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Hospice and palliative medicine is a formal subspecialty of medicine in the United States that focuses on symptom management, relief of suffering and end-of-life care. In 2006, ''hospice and palliative medicine'' was officially recognized by the American Board of Medical Specialties, and is ''co-sponsored'' by〔American Board of Medical Specialties, ABMS Establishes New Subspecialty Certificate in Hospice and Palliative Medicine (), October 6, 2006, accessed 11/9/2010.〕 * the American Boards of Internal Medicine * Anesthesiology * Family Medicine * Physical Medicine and Rehabilitation * Psychiatry and Neurology * Surgery * Pediatrics * Emergency Medicine * Radiology * Obstetrics and Gynecology. Physicians who complete a residency in one of the ''co-sponsoring'' specialties are then eligible for further training in an ACGME-approved Hospice and Palliative Medicine fellowship program, after which they must pass the official examination to be board-certified in the subspecialty. In 2007, the American Osteopathic Association Bureau of Osteopathic Specialists approved a Certificate of Added Qualifications (CAQ) in ''hospice and palliative medicine''. By 2012 participants are the American Osteopathic Boards of * Internal Medicine * Family Medicine * Neurology and Psychiatry * Physical Medicine and Rehabilitation. Candidates are eligible for CAQ certification after achieving board-certification following an American Osteopathic Association-approved residency. ==Scope of the Subspecialty== Physicians in this subspecialty have advanced knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting, life-threatening and terminal illnesses. This specialist has expertise in the assessment of patients with advanced disease and catastrophic injury, the relief of distressing symptoms, the coordination of interdisciplinary patient and family-centered care in diverse settings, the use of specialized care systems including hospice, the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.〔American Board of Medical Specialties, ABMS Guide to Physician Specialties (), 2011, p. 2, accessed 11/9/2010.〕 They work with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patients and family members throughout the course of the disease, including through the dying process and subsequent bereavement. This care can occur within or outside of a formal hospice or palliative care team. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Hospice and palliative medicine」の詳細全文を読む スポンサード リンク
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