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13 Caring a support team members
1) Attitude
a) Respect team member's individual value system
b) Respect team members autonomy
c) Bear in mind team member's physical and mental conditions
d) Bear in mind one's own physical and mental conditions
e) Accept an other's favour straightforwardly
f) Expand one's own world outside a team
2) Skill
a) Be careful to a team member's physical and mental conditions and support as a team if necessary
b) Be careful to one's own physical or mental change, and care it by oneself: self-control, seeking other's help, etc.
c) Have one's own world outside his or her profession: friends outside domain, hobby, etc.
3) Knowledge
a) Describe support team member's stresses and strains: burn-out syndrome, pathological grieving, excessive involvement, Stockholm syndrome, etc.
b) Describe support team member's stresses and strains reduction by sharing burden in a team
c) Describe human interaction's role in health management
d) Describe the group dynamics
e) Describe team conference's role and function: sharing decision-making, being aware of change in physical and mental conditions, relief from grieving, feedback, creative atmosphere, etc.
UNDERGRADUATE MEDICAL PALLIATIVE CARE EDUCATION: STATUS REPORT IN JAPAN
S. Saito1, Y. Nakamoto1, N. Tanaka1, T. Kato2
1Department of Gastroenterological Surgery and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry, 2Kato Namikidori Clinic
Introduction:
The importance of undergraduate education for medical palliative care has been emphasized in Japan. We have a certain number of obstacles to reform medical education for the undergraduate students under the present situation that we have few chair of palliative medicine in medical school in Japan. The aim of this study was to describe the status of palliative care education in undergraduate medical curriculum.
Subjects
| Medical Schools: 80 |
Reply for the request |
| |
for syllabus |
| Course for "Palliative care" |
13/19 |
| Available: 19 |
(categorized by fonder) |
| Compulsory: 16 |
National : 8 (42) |
| Not available: 61 |
Public: 1 (8) |
| |
Private : 4 (29) |
Methods:
Syllabus were collected from 13 medical schools out of 80, which declared that they prepared formal educational unit program for palliative care, and were analyzed.
ReSults 1
i. The titles of the courses were "terminal care/'end of life' care (6)","palliative care (2)","death education (2)", or"medical ethics (1).
ii. The main course was prepared for early years (1), middle years (6), or final years (4) in medical schools.
iii. Average number of session in one course was 3.6 ( 1-7).
iv. The main department coordinating a series of the lectures was internal medicine (3), psychiatry (3), anesthesiology (2), surgery (1), neurosurgery(1), gerontology (1), public health(1), or bioethics (1).
Results 2
v. The title of the each session was related to pain relief (5), psycho-oncology (3), thanatology (4), home-hospice (4), euthanasia (5), or bioethics (4).
vi. There were seven courses including special lecture by the hospice doctors.
vii. They might provide some sporadic lectures concerning palliative care in other medical schools with which present study did not cover.
| 1 |
A |
National |
elective |
4 |
5 |
| 2 |
B |
National |
elective |
5 |
7 |
| 3 |
C |
National |
compulsory |
5 |
1 |
| 4 |
D |
National |
compulsory |
6 |
6 |
| 5 |
E |
National |
compulsory |
6 |
4 |
| 6 |
F |
National |
compulsory |
4 |
4 |
| 7 |
G |
National |
compulsory |
4 |
4 |
| 8 |
H |
National |
compulsory |
4 |
6 |
| 9 |
I |
Public |
compulsory |
6 |
5 |
| 10 |
J |
Private |
compulsory |
4 |
5 |
| 11 |
K |
Private |
compulsory |
4 |
1 |
| 12 |
L |
Private |
comupulsory |
4 |
2 |
| 13 |
M |
Private |
compulsory |
1 |
1 |
|
| |
|
course |
department in charge |
title of the course |
| 1 |
A |
elective |
gerontology |
terminal care |
| 2 |
B |
elective |
psychiatry |
medicine and sociology |
| 3 |
C |
compulsory |
neurosurgery |
death education |
| 4 |
D |
compulsory |
psychiatry |
palliative medicine |
| 5 |
E |
compulsory |
internal medicine |
terminal care |
| 6 |
F |
compulsory |
surgery |
terminal care |
| 7 |
G |
compulsory |
bioethics |
palliative care and hospice |
| 8 |
H |
compulsory |
psychiatry |
psychosomatic and terminal medicine |
| 9 |
I |
compulsory |
internal medicine |
death education and medicine |
| 10 |
J |
compulsory |
anesthesiology |
terminal care |
| 11 |
K |
compulsory |
internal medicine |
terminal care |
| 12 |
L |
compulsory |
anesthesiology |
terminal care |
| 13 |
M |
compulsory |
public health |
medical ethics |
|
|
