remains high (73.68%). Patients diagnosed with malignant neoplasms mainly die at home (82.96%). Therefore, the main specialists providing care to incurable patients at the terminal stage are primary care physicians and general practitioners. However, by large, those care providers lack training in palliative care. The survey aimed at assessing knowledge in terminal-stage palliative care among physicians showed that half of respondents have difficulties with providing palliative care to patients at the terminal stage and assisting with decision making; 98% of respondents noted that palliative care should be included in professional training of doctors. 

Education in palliative care will be at issue at the top levels soon. Primary care physicians and general practitioners should be trained in palliative care along with specialists of specialized palliative care facilities. The article dwells upon background of education in palliative care for doctors in Russia and abroad; lists specific issues to be included in training programs in palliative care.

Keywords. Palliative care; education of doctors; incurable patients; patients with life-limiting diseases, doctors' skills and knowledge in care delivery at terminal stage; death at home.

References

  1. Abuzarova GR. The modern pharmacotherapy of a chronic pain in oncology. The present day realities. International Conference "Healthcare of Russia, CIS countries, and Europe", Moscow 2012 June 8-9. Conference Proceedings. [Internet] 2012 [cited: 2013 Apr 30]. Available from: http://www.omr-rus.ru/news/news_291.html (in Russian).
  2. Biktimirov TZ, Tsvetaeva IG, Sharafutdinov MG. 15 years of palliative medicine in Ulyanovsk region. In: Proceedings of the Interregional Scientific and Practical Conference with international participation. Kemerovo: Meditsina I Prosveshcheniye; 2009. p. 19-20 (in Russian).
  3. Vvedenskaya ES, Varenova LE. Complex approach for selection of an optimal form of palliative care for the end of life. In: The modern problems of socio-demographic development. Moscow: Pero; 2012. P. 70-85 (in Russian).
  4. Irzhanov ZhA, Chibisov SM. Analysis of mortality at home in urban population by the data of municipal clinics. Ufa. Sovremennye problemy nauki i obrazovaniya [Internet] 2012 [cited 2012 Jul 21]; (1). Available from: http://www.science-education.ru/101-5349 (in Russian).
  5. Komarov YuM. Advanced medical education as a guarantee of high quality medical care. [Internet]. [cited 2012 Sep 10]. Available from: http://www.rmass.ru/publ/info/Kom-Y.M (in Russian).
  6. Ekkert NV, Novikov GA, Khetagurova AK, Sharafutdinov MG. Methodic recommendation on palliative health care. Ìîñêâà: I.M.Sechenov Moscow Medical Academy; 2008. 58 p. (in Russian)
  7. Modnikov OP, Biktimirov TZ. On the training in palliative care for cancer patients in higher and secondary medical education institutions. In: "Organization of palliative care and methods of treatment for patients with prevalent malignant neoplasms". Proceedings of All-Russian Conference. Moscow. 1995. P. 36-38 (in Russian).
  8. Murzabekova ÌÌ. Mortality and average life expectancy in the citizens of St-Petersburg: levels, tendencies, dynamics: [Dissertation]. St. Petersburg. 2004. 191 p. (in Russian).
  9. Novikov GA, Rudoy SV, Samoylenko VV, Vaysman MA. The modern view on the development of palliative medicine in the Russian Federation. Palliativnaya meditsina i reabilitatsiya 2012(2):5-8 (in Russian).
  10. Novikov GA, Samoylenko VV, Rudoy SV, Vaysman MA. Post-graduate training and palliative care: review of European recommendations. Palliativnaya meditsina i reabilitatsiya 2011(3):5-7 (in Russian).
  11. Recommendations 24 of the Committee of Ministers of the Council of Europe to the member-states on palliative care. Moscow: Meditsina za kachestvo zhizni; 2005. P. 30 (in Russian).
  12. Skachkova EI. Organization of palliative care in the Russian Federation. International Conference "Healthcare in Russia, CIS countries, and Europe". Moscow, 2012 June 8-9. Conference proceedings. [Internet] 2012 [cited 2013 Apr 30]. Available from: http://www.omr-rus.ru/files/download/file213.html (in Russian).
  13. On the basic principles of population health protection in the Russian Federation. The Federal Law of the Russian Federation of 2011 November 21 N 323-ÔÇ. [Internet] 2011 [cited 2013 Apr 30]. Available from: http://www.minzdravsoc.ru/docs/laws/104 (in Russian).
  14. Barzansky B, Veloski J J, Miller R, Jonas HS. (1999). Education in end-of-life care during medical school and residency training. Academic Medicine, 74, S102-S104.
  15. Curriculum in palliative care for undergraduate medical education. Recommendations of the European Association of Palliative Care. 2007, 24 p. [Internet document]. 2007 [cited 2013 Apr 30]. Available from: http://www.eapcnet.eu/LinkClick.aspx?fileticket=VmnUSgQm5PQ%3d
  16. Fraser HC, Kutner JS, Pfeifer MP. Senior medical students' perceptions of the adequacy of education on end-of-life issues. Journal of Palliative Medicine 2001;4:337-43.
  17. Oxford Textbook of Palliative Medicine. Derek Doyle, Geoffrey Hanks, Kenneth Calman, Nathan Cherny, editors. Oxford: Oxford University Press; 2003. 1270 p.
  18. Oxford Textbook of Palliative Medicine. Geoffrey Hanks, Nathan I Cherny, Nicholas A Christakis, Marie Fallon, Stein Kaasa, Russell K Portenoy, editors. Oxford: Oxford University Press; 2011: 587-1093.
  19. Palliative Care (Cancer control: knowledge into action: WHO guide for effective programmes; module 5). Geneva: World Health Organization; 2007. 43 p.
  20. Stjernswärd J, Foley KM, Ferris FD. The Public Health Strategy for Palliative Care. J Pain Symptom Manage 2007; 33(5):486-493.
  21. Sullivan AM, Warren AG, Lakoma MD, Liaw KR, Hwang D, Block SD. End-of-life care in the curriculum: a national study of medical education deans. Acad Med 2004;79(8):760-8.
  22. Ury WA, Berkman CS, Weber CM, Pignotti MG, Leipzig RM. Assessing medical students' training in end-of-life communication: a survey of interns at one urban teaching hospital. Acad Med 2003;78(5): 530-7.
  23. Weissman DE, Ambuel B, Norton AJ, Wang-Cheng R, Schiedermayer D. A survey of competencies and concerns in end-of-life care for physician trainees. J Pain Symptom Manage 1998 Feb;15(2):82-90.
  24. Weissman DE, Mullan PB, AmbuelB, von Gunten Ch. End-of-Life Curriculum Reform: Outcomes and Impact in a Follow-Up Study of Internal Medicine Residency Programs. Journal of Palliative Medicine 2002;5(4): 497-506.
  25. White Paper on standards and norms for hospice and palliative care in Europe: part 1. European Journal of Palliative Care 2009;16(6):278-289.
  26. White Paper on standards and norms for hospice and palliative care in Europe: part 2. European Journal of Palliative Care 2010;17(1): 22-33.
  27. WHO Definition of Palliative Care. [Internet document] 2007 [cited 2013 Apr 30]. Available from: http://www.who.int/cancer/palliative/definition/en/
  28. World Health Organization. Cancer pain relief and palliative care. Report of a WHO Expert Committee. WHO Technical Report Series No. 804. Geneva: World Health Organization; 1990. 76 p.

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1. 09-07-2015 09:48
ïîäñêàæèòå,ãäå ìîæíî ïðîéòè îáó÷åíèå ïî îêàçàíèþ ïàëëèàòèâíîé ïîìîùè íàñåëåíèþ, âðà÷ó ëå÷åáíèêó.
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