(Re)Development of pain target competencies in a contemporary, multi-centre undergraduate medical curriculum: The importance of local cultural requirements.

Autor:	Cornwall J; University of Otago, P.O. Box 56, Dunedin 9054, New Zealand., Shipton E; Christchurch Pain Management Services, 60 Hawthornden Road, Avonhead, Christchurch 8042, New Zealand., Cowie M; University of Otago, Christchurch, P.O. Box 4345, Christchurch 8140, New Zealand., Kaw A; University of Otago, Christchurch, P.O. Box 4345, Christchurch 8140, New Zealand., Landers A; University of Otago, Christchurch, P.O. Box 4345, Christchurch 8140, New Zealand., Lennox Thompson B; University of Otago, Christchurch, P.O. Box 4345, Christchurch 8140, New Zealand., Darlow B; University of Otago, Wellington, P.O. Box 7343, Wellington South 6242, New Zealand. Electronic address: ben.darlow@otago.ac.nz.
Jazyk:	angličtina
Zdroj:	The journal of pain [J Pain] 2024 Oct 11, pp. 104696. Date of Electronic Publication: 2024 Oct 11.
DOI:	10.1016/j.jpain.2024.104696
Abstrakt:	Pain is the most common reason to seek healthcare, however pain teaching is often not prominent in medical school curricula. This project reviewed an existing medical curriculum to develop a comprehensive pain curriculum that consolidated pain learning across a medical degree delivered on geographically-distinct campuses, looking to provide contemporary pain learning that was culturally appropriate in a local context. A cross-campus, interdisciplinary pain working group (PWG) was established to work across the two program stages (pre-clinical, clinical) and three clinical campuses. The PWG undertook a three-phase project to i) develop a range of potential target competencies based on expert input and international pain curricula, ii) identify and review existing pain competencies, and iii) undertake iterative review of information, consult with stakeholders, and propose revised competencies. Eight pain competencies were identified within the extant curriculum. Recommendations included two existing competencies remained unchanged, four be modified, two merged, and 26 new competencies adopted including some specific to local Indigenous Māori and Pacific Island communities. The 33 pain target competencies were structured across different teaching domains: science, research, and scholarship (n = 5); population health and epidemiology (n = 3); clinical skills (n = 5); and diagnostics and therapeutics (n = 20). Contemporary pain learning, including around Indigenous health, was not adequately represented. New target competencies were adopted to ensure pain learning is appropriate for medical practice in Aotearoa New Zealand, containing competencies specific to Māori and Pacific Island communities. Curricula review needs to consider local cultural requirements while integrating international best practice to ensure pain learning is appropriate. PERSPECTIVE: A comprehensive pain curriculum was developed across a multi-campus medical school setting. Through a three-phase project, existing pain competencies were reviewed and new target competencies developed, including those specific to local Indigenous communities. Findings highlight the importance of ensuring contemporary curricula include pain learning that is culturally focused and relevant. Competing Interests: Declaration of Competing Interest This project received no funding. All authors declare no conflicts of interest. (Copyright © 2024 United States Association for the Study of Pain, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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