Medical students’ attitudes towards participating in a palliative medicine course: A new specialty in Israel

Bar-Sela, Gil; Mitnik, Inbal; Zalman, Daniela; Flechter, Ezequiel; Sheinman-Yuffe, Hedva; Vulfsons, Simon; Postovsky, Sergey; Smolin, Bella; Nave, Rachel; Azzam, Zaher S.

doi:10.1017/s1478951517000943

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…A clear change regarding PC education can be observed. The increasing acceptance of PC education is reflected in the students’ feedback (Bar-Sela et al, 2017). In general, there is a new generation of students who are more open to PC philosophy and reflection.…”

Section: Discussionmentioning

confidence: 99%

“The education is a mirror of where palliative care stands in Israel today”: An exploration of palliative care undergraduate education at medical schools in Israel

et al. 2021

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Objective Israel serves as a case study for understanding the importance of undergraduate palliative care (PC) education in implementing, developing, and enabling access to palliative care services. This article presents the findings collected from the five medical schools. Method This qualitative study supported by a survey explores and describes the state of undergraduate PC education at medical schools in Israel. The survey included questions on voluntary and mandatory courses, allocation of different course models, teaching methods, time frame, content, institutions involved, and examinations. Semi-structured interviews with teaching faculty were conducted at the same locations. Results Eleven expert interviews and five surveys demonstrate that PC is taught as a mandatory subject at only two out of the five Israeli universities. To enhance PC in Israel, it needs to become a mandatory subject for all undergraduate medical students. To teach communication, cultural safety, and other basic competencies, new interactive teaching forms need to be developed and adapted. In this regard, nationwide cooperation is proposed. An exchange between medical schools and university clinics is seen as beneficial. The new generation of students is open to PC philosophy and multidimensional care provision but resources to support their growth as professionals and people remain limited. Significance of results This study underlines the importance of teaching in PC at medical schools. Undergraduate education is a central measure of PC status and should be used as such worldwide. The improvement of the teaching situation would automatically lead to a better practical implementation for the benefit of people. Medical schools should cooperate, as the formation of expertise exchange across medical schools would automatically lead to better PC education.

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Section: Discussionmentioning

confidence: 99%

“The education is a mirror of where palliative care stands in Israel today”: An exploration of palliative care undergraduate education at medical schools in Israel

et al. 2021

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“…Studies from different countries have reported that medical students from United States (12), Brazil (13), Germany (14) and Turkey (15) have gaps in education and PC training (16,17) and reported uncertain providing it (18).…”

Section: Discussionmentioning

confidence: 99%

Knowledge in Pain and Palliative Care in Medical Students From 2 Universities in Mozambique: A Cross Sectional Study

Pinto¹,

Schwalbach²,

Gonçalves³

et al. 2020

Preprint

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Background: Palliative Care (PC) needs have been increasing in low- and middle-income countries. The education of its contents avoids the patients and families´ suffering and therapeutic futility. Aim: to assess the pain and palliative care´s knowledge in Mozambican medical students of the fifth and sixth years. Methods: A cross–sectional study was conducted between August 2018 and July 2019. Data was collected by applying a self-administered survey directed to students from 2 medical schools in Mozambique. Comparison of answer’s frequencies between hospitals was performed using chi-square and Fisher’s exact test. Results: From the 146 participants, 52.7% were female and the median age was 24 years old. Regarding general knowledge: 90.1% think they need to improve their knowledge on pain management, 50.3% of the participants did not know the palliative care World Health Organization´s (WHO) definition. Concerning to therapeutic approach, 36.4% did not have knowledge in control of symptoms, 43.7% did not know the WHO pain management scale, 65.3% did not know how to initiate analgesia for cancer pain. There are significant differences between universities in training related to medical posture on communication to bad news to patients and family as well as training in terminally ill patients. Conclusion: Results show that students from these 2 medical schools have gaps in pain and palliative care knowledge. There is a need to introduce palliative care education in medical training in Mozambique.

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“…According to this law, patients are defined as terminally ill if they are suffering from an incurable disease and have a life expectancy of up to 6 months. Although attention to palliative care in general, and advance care planning in particular, has developed over recent years in Israel (20)(21)(22), >1% of the adult population has formally completed advance directives or signed a durable power of attorney (23).…”

Section: Advance Care Planning In Israelmentioning

confidence: 99%

Exploring the Motivations for Completing Advance Care Directives: A Qualitative Study of Majority/Minority Israeli People Without Dementia

2022

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BackgroundCompleting advance directives has been declared an essential instrument for preserving and respecting the autonomy and preferences for end-of-life care of people living with dementia. However, research deciphering the reasoning behind the decision to complete or not advance directives in the case of dementia remains limited, especially among people pertaining to different majority/minority groups.ObjectivesTo explore the motivations of people without dementia in Israel to complete or not to complete advance directives and to compare these motivations among the majority veteran Jewish group, the minority Jewish Former Soviet Union immigrant group, and the minority Arab group.MethodsThis qualitative study used purposive sampling and focus groups with discussions elicited by a vignette. A total of 42 Israeli people without dementia participated in 6 focus groups: two with veteran Jews (n = 14), two with Jewish immigrants from the Former Soviet Union (n = 14), and two with Arabs (n = 14). The analysis followed recommended steps for thematic content analysis.ResultsFour overarching themes were identified: (1) the meaning of dementia-related advance directives, (2) motivations for willingness to complete advance directives, (3) motivations for not being willing to complete advance directives, and (4) ethical dilemmas. Some of the themes were common to all groups, while others were informed by the groups' unique characteristics. Participants displayed a lack of knowledge and misunderstanding about advance directives, and central concepts such as autonomy and competence. Furthermore, stigmatic images of dementia and of the person with the diagnosis were associated to participants' motivations to complete advance directives.ConclusionsThere is need to expand comparative research among culturally and socially similar and dissimilar groups within a country as well as between countries in order to better guide public health efforts to increase the rates of advance directives completion. Special attention should be paid to decreasing stigmatic beliefs and understanding unique cultural values and motivations.

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Medical students’ attitudes towards participating in a palliative medicine course: A new specialty in Israel

Cited by 4 publications

References 19 publications

“The education is a mirror of where palliative care stands in Israel today”: An exploration of palliative care undergraduate education at medical schools in Israel

“The education is a mirror of where palliative care stands in Israel today”: An exploration of palliative care undergraduate education at medical schools in Israel

Knowledge in Pain and Palliative Care in Medical Students From 2 Universities in Mozambique: A Cross Sectional Study

Exploring the Motivations for Completing Advance Care Directives: A Qualitative Study of Majority/Minority Israeli People Without Dementia

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