Does palliative care education matter to medical students? The experience of attending an undergraduate course in palliative care

被引:42
作者
Centeno, Carlos [1 ,2 ]
Ballesteros, Montse [1 ,3 ]
Miguel Carrasco, Jose [1 ]
Arantzamendi, Maria [1 ,4 ]
机构
[1] Univ Navarra, Inst Culture & Soc, Atlantes Res Program, Campus Univ, Pamplona 31009, Spain
[2] Univ Navarra, Fac Med, Pamplona 31009, Spain
[3] Univ Valladolid, Sch Nursing, Campus Soria, Soria, Spain
[4] Univ Navarra, Fac Nursing, Pamplona 31009, Spain
关键词
OF-LIFE CARE; CURRICULUM; ATTITUDES; KNOWLEDGE;
D O I
10.1136/bmjspcare-2014-000646
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background Palliative care (PC) education has become a priority in many European countries where PC is quickly developing. There remains, however, a lack of information on acceptability and medical students' experiences in PC education. This kind of information is important because it could encourage universities to adapt their curricula appropriately to the demographic and societal necessity. Objective To explore medical students' reactions to an optional PC course using their reflective written comments. Methods 316 medical students at the University of Navarra, over a period of 4 years, wrote evaluative comments regarding their experience and what they perceived as the course's contribution to their education. With these comments, a qualitative thematic analysis was carried out. Results With a response ratio of 90%, five main themes were identified: (1) The course helped medical students to become and act as doctors, (2) The benefits of having a holistic view of the patient and taking the family into account, (3) PC opens up a new a field of knowledge, (4) The course makes students think and reflect on their personal development and encourages them to deepen humanistic aspects of their practice, (5) The practical aspect is essential in PC learning. In addition, significantly, students used vigorous and positive expressions when writing about their experiences. Discussion The subject of PC turns out to be very important to students, who almost unanimously evaluated their experience positively and highlighted the benefits of attending a PC course. Students especially reported being surprised by the humane and holistic features of the course, and they found that what they learned in the course is applicable to all patients and prepares them to work better as doctors. Participants recommend the course for all undergraduate students as a core component of the curricula.
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收藏
页码:128 / 134
页数:7
相关论文
共 27 条
[1]   Cancer education for medical students in developing countries: Where do we stand and how to improve? [J].
Amgad, Mohamed ;
Shash, Emad ;
Gaafar, Rabab .
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY, 2012, 84 (01) :122-129
[2]   Exposure to Death is Associated with Positive Attitudes and Higher Knowledge About End-of-Life Care in Graduating Medical Students [J].
Anderson, Wendy G. ;
Williams, Jillian E. ;
Bost, James E. ;
Barnard, David .
JOURNAL OF PALLIATIVE MEDICINE, 2008, 11 (09) :1227-1233
[3]  
[Anonymous], 1993, TOM DOCT REC UND MED
[4]  
[Anonymous], 2013, RECOMMENDATIONS EURO
[5]   Determinants of Medical Students' Perceived Preparation To Perform End-of-Life Care, Quality of End-of-Life Care Education, and Attitudes Toward End-of-Life Care [J].
Billings, Martha E. ;
Engelberg, Ruth ;
Curtis, J. Randall ;
Block, Susan ;
Sullivan, Amy M. .
JOURNAL OF PALLIATIVE MEDICINE, 2010, 13 (03) :319-326
[6]  
Centeno C, 2013, EAPC ATLAS PALLIATIV, P52
[7]   Instruments used to measure the effectiveness of palliative care education initiatives at the undergraduate level: a critical literature review [J].
Frey, Rosemary Ann ;
Gott, Merryn ;
Neil, Hayley .
BMJ SUPPORTIVE & PALLIATIVE CARE, 2013, 3 (01) :114-119
[8]   "It's Not All Doom and Gloom": Perceptions of Medical Students Talking to Hospice Patients [J].
Gadoud, Amy ;
Adcock, Yousef ;
Jones, Lesley ;
Koon, Sim ;
Johnson, Miriam .
JOURNAL OF PALLIATIVE MEDICINE, 2013, 16 (09) :1125-1129
[9]  
Hanks G., 2010, OXFORD TXB PALLIATIV
[10]   "I Will Never Forget": What We Learned from Medical Student Reflections on a Palliative Care Experience [J].
Head, Barbara A. ;
Earnshaw, Lori A. ;
Greenberg, Ruth B. ;
Morehead, Robert C. ;
Pfeifer, Mark P. ;
Shaw, Monica Ann .
JOURNAL OF PALLIATIVE MEDICINE, 2012, 15 (05) :535-541