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首页> 外文期刊>PM & R: the journal of injury, function, and rehabilitation >Training and Practice Patterns in Cancer Rehabilitation: A Survey of Physiatrists Specializing in Oncology Care
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Training and Practice Patterns in Cancer Rehabilitation: A Survey of Physiatrists Specializing in Oncology Care

机译：癌症康复培养与实践模式：对专门肿瘤护理的物理学家调查

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摘要

Background Cancer rehabilitation is an integral part of the continuum of care for survivors. Due to the increasing number of survivors, physiatrists commonly see cancer patients in their general practices. Essential to guiding the field is to understand the current training and practice patterns of cancer rehabilitation physicians. Objectives To assess current trends in training and practice for cancer rehabilitation physicians, including the level of burnout among providers in this field. Design Cross‐sectional descriptive survey study. Setting Online survey. Participants American physicians who are affiliated with the Cancer Rehabilitation Physician Consortium (CRPC) of the American Academy of Physical Medicine and Rehabilitation (AAPM&R). The CRPC is a group of cancer rehabilitation providers (both fellowship‐trained and not fellowship‐trained) with the mission of furthering cancer rehabilitation medicine through education, research, and networking. Methods All CRPC physicians were invited to complete a voluntary and anonymous 43‐question online survey. The survey was conceived by a group of eight experts interested in providing additional information to the current literature regarding the training and practice in the cancer rehabilitation field. Main Outcome Measurements Training, practice, opioid prescribing, and professional support. Results Thirty‐seven of 50 physicians participated (response rate?=?74%). Respondents were from various states, the three most common being New York (16%, n?=?6), Texas (16%, n?=?6), and Massachusetts (11%, n?=?4). About 57% (n?=?21) of the respondents were employed in an academic medical center and 73% (n?=?27) reported their primary departmental affiliation was Physical Medicine and Rehabilitation (PM&R). Approximately 78% (n?=?29) credited mentorship early in training for their interest in the field. More than half (54%, n?=?20) either strongly agreed or agreed that cancer rehabilitation fellowship training is necessary for graduating physiatrists who plan to treat oncology patients/survivors. National PM&R meetings were the primary source of continuing education for 86% (n?=?31). Sixty‐five percent (n?=?24), strongly agreed or agreed that cancer rehabilitation physiatrists should know how to prescribe opioids, and 35% (n?=?13) reported prescribing them when appropriate. About 54% (n?=?20) rated their level of burnout as low or very low, and more than half (51%, n?=?19) believed their burnout level was lower than physiatrists treating other rehabilitation populations. Conclusions Cancer rehabilitation is a growing subspecialty in PM&R, and most physiatrists in general practice will treat many survivors—often for neurologic or musculoskeletal impairments related to cancer or its treatment. Cancer rehabilitation physicians perceive that they have relatively low levels of burnout, and early mentorship and fellowship training is beneficial. Professional conferences and mentorship are a primary source for continuing education. Level of Evidence IV.
机译：背景技术癌症康复是幸存者连续的不可或缺的一部分。由于幸存者数量越来越多，物质分子通常会在普通实践中看到癌症患者。指导领域必须了解癌症康复医生的当前培训和实践模式。目的，评估癌症康复医生培训和实践的当前趋势，包括该领域的提供者之间的倦怠程度。设计横断面描述调查研究。设置在线调查。与美国物理医学和康复（AAPM＆amp; R）相关的美国医生隶属于美国癌症康复医师联盟（CRPC）。 CRPC是一组癌症康复提供商（培训培训，不培训，也是训练有素的），通过教育，研究和网络进步癌症康复医学。方法邀请所有CRPC医生完成自愿和匿名43题的在线调查。该调查由一组有兴趣为当前文献提供有关癌症康复领域培训和实践的额外信息的八个专家的调查。主要结果测量培训，实践，阿片类药物规定和专业支持。结果37人57名医生参加（响应率？=？74％）。受访者来自各国，三个最常见的是纽约（16％，n？=？6），德克萨斯州（16％，n？=？6），和马萨诸塞州（11％，n？=？4）。在学术医疗中心雇用约57％（n？=？21），73％（n？=？27）报告其主要部门隶属是身体医学和康复（PM＆amp; r）。大约78％（n？='29）在培训中归功于他们对该领域的兴趣。一半以上（54％，N？=？20）强烈同意或同意癌症康复团契培训是毕业的毕业生，他们计划治疗肿瘤患者/幸存者。 National PM＆amp; R会议是86％的持续教育的主要来源（n？=？31）。六十五％（n？=？24），强烈同意或同意癌症康复的物理分子应该知道如何开鸦片类药物，35％（n？=？13）报告适当的情况下按照他们的处方。大约54％（n？= 20）归还它们的倦怠水平，低或非常低，超过一半（51％，n？=？19）认为他们的倦怠水平低于治疗其他康复人群的物理学家。结论癌症康复是PM＆amp; R生长的亚特点，而大多数物理分析者在一般做法中将对待许多幸存者 - 通常用于与癌症或其治疗相关的神经系统或肌肉骨骼障碍。癌症康复医生认为他们具有相对较低的倦怠水平，早期的指导和团契培训是有益的。专业会议和指导是继续教育的主要来源。证据IV水平。

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    Sharma Raman; Molinares‐Mejia Diana; Khanna Ashish; Maltser Susan; Ruppert Lisa; Wittry Sarah; Murphy Ryan; Ambrose Anne Felicia; Silver Julie K.;

  • 作者单位

    Department of Physical Medicine and RehabilitationBurke Rehabilitation HospitalWhite Plains NY;

    Department of Palliative Care and Rehabilitation MedicineUniversity of Texas MD Anderson Cancer;

    Department of Cancer RehabilitationKessler Institute for Rehabilitation &

    ReVital ProgramWest;

    Department of Cancer Rehabilitation Donald and Barbara Zucker School of Medicine at Hofstra;

    Department of Rehabilitation Medicine Memorial Sloan‐Kettering Cancer Center Weill Cornell;

    Department of Rehabilitation MedicineUniversity of WashingtonSeattle WA;

    Physical Medicine &

    Rehabilitation Services Valley Hospital &

    Valley Medical GroupRidgewood NJ;

    Department of Physical Medicine and RehabilitationBurke Rehabilitation HospitalWhite Plains NY;

    Department of Physical Medicine and RehabilitationHarvard Medical SchoolBoston MA;

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  • 正文语种 eng
  • 中图分类 临床医学;
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