Current pain education within undergraduate medical studies across Europe : Advancing the Provision of Pain Education and Learning (APPEAL) study
Briggs, Emma V (King's College London)
Battelli, Daniele (University of Modena e Reggio Emilia, Modena, Italy)
Gordon, David (University of Copenhagen, Denmark)
Kopf, Andreas (Charité Medical University, Berlin, Germany)
Ribeiro, Sofia (Medical Resident in Public Health, Algueirão Mem-Martins, Portugal)
Puig, Margarita Maria (Universitat Autònoma de Barcelona)
Kress, Hans G. (Medical University/AKH Vienna, Austria)

Data:	2015
Resum:	Unrelieved pain is a substantial public health concern necessitating improvements in medical education. The Advancing the Provision of Pain Education and Learning (APPEAL) study aimed to determine current levels and methods of undergraduate pain medicine education in Europe. Using a cross-sectional design, publicly available curriculum information was sought from all medical schools in 15 representative European countries in 2012-2013. Descriptive analyses were performed on: the provision of pain teaching in dedicated pain modules, other modules or within the broader curriculum; whether pain teaching was compulsory or elective; the number of hours/credits spent teaching pain; pain topics; and teaching and assessment methods. Curriculum elements were publicly available from 242 of 249 identified schools (97%). In 55% (133/242) of schools, pain was taught only within compulsory non-pain-specific modules. The next most common approaches were for pain teaching to be provided wholly or in part via a dedicated pain module (74/242; 31%) or via a vertical or integrated approach to teaching through the broader curriculum, rather than within any specific module (17/242; 7%). The curricula of 17/242 schools (7%) showed no evidence of any pain teaching. Dedicated pain modules were most common in France (27/31 schools; 87%). Excluding France, only 22% (47/211 schools) provided a dedicated pain module and in only 9% (18/211) was this compulsory. Overall, the median number of hours spent teaching pain was 12. 0 (range 4-56. 0 h; IQR: 12. 0) for compulsory dedicated pain modules and 9. 0 (range 1. 0-60. 0 h; IQR: 10. 5) for other compulsory (non-pain specific) modules. Pain medicine was principally taught in classrooms and assessed by conventional examinations. There was substantial international variation throughout. Documented pain teaching in many European medical schools falls far short of what might be expected given the prevalence and public health burden of pain.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	BMJ open, Vol. 5, Num. 8 (august 2015) , ISSN 2044-6055

DOI: 10.1136/bmjopen-2014-006984
PMID: 26260345

10 p, 1.2 MB

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