Minding the Gaps in Cancer Pain Management Education: A Multicenter Study of Clinical Residents and Fellows in a Low- Versus High-Resource Setting.

Autor:	Odonkor CA; , and , Johns Hopkins University School of Medicine, Baltimore, MD; , Komfo Anokye Teaching Hospital, Kumasi; and , Korle-Bu Teaching Hospital, Accra, Ghana; and , University of Michigan-Ann Arbor, Ann Arbor, MI., Osei-Bonsu E; , and , Johns Hopkins University School of Medicine, Baltimore, MD; , Komfo Anokye Teaching Hospital, Kumasi; and , Korle-Bu Teaching Hospital, Accra, Ghana; and , University of Michigan-Ann Arbor, Ann Arbor, MI., Tetteh O; , and , Johns Hopkins University School of Medicine, Baltimore, MD; , Komfo Anokye Teaching Hospital, Kumasi; and , Korle-Bu Teaching Hospital, Accra, Ghana; and , University of Michigan-Ann Arbor, Ann Arbor, MI., Haig A; , and , Johns Hopkins University School of Medicine, Baltimore, MD; , Komfo Anokye Teaching Hospital, Kumasi; and , Korle-Bu Teaching Hospital, Accra, Ghana; and , University of Michigan-Ann Arbor, Ann Arbor, MI., Mayer RS; , and , Johns Hopkins University School of Medicine, Baltimore, MD; , Komfo Anokye Teaching Hospital, Kumasi; and , Korle-Bu Teaching Hospital, Accra, Ghana; and , University of Michigan-Ann Arbor, Ann Arbor, MI., Smith TJ; , and , Johns Hopkins University School of Medicine, Baltimore, MD; , Komfo Anokye Teaching Hospital, Kumasi; and , Korle-Bu Teaching Hospital, Accra, Ghana; and , University of Michigan-Ann Arbor, Ann Arbor, MI.
Jazyk:	angličtina
Zdroj:	Journal of global oncology [J Glob Oncol] 2016 Mar 23; Vol. 2 (6), pp. 387-396. Date of Electronic Publication: 2016 Mar 23 (Print Publication: 2016).
DOI:	10.1200/JGO.2015.003004
Abstrakt:	Purpose: Inadequate pain management training has been reported as a major cause of undertreatment of cancer pain. Yet, past research has not comprehensively compared the quality of cancer pain management education among physicians in training in high-resource countries (HRCs) with those in low-resource countries (LRCs). The purpose of this study was to examine and compare gaps in cancer pain management education among physician trainees in an HRC (United States) versus an LRC (Ghana). Methods: A cross section of physicians at four major academic medical centers completed surveys about the adequacy of cancer pain training. Participation in the study was completely voluntary, and paper or online surveys were completed anonymously. Results: The response rate was 60% (N = 120). Major gaps were identified in cancer pain management education across the spectrum of medical school training. Training was rated as inadequate (by approximately 80% of trainees), although approximately 10% more trainees in HRCs versus LRCs felt this way; 35% said residency training was inadequate in both settings; and 50% in LRCs versus 44% in HRCs said fellowship training was less than good. On the basis of the lowest group means, the three key areas of perceived deficits included interventional pain procedures (2.34 ± 1.12), palliative care interventions (2.39 ± 1.12), and managing procedural and postoperative pain (2.94 ± 0.97), with significant differences in the distribution of deficits in 15 cancer-pain competencies between LRCs and HRCs ( P < .05). Conclusion: This study identifies priority areas that could be targeted synergistically by LRCs and HRCs to advance cancer care globally. The findings underscore differential opportunities to broaden and improve competencies in cancer pain management via exchange training, in which physicians from HRCs spend time in LRCs and vice versa. Competing Interests: Authors' disclosures of potential conflicts of interest and contributions are found at the end of this article.The following represents disclosure information provided by authors of this manuscript. All relationships are considered compensated. Relationships are self-held unless noted. I = Immediate Family Member, Inst = My Institution. Relationships may not relate to the subject matter of this manuscript. For more information about ASCO's conflict of interest policy, please refer to www.asco.org/rwc or ascopubs.org/jco/site/ifc. Charles Amoatey OdonkorNo relationship to discloseErnest Osei-BonsuNo relationship to discloseOswald TettehNo relationship to discloseAndy HaigEmployment: Mary Free Bed Rehabilitation HospitalRobert Samuel MayerNo relationship to discloseThomas J. SmithStock or Other Ownership: UnitedHealthcare
Databáze:	MEDLINE
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