Application of multidisciplinary integrated teaching in cancer pain management training for medical staff

doi:10.3760/cma.j.cn115259-20220628-00831

Abstract

Abstract: The multidisciplinary integrated teaching aims to improve the ability to solve complex clinical problems, and focuses on the cultivation of trainees' critical thinking, team awareness and interpersonal communication skills. It is widely used in medical training. Taking the cancer pain management training of 96 medical staff in Chongqing as an example, this study describes the implementation of multidisciplinary integrated teaching. The teaching effect was evaluated through the cancer pain management cognitive level test and the cancer pain management practice survey. The paired t-test was used for the cognitive score of cancer pain management of the trainees before and after the training. The results showed that the total scores of the questionnaire of the trainees before and after the training were (2.67±0.79) and (2.76±0.89) respectively, and the difference was statistically significant (t=-2.44, P=0.015). Six months after the training, 80(92.0%), 50(57.5%), 32(36.8%) and 28(32.2%) of the trainees respectively participated in the work related to cancer pain management, joined the multidisciplinary team of cancer pain management, undertook cancer pain consultation or outpatient service, undertook cancer pain management training or teaching. Multidisciplinary integrated teaching can improve trainees' cognition of cancer pain management, help trainees to carry out clinical practice of cancer pain management, and is widely recognized by trainees.

Key words: Teaching, Cancer pain management, Multidisciplinary integration, Training, Continuing education

CLC Number:

R-05

Liu Yu, Zhang Fujun, Song Jie, Li Xinyu, Zeng Yu. Application of multidisciplinary integrated teaching in cancer pain management training for medical staff[J]. Chinese Journal of Medical Education, 2023, 43(3): 222-225.

References

[1] van den Beuken-van Everdingen MH, de Rijke JM, Kessels AG, et al. Prevalence of pain in patients with cancer: a systematic review of the past 40 years[J]. Ann Oncol, 2007, 18(9):1437-1449. DOI: 10.1093/annonc/mdm056.
[2] Brawley OW, Smith DE, Kirch RA. Taking action to ease suffering: advancing cancer pain control as a health care priority[J]. CA Cancer J Clin, 2009, 59(5):285-289. DOI: 10.3322/caac.20030.
[3] 颜运英, 卿利敏, 王可, 等. E-learning联合小组合作式培训模式在护士癌痛规范化管理培训中的应用[J]. 循证护理, 2018, 4(7):617-620. DOI: 10.12102/j.issn.2095-8668.2018.07.008.
[4] 盛莉莉, 王潞. 对实习生进行短期培训后参与癌痛管理的教学和治疗效果评价[J]. 齐齐哈尔医学院学报, 2017, 38(9):1073-1075. DOI: 10.3969/j.issn.1002-1256.2017.09.037.
[5] 朱东华, 樊艳宏. 疼痛管理培训对肿瘤内科护士癌痛知识与态度的影响分析[J]. 中国卫生产业, 2018, 15(11):99-100. DOI: 10.16659/j.cnki.1672-5654.2018.11.099.
[6] 程熠, 郭秋云, 黄南, 等. Cbl-rise教学法在住院医师规范化培训癌痛教学中的应用[J]. 现代职业教育, 2019(23):210-211.
[7] Su C, Chen M, Chen G, et al. Practices and hindrances in cancer pain management: results of a national multi-cancer center survey among healthcare professionals in china[J]. Cancer Manag Res, 2021, 13:1709-1717. DOI: 10.2147/CMAR.S290470.
[8] Friedman L, Situ-LaCasse E, Acuna J, et al. Point-of-care head and neck sonography for clinical problem-solving: impact of one-day training sessions on medical student education[J]. Cureus, 2018, 10(12):e3740. DOI: 10.7759/cureus.3740.
[9] Amini R, Stolz LA, Hernandez NC, et al. Sonography and hypotension: a change to critical problem solving in undergraduate medical education[J]. Adv Med Educ Pract, 2016, 7:7-13. DOI: 10.2147/AMEP.S97491.
[10] Patel T, Chang F, Mohammed HT, et al. Knowledge, perceptions and attitudes toward chronic pain and its management: a cross-sectional survey of frontline pharmacists in Ontario, Canada[J]. PLoS One, 2016, 11(6):e0157151. DOI: 10.1371/journal.pone.0157151.
[11] Nuseir K, Kassab M, Almomani B. Healthcare providers' knowledge and current practice of pain assessment and management: how much progress have we made?[J]. Pain Res Manag, 2016, 2016:8432973. DOI: 10.1155/2016/8432973.
[12] 童莺歌, 叶志弘. 《疼痛管理知识和态度的调查》问卷的汉化及应用测试研究[J]. 中国实用护理杂志, 2010, 26(11):66-68. DOI: 10.3760/cma.j.issn.1672-7088.2010.04.056.

[1]	Cheng Ran, Jiang Lin, Liu Chang, Cao Lu, Zhou Disu, Fu Li, Zhang Xuejun, Tian Derun, Shen Yanna. Current situation analysis and model optimization of general category enrollment, general training and major diversion for medical technology specialty [J]. Chinese Journal of Medical Education, 2023, 43(3): 161-164.
[2]	Tu Hua, Xiong Xin, Lu Hao. Practice of and reflection on standardized training for public health doctors in Hubei Province [J]. Chinese Journal of Medical Education, 2023, 43(3): 165-168.
[3]	Yuan Wenqing, Wang Minmin, Chu Hongling, He Xuan, Gu Shixian. The influencing factors and management strategies of early participation in clinical research training for clinical medicine undergraduates [J]. Chinese Journal of Medical Education, 2023, 43(3): 173-176.
[4]	Rong Xiaoying, Xu Mao, Yao Youxiu, Zong Ya'nan, Jia Xixi, Qu yinyin. Application of interactive portrait method in the teaching of anesthesia trainees [J]. Chinese Journal of Medical Education, 2023, 43(3): 182-185.
[5]	Chen Chen, Zhang Daxue , Ren Shuqun, Yang Shiwei. Application of video feedback teaching method in surgical dressing changing skills training for medical students [J]. Chinese Journal of Medical Education, 2023, 43(3): 186-189.
[6]	Su Jiehua, Liu Jiali, Huang Jing, Xu Linyu, Zhang Duanqiang. Establishment and evaluation of simplified ABO-OGS oriented teaching for orthodontic brackets bonding [J]. Chinese Journal of Medical Education, 2023, 43(3): 190-194.
[7]	Wang Qiuning, Liu Xiaojian, Yang Jingming. The exploration and application of presentation-assimilation-discussion combined with case-based learning in pharmacology theory teaching [J]. Chinese Journal of Medical Education, 2023, 43(3): 195-198.
[8]	Ma Xingbin, Shi Ning, Li Yanmin, Yu Fei, Wang Wei, Hu Yingbin, Gao Tao, Hu Baoguang, Niu Qiong, Liu Chengxia. Application of the integrated teaching model of theory and practice based on outcome-based education principles in clerkship teaching of digestive system [J]. Chinese Journal of Medical Education, 2023, 43(3): 199-202.
[9]	Wang Jieying, Li Xueling, Chen Shuiyun, Quan Dai, Cao Ying, Wang Xuemei, Ma Yonghong, Men Ke. The impact of virtual simulation experiment teaching on learning effect in medical students [J]. Chinese Journal of Medical Education, 2023, 43(3): 203-207.
[10]	Liu Jiashuai, Qi Xin, Wang Ying, Yan Hui, Li Haichao. The impact of international certification of medical education on resident competency-based training after graduation [J]. Chinese Journal of Medical Education, 2023, 43(3): 208-212.
[11]	Qu Jinghao, Li Yuanda, Huang Rong, Qiao Yuling, Guo Liping, Peng Rongmei. Job satisfaction and job burnout of ophthalmology resident training students [J]. Chinese Journal of Medical Education, 2023, 43(3): 213-217.
[12]	Ding Min, Sun Xiaoliang, Luo Xi, Kang Baoli, Zhu Yaqin, Cao Ying, Xu Zengguang, Chen Chi, Xu Wei. The application of the smart management system for educational tutors in residency standardized training [J]. Chinese Journal of Medical Education, 2023, 43(3): 218-221.
[13]	Wang Ying, Shi Huifeng, Wang Yipei, Gu Shixian, Cheng Huaqin, Wei Yuan, Zhao Yangyu. An investigation about medical students' cognition and demand for telemedicine [J]. Chinese Journal of Medical Education, 2023, 43(2): 86-90.
[14]	Jing Yiwen, Han Ye. Teaching methodology and reflection on curriculum-based political and virtuous awareness embodied in English teaching in a military medical university [J]. Chinese Journal of Medical Education, 2023, 43(2): 100-104.
[15]	Wang Yuan, Li Tao, Huang Qiyuan, Zhu Yonghui, Sun Xi, Xu Xuehu. Perception of clinical practice teachers of curriculum-based political and virtuous awareness in affiliated hospitals of one medical university [J]. Chinese Journal of Medical Education, 2023, 43(2): 105-108.