Implementation of a training program aimed at oncology resident physicians to assist in the management of oncologic pain at a referral hospital
DOI:
https://doi.org/10.59255/mmed.2023.85Keywords:
cancer pain, distance education, medical education, oncology, pain management, program developmentAbstract
Introduction: Cancer pain is the most prevalent symptom reported by patients. However, pain management can be a failure in medical training Aim: To develop and implement a training program to improve pain management strategies for oncology residents. Material and Methods: Before and after-intervention study involving 18 residents from different oncology specialties. In the first phase, the “EducaDor” program was developed, offering information on pain assessment, doses and opioid rotation. Evaluation instruments, including a sociodemographic questionnaire and another with 45 questions on pain management and previous training, were developed. In the second phase, the residents took part in the “EducaDor” program, 30 days after the initial questionnaires, through distance learning on the Moodle platform. The third phase evaluated the effectiveness of the program. Results: The program was developed and is currently available for use at HCB. In stage 2, an improvement in residents’ knowledge was identified after the program and contact with the questionnaires, with the following being statistically significant: “Breakthrough pain does not have an identifiable cause or precipitating event. Relatively rapid onset and short duration” (p = 0.003), “Addiction to morphine or other opioids is rarely observed in patients” (p = 0.016), “The use of underdoses of morphine is the main reason for persistent pain” (p = 0.008), “Morphine-induced mild drowsiness is only a temporary problem and will disappear with continued use of morphine” (p =0.002), “In chronic pain, morphine should be administered on a regular schedule every four hours” (p = 0.016). Conclusion: Residents positively evaluated the program and suggested its incorporation into medical residency. Future randomized studies are recommended to evaluate the impact of the program and the residents’ practical experience over time.
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