Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools.

BMJ Open
Guilherme GryschekMarco Antonio de Carvalho-Filho

Abstract

Including palliative care (PC) in overloaded medical curricula is a challenge, especially where there is a lack of PC specialists. We hypothesised that non-specialised rotations could provide meaningful PC learning when there are enough clinical experiences, with adequate feedback. Observe the effects of including PC topics in non-specialised placements for undergraduate medical students in two different medical schools. Observational prospective study. Medical schools in Brazil. 134 sixth-year medical students of two medical schools. This was a longitudinal study that observed the development of Self-efficacy in Palliative Care (SEPC) and Thanatophobia (TS) in sixth-year medical students in different non-specialised clinical rotations in two Brazilian medical schools (MS1 and MS2). We enrolled 78 students in MS1 during the Emergency and Critical Care rotation and 56 students in MS2 during the rotation in Anaesthesiology. Both schools provide PC discussions with different learning environment and approaches. SEPC and TS Scales were used to assess students at the beginning and the end of the rotations. In both schools' students had an increase in SEPC and a decrease in TS scores. Non-specialised rotations that consider PC compet...Continue Reading

References

Jan 21, 1995·BMJ : British Medical Journal·J M Bland, D G Altman
Feb 4, 2010·Palliative Medicine·Stephen R Mason, John E Ellershaw
Feb 1, 2012·Medical Teacher·Sarah YardleyTim Dornan
Jan 15, 2013·Perspectives on Medical Education·Anthony R Artino
Mar 19, 2013·BMC Medical Education·Rebecca WhyteStephen Barclay
Feb 22, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Marcelo SchwellerMarco Antonio de Carvalho-Filho
Jul 30, 2016·The American Journal of Hospice & Palliative Care·Danielle FitzpatrickHelena Ward
Jul 12, 2017·Palliative & Supportive Care·Cecilia Vindrola-PadrosXavier Gómez-Batiste
Feb 28, 2018·Perspectives on Medical Education·Robert M Klassen, Joel R L Klassen
Feb 15, 2019·Medical Teacher·Kelly J CaverzagieJena M Hall

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