Senior Medical Students' Perceptions of the Adequacy of Education on End-of-Life Issues

Fraser, Heather C.; Kutner, Jean S.; Pfeifer, Mark

doi:10.1089/109662101753123959

Cited by 107 publications

(86 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recent observations that many newly qualified doctors feel unprepared to care for dying patients 5,6,17 encourage further research in this domain.…”

Section: Introductionmentioning

confidence: 99%

Attitudes of Medical Students Toward the Care of the Dying in Relation to Personality Traits

Leombruni

Miniotti

Zizzi

et al. 2014

Am J Hosp Palliat Care

View full text Add to dashboard Cite

Caring for dying patients requires specific attitudes. Medical students often feel unprepared to cope with issues related to end-of-life care. Little is known about the relationships between personality and attitudes toward the dying; consequently, it is difficult for medical educators to devise training that is best suited to prepare students for practicing palliative medicine. The study aimed to investigate the role of personality in predicting students' attitudes toward the care of the dying. The study findings suggest a significant link between more selfdirected and less harm-avoidant personality profiles and more developed attitudes toward the dying. Personality assessment in medical curricula is important, not merely to help teachers plan tailored training but also to foster in future doctors the propensity to develop a patient-centered practice.

show abstract

“…Recent observations that many newly qualified doctors feel unprepared to care for dying patients 5,6,17 encourage further research in this domain.…”

Section: Introductionmentioning

confidence: 99%

Attitudes of Medical Students Toward the Care of the Dying in Relation to Personality Traits

Leombruni

Miniotti

Zizzi

et al. 2014

Am J Hosp Palliat Care

View full text Add to dashboard Cite

show abstract

“…[31][32][33] However, at the end of medical school most state that their end-of-life care education has been inadequate and as a result feel unprepared to care for dying patients. [32][33][34][35][36] Medical schools vary dramatically in the amount and type of end-of-life care instruction students receive. [13][14][15][16][17][18][19][20][21][22][23]31 In particular, there is significant variation in students' clinical exposure to death and dying patients.…”

mentioning

confidence: 99%

“…National Consensus Recommendations underscore the importance of students being exposed to dying patients, 10 and survey studies indicate that students who have clinical end-of-life care experience feel more prepared to discuss end-of-life issues and treat common symptoms. 33,34 However, required end-of-life care instruction at most medical schools is limited to didactic sessions in the preclerkship years; clinical experiences are often elective. 14,31,35 As a result, many students leave medical school without exposure to death or dying patients.…”

mentioning

confidence: 99%

Exposure to Death is Associated with Positive Attitudes and Higher Knowledge About End-of-Life Care in Graduating Medical Students

Anderson

Williams

Bost

et al. 2008

Journal of Palliative Medicine

110

View full text Add to dashboard Cite

Objective: To examine the relationship between exposure to death and attitudes and knowledge about end-oflife care in graduating medical students. Participants and methods: Survey of students graduating from the University of Pittsburgh School of Medicine between 2001 and 2006. Students reported their personal experience with death and their exposure to death and dying patients during medical school. They rated their agreement, on a 4-point Likert scale, with 8 attitude items that were previously used in a national survey. Knowledge about end-of-life care was assessed with a 15-item test about pain and symptom management, ethics, treatment appropriateness, and hospice. Results: Three hundred and eighty students completed the survey; the response rate was 47%. Seventy-six percent of students reported personal experience with death, and 73% reported caring for dying patients or witnessing a patient's death during their third-year clerkships. Students had positive attitudes about physicians' responsibility and ability to help dying patients and their families, but reported negative emotional reactions to end-of-life care. Students who reported personal or professional experience with death had more positive attitudes and higher knowledge scores than those who did not, p Ͻ 0.05. Conclusions: Educational initiatives should maximize the time medical students spend caring for dying patients. Teaching students end-of-life care during the course of their clinical clerkships is an effective way to improve attitudes about end-of-life care. Schools should focus on developing emotionally supportive settings in which to teach students about death and dying.

show abstract

“…Certains étudiants tout comme certains internes souffrent de cette orientation réductrice. Ils relatent qu'ils éprouvent un malaise entre leurs aspirations et leur quotidien [11,24,25] . Dans ce contexte, un des enjeux est d'accompagner, si l'étudiant le souhaite, l'instauration d'une meilleure articulation entre une fonction professionnelle et une recherche d'identité personnelle, tout en tenant compte du contexte institutionnel et sociétal.…”

Section: Discussionunclassified

“…Ce terme évoque étymologiquement « ce qui est placé dessous », ce qui fonde et anime la personne humaine dans son rapport à soi, à l'autre et aux autres [24] . C'est la manière singulière adoptée par chacun pour se configurer dans le rapport au monde.…”

Section: La Sollicitation De Sa Subjectivitéunclassified

Axes pédagogiques pour la formation des internes en médecine lors de stage en structures de soins palliatifs

et al. 2013

View full text Add to dashboard Cite

Mots-clésRésumé -Contexte : Dans le cadre des programmes nationaux visant à diffuser les soins palliatifs en France, un des chantiers prioritaires est la formation des internes à cette pratique de soins lorsqu'ils effectuent un stage dans une structure de soins palliatifs. Objectif : Définir des axes pédagogiques qui tiennent compte des spécificités de la clinique en soins palliatifs et du vécu des internes lors de leur stage en structure de soins palliatifs. Méthodes : Des responsables pédagogiques, fédérés au sein du Collège national pour la formation universitaire en soins palliatifs (CNEFUSP), ont coordonné le travail. Un groupe de travail comprenant des cliniciens et un chercheur en sciences de l'éducation ont colligé les programmes pédagogiques existants et recueilli les avis d'internes. Des axes pédagogiques ont été identifiés et discutés au sein du CNEFUSP. Résultats : Au terme de ce travail, trois grands axes pédagogiques sont proposés. Le premier est relatif à l'apprentissage centré sur le développement de compétences (clinique, relationnelle, éthique, coopération) en lien avec des situations cliniques fréquemment rencontrées en phase palliative ou terminale des maladies létales. Le second comprend une ouverture et une attention à la subjectivité de l'étudiant. Le troisième cherche à inscrire les apports du stage dans un parcours professionnel continu, fondé sur la spécialité initiale de l'étu-diant. Perspectives et conclusions : Pour mettre en oeuvre ces trois axes, des points de repères à destination des internes et des référents de stages sont proposés. Une attention particulière est portée à la réflexivité du référent de stage, sur le parcours de l'étudiant mais aussi sur sa propre pratique de formateur. CONCEPTS ET INNOVATIONS

show abstract

Senior Medical Students' Perceptions of the Adequacy of Education on End-of-Life Issues

Abstract: This study demonstrates support for development of formal curriculum on end-of-life issues, and emphasizes the importance of clinical exposure to terminally ill patients to prepare medical students to provide quality end-of-life care.

Cited by 107 publications

References 15 publications

Attitudes of Medical Students Toward the Care of the Dying in Relation to Personality Traits

Attitudes of Medical Students Toward the Care of the Dying in Relation to Personality Traits

Exposure to Death is Associated with Positive Attitudes and Higher Knowledge About End-of-Life Care in Graduating Medical Students

Axes pédagogiques pour la formation des internes en médecine lors de stage en structures de soins palliatifs

Contact Info

Product

Resources

About