What Affects Unmet Learning Needs of Young Physicians in Specialty Palliative Care Training?
- VernacularTitle:緩和ケアを専門としようとしている若手医師の研修，自己研鑽に対するニーズには何が影響するか
- Author:
Junko NOZATO
1
;
Shingo MIYAMOTO
2
;
Masanori MORI
3
;
Yoshihisa MATSUMOTO
4
;
Tomohiro NISHI
5
;
Yoshiyuki KIZAWA
6
;
Tatsuya MORITA
7
Author Information
- Keywords: palliative care; young physicians; specialty training; learning needs
- From:Palliative Care Research 2018;13(3):297-303
- CountryJapan
- Language:Japanese
- Abstract: Objectives: To explore background factors contributing to learning needs among physicians in palliative care specialty training. Methods: We conducted a questionnaire survey of physicians in specialty training in palliative care who were within 15 years after medical school graduation. The unmet learning needs (referred to as “needs”) were evaluated on a 5-point scale. Factor analysis was performed to identify underlying subscales of needs. Univariate analysis was performed using an average score of each subscale as a dependent variable and background factors as independent variables. Results: Of 284 physicians, 253 (89%) responded, and 229 were eligible after we had excluded resident physicians with less than 2 years of clinical experience and board-certified palliative care physicians. Factor analysis identified six subscales of the unmet learning needs: research, time, specialist, network, quality, and comprehensiveness. Background factors with significant between-group differences with the effect size of 0.4 or more included: 1) not working at a certified training facility, 2) not working or training at a big hospital, and 3) the number of palliative care physicians being 2 or less in the facility. Conclusion: Improvement of the training system is urgently needed for young physicians who are working at small or non-certified facilities for specialty training, or who have few palliative care colleagues.
