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首页> 美国卫生研究院文献>GMS Journal for Medical Education >Implementation of palliative care as a mandatory cross-disciplinary subject (QB13) at the Medical Faculty of the Heinrich-Heine-University Düsseldorf Germany
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Implementation of palliative care as a mandatory cross-disciplinary subject (QB13) at the Medical Faculty of the Heinrich-Heine-University Düsseldorf Germany

机译：德国杜塞尔多夫Heinrich-Heine-University医学院的强制性跨学科学科（QB13）实施姑息治疗

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>Background: By means of the revision of the Medical Licensure Act for Physicians (ÄAppO) in 2009, undergraduate palliative care education (UPCE) was incorporated as a mandatory cross sectional examination subject (QB13) in medical education in Germany. Its implementation still constitutes a major challenge for German medical faculties. There is a discrepancy between limited university resources and limited patient availabilities and high numbers of medical students. Apart from teaching theoretical knowledge and skills, palliative care education is faced with the particular challenge of imparting a professional and adequate attitude towards incurably ill and dying patients and their relatives.>Project description: Against this background, an evidence-based longitudinal UPCE curriculum was systematically developed following Kern’s Cycle [] and partly implemented and evaluated by the students participating in the pilot project. Innovative teaching methods >(virtual standardised/simulated patient contacts, e-learning courses, interdisciplinary and interprofessional collaborative teaching, and group sessions for reflective self-development) aim at teaching palliative care-related core competencies within the clinical context and on an interdisciplinary and interprofessional basis.>Results: After almost five years of development and evaluation, the UPCE curriculum comprises 60 teaching units and is being fully implemented and taught for the first time in the winter semester 2014/15. The previous pilot phases were successfully concluded. To date, the pilot phases (n=26), the subproject “E-learning in palliative care” (n=518) and the blended-learning elective course “Communication with dying patients” (n=12) have been successfully evaluated.>Conclusion: All conducted development steps and all developed programmes are available for other palliative care educators (Open Access). The integrated teaching formats and methods (video, e-learning module, interprofessional education, group sessions for reflexive self-development) and their evaluations are intended to make a contribution to an evidence-based development of palliative care curricula in Germany.
机译：>背景：通过对2009年《医师医疗许可法》（ÄAppO）的修订，本科姑息治疗教育（UPCE）被纳入了美国医学教育中的强制性横断面试科目（QB13）德国。它的实施仍然对德国医学系构成重大挑战。有限的大学资源和有限的患者可利用性以及大量的医学生之间存在差异。除教授理论知识和技能外，姑息治疗教育还面临着特殊的挑战，即要对不治之症和垂死的患者及其亲属给予专业和适当的态度。>项目描述：在这种背景下，证据基于纵向的UPCE课程是根据Kern's Cycle []进行系统开发的，并由参与该试点项目的学生进行了部分实施和评估。创新的教学方法>（虚拟标准化/模拟的患者接触，电子学习课程，跨学科和跨学科的协作教学以及反思性自我发展的小组会议）旨在教授临床上与姑息治疗相关的核心能力>结果：经过近五年的发展和评估，UPCE课程由60个教学单元组成，并将在2014年冬季学期首次全面实施和教授/ 15。先前的试点阶段已成功结束。迄今为止，已经成功评估了试点阶段（n = 26），子项目“姑息治疗电子学习”（n = 518）和混合学习选修课程“与垂死患者的交流”（n = 12）。 >结论：所有进行的开发步骤和所有开发的程序均可用于其他姑息治疗教育者（开放获取）。整合的教学形式和方法（视频，电子学习模块，专业间教育，反思性自我发展小组会议）及其评估旨在为德国姑息治疗课程的循证发展做出贡献。

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