Assessing Medical Studentsʼ Training in End-of-life Communication

Ury, Wayne A.; Berkman, Cathy S.; Weber, Catherine; Pignotti, Monica; Leipzig, Rosanne M.

doi:10.1097/00001888-200305000-00019

Cited by 88 publications

(55 citation statements)

References 27 publications

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“…25 Reflecting this lack of training, medical students and residents feel unprepared to take care of dying patients. 26 In one survey, hospitalists reported that although palliative care was very important to their practice, they had not received enough training in palliative care knowledge and skills. 27 …”

Section: Fear Of Taking Away Hopementioning

confidence: 99%

Discussing resuscitation preferences with patients: Challenges and rewards

Chittenden

Clark

Pantilat

2006

Journal of Hospital Medicine

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This paper was submitted on behalf of the Palliative Care Task Force.Discussing preferences regarding resuscitation is a challenging and important task for any physician. Understanding patients' wishes at the end of life allows physicians to provide the type of care patients want, to avoid unwanted interventions, and to promote patient autonomy and dignity. Hospitalists face an even greater challenge because they are often meeting a patient for the first time in a crisis situation. Despite the frequency with which clinicians have these conversations, they typically fall short when discussing code status with patients. In this evidencebased review, we discuss physician barriers to conducting effective discussions, offer a variety of approaches to enhancing these conversations, and review important communication techniques.

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Section: Fear Of Taking Away Hopementioning

confidence: 99%

Discussing resuscitation preferences with patients: Challenges and rewards

Chittenden

Clark

Pantilat

2006

Journal of Hospital Medicine

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“…8,9 However, most medical students have inadequate palliative care knowledge 3 and do not receive appropriate end-of-life education. 10,11 To date, only half of Taiwan's medical schools have compulsory palliative medicine training in their undergraduate program. 12 Unlike Taiwan, end-of-life medical education has sharply increased in Western countries.…”

Section: Introductionmentioning

confidence: 99%

What Factors Are Important in Increasing Junior Doctors' Willingness To Provide Palliative Care in Taiwan? An Educational Intervention Study

Shih

Chiu

Lee

et al. 2010

Journal of Palliative Medicine

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“…Even if it is something you've never experienced, you can open up your mind and heart to what other people are going through" (Gravett, 2011). Comics' potential to facilitate empathy and understanding may be particularly relevant for teaching about ethics and end-of-life (EOL) care, as recent studies have shown that medical students and interns are not adequately prepared to address EOL issues with patients (Buss et al, 1998; Ury et al, 2003;Siu et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Medical and physician assistant students’ views on integrating comics into medical education

Elghafri¹,

Stewart²,

Sampath³

et al. 2017

MedEdPublish

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Purpose: This study explored comics as a tool for teaching medical and physician assistant (PA) students about end-of-life decisions and advance care planning.Methods: Using a mixed method convergent design, a survey (consisting of a five-point Likert scale and open-ended questions) was administered to second-year medical and first-year PA students enrolled in an Ethics and Professionalism class at a US medical school. The survey assessed students' perspectives on the addition of a comic "Betty P." to assigned readings and about the use of comics in the classroom. Quantitative results were compared by demographics, and open-ended responses were analyzed qualitatively for emergent themes. Quantitative and qualitative findings were compared for correspondence.Results: Of the 145 students who completed the survey (83%), 141 students (81%) had read the comic. The vast majority (89%) felt that "Betty P." helped them understand end of life care for patients, and 84% felt that the comic did not distract them from the seriousness of the subject. Qualitative analysis revealed 2 major themes: 1) comics were educational, and 2) comics engaged learners emotionally. We observed convergence between quantitative and qualitative results. Conclusion:Integrating comics as a supplemental teaching tool is an innovative way to engage medical students.

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Assessing Medical Studentsʼ Training in End-of-life Communication

Cited by 88 publications

References 27 publications

Discussing resuscitation preferences with patients: Challenges and rewards

Discussing resuscitation preferences with patients: Challenges and rewards

What Factors Are Important in Increasing Junior Doctors' Willingness To Provide Palliative Care in Taiwan? An Educational Intervention Study

Medical and physician assistant students’ views on integrating comics into medical education

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