Dying, Death, and Medical Education: Student Voices

Williams, Cynthia M.; Wilson, Cindy C.; Olsen, Cara

doi:10.1089/jpm.2005.8.372

Cited by 98 publications

(101 citation statements)

References 28 publications

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“…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

“…Lors de son cursus d'externe et lors de ses précé-dents stages, l'étudiant a été confronté aux patients souffrants, au mourir et à la mort [8,[11][12][13][14] . Face à la personne malade, il a acquis des modalités de fonctionnement, des manières d'établir une relation en conformité avec sa personnalité, son identité professionnelle, les habitudes des services.…”

Section: Une Déstabilisation Personnelle Et Professionnelleunclassified

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

et al. 2013

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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

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Section: Discussionunclassified

Section: Une Déstabilisation Personnelle Et Professionnelleunclassified

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

et al. 2013

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“…Spirituality has been defined as "the aspect of humanity 4 that refers to the way individuals seek and express meaning and purpose and the way they 5 experience their connectedness to the moment, to self, to others, to nature, and to the In current hospital practice, physicians and chaplains generally have limited understanding of 11 each other's expertise, and collaborate infrequently in patient care. Although others have 12 published interprofessional curricula pairing chaplains with nurses and social workers (Forrest & 13 Derrick, 2010; Otis-Green et al, 2009), and some curricula report involvement of chaplains in 14 medical student teaching (Talley & Magie, 2014), very little literature exists on interprofessional 15 education that pairs chaplain and physician learners (King & Crisp, 2005).…”

Section: Introductionmentioning

confidence: 99%

“…To better understand the benefits and challenges of learning together, the 3 authors conducted several focus groups with participants in an interprofessional curriculum 4 that partnered internal medicine residents with chaplain interns in the clinical setting. The 5 authors derived four major qualitative themes from the transcripts: 1.…”

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Chaplains on the Medical Team: A Qualitative Analysis of an Interprofessional Curriculum for Internal Medicine Residents and Chaplain Interns

et al. 2015

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Abstract:Improved collaboration between physicians and chaplains has the potential to improve patient experience. To better understand the benefits and challenges of learning together, the authors conducted several focus groups with participants in an interprofessional curriculum that partnered internal medicine residents with chaplain interns in the clinical setting. The authors derived four major qualitative themes from the transcripts: 1. Physician learners became aware of effective communication skills for addressing spirituality. 2. Chaplain interns enhanced the delivery of team-based patient-centered care. 3. Chaplains were seen as a source of emotional support to the medical team. 4. The partnership has three keys to success: adequate introductions for team members, clear expectations for participants, and opportunities for feedback. The themes presented indicate several benefits of pairing physicians and chaplains in the setting of direct patient care and suggest that this is an effective approach to incorporating spirituality in medical training. We thank the reviewer for the suggestion in better presenting our findings. Accordingly, we have removed Table 3 from the manuscript, and have instead added a section with an introduction to each component of Theme 4 and representative quotes. To better organized findings for the readers, we have added bold headings for each theme, and underlined headings for the sub-themes in Theme 4. We have also corrected several small errors in the text, and improved the wording of some of the text. Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporation Thank you for this very important work. Hopefully, this will model for other MD's how to address spiritual needs of patients. Interestingly, the curriculum was of benefit to the healthcare provider as well. I see lots of benefits for patient outcomes from this work.We appreciate the positive regard of this reviewer, and certainly hope that our work will inspire other innovations in the fields of health care education.In conclusion, we greatly appreciated the opportunity to revise our manuscript. We believe it has been improved by the review process and will make a significant contribution to the fields of medicine and pastoral care. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64

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Medical Students and Dying Patients

Tan

2013

AMA Journal of Ethics

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ETHICS CASE Medical Students and Dying PatientsCommentary by Audrey Tan, DO Kelsey is a first-year medical student in her second semester. One of her classes focuses on bedside manner. The purpose of the course is to give students time to speak with patients and understand their perspectives-their knowledge, hopes, and fears. Kelsey and a few of her classmates are assigned to a hospice, where each spends time talking in a nonmedical capacity with a patient.

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Dying, Death, and Medical Education: Student Voices

Cited by 98 publications

References 28 publications

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

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

Chaplains on the Medical Team: A Qualitative Analysis of an Interprofessional Curriculum for Internal Medicine Residents and Chaplain Interns

Medical Students and Dying Patients

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