Challenges faced by pediatric oncology fellows when patients die during their training

Journal of Oncology Practice
Leeat GranekKatrin Scheinemann

Abstract

Given the paucity of research on the experience of pediatric oncology fellows regarding patient death, the purpose of this study was to explore the specific challenges that pediatric oncology fellows face when patients die during their training. Six pediatric oncology fellows at two academic cancer centers in Ontario, Canada, were interviewed about their experiences with patient death during their fellowship training. The grounded theory method of data collection and data analysis was used. Line-by-line coding was used to establish themes, and constant comparison was used to establish relationships among emerging codes and themes. Fellows reported structural challenges that included ward duty and lack of follow-up opportunities with bereaved families. Personal challenges included feelings of vulnerability as a result of being a trainee, inexperience with patient death, and feeling alone with one's reactions to patient death. Relational challenges included duration of relationships with families and with supervising staff and perceived lack of modeling on how to cope with patient deaths. Structural changes to the fellowship model can be made in order to enhance support with patient death, including informing fellows of all patie...Continue Reading

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Feb 13, 2016·Journal of Psychosocial Oncology·Leeat GranekUte Bartels
Aug 5, 2015·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Erica C Kaye
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Jun 30, 2016·Journal of Developmental and Behavioral Pediatrics : JDBP·Asta Medisauskaite, Caroline Kamau
Oct 22, 2018·Academic Pediatrics·Amanda D OstaSusan B Bostwick

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