Junior doctors' views of how their undergraduate clinical electives in palliative care influenced their current practice of medicine

Academic Medicine

Volumn 90, Issue 3, 2015, Pages 338-344

  Crawford, Gregory B ^a,b   Zambrano, Sofia C ^a  

^a UNIVERSITY OF ADELAIDE   (Australia)

^b Central Adelaide Local Health Network   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL COMPETENCE; CURRICULUM; DECISION MAKING; HEALTH PERSONNEL ATTITUDE; HUMAN; MEDICAL EDUCATION; MEDICAL STAFF; ORGANIZATION AND MANAGEMENT; PALLIATIVE THERAPY; PSYCHOLOGY; SELF CONCEPT;

ATTITUDE OF HEALTH PERSONNEL; CAREER CHOICE; CLINICAL COMPETENCE; CURRICULUM; EDUCATION, MEDICAL, UNDERGRADUATE; HUMANS; MEDICAL STAFF, HOSPITAL; PALLIATIVE CARE; SELF CONCEPT;

EID: 84924030190     PISSN: 10402446     EISSN: 1938808X     Source Type: Journal    
DOI: 10.1097/ACM.0000000000000632     Document Type: Article

References (38)

1. Hall MJ, Levant S, DeFrances CJ. Trends in inpatient hospital deaths: National hospital discharge survey, 2000-2010. Hyattsville, Md: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2013. http://www.cdc.gov/nchs/data/databriefs/db118.htm. Accessed November 5, 2014
2. Australian Institute of Health and Welfare. Australia's Health 2012. Canberra, Australia: Australian Institute of Health and Welfare; 2012
3. Broad JB, Gott M, Kim H, Boyd M, Chen H, Connolly MJ. Where do people die?. An international comparison of the percentage of deaths occurring in hospital and residential aged care settings in 45 populations, using published and available statistics. Int J Public Health. 2013;58:257-267
4. Sanchez-Reilly S, Ross JS. Hospice and palliative medicine: Curriculum evaluation and learner assessment in medical education. J Palliat Med. 2012;15:116-122
5. Field D. Education for palliative care: Formal education about death, dying and bereavement in UK medical schools in 1983 and 1994. Med Educ. 1995;29:414-419
6. Porter-Williamson K, von Gunten CF, Garman K, Herbst L, Bluestein HG, Evans W. Improving knowledge in palliative medicine with a required hospice rotation for third-year medical students. Acad Med. 2004;79:777-782
7. Ross DD, Shpritz D, Hull MM, Goloubeva O. Long-term evaluation of required coursework in palliative and end-of-life care for medical students. J Palliat Med. 2005;8:962-974
8. Maxwell TL, Passow ES, Plumb J, Sifri RD. Experience with hospice: Reflections from third-year medical students. J Palliat Med. 2002;5:721-727
9. Ferrini R, Klein JL. The effect of a community hospice rotation on self-reported knowledge, attitudes and skills of third-year medical students. Med Educ Online. 2009;5:1-10
10. von Gunten CF, Mullan P, Nelesen RA, et al. Development and evaluation of a palliative medicine curriculum for third-year medical students. J Palliat Med. 2012;15:1198-1217
11. Goldberg GR, Gliatto P, Karani R. Effect of a 1-week clinical rotation in palliative medicine on medical school graduates' knowledge of and preparedness in caring for seriously ill patients. J Am Geriatr Soc. 2011;59:1724-1729
12. Jacoby LH, Beehler CJ, Balint JA. The impact of a clinical rotation in hospice: Medical students' perspectives. J Palliat Med. 2011;14:59-64
13. Head BA, Earnshaw LA, Greenberg RB, Morehead RC, Pfeifer MP, Shaw MA. "I will never forget": What we learned from medical student reflections on a palliative care experience. J Palliat Med. 2012;15:535-541
14. Bowden J, Dempsey K, Boyd K, Fallon M, Murray SA. Are newly qualified doctors prepared to provide supportive and endof- life care?. A survey of Foundation Year 1 doctors and consultants. J R Coll Physicians Edinb. 2013;43:24-28
15. Gibbins J, McCoubrie R, Forbes K. Why are newly qualified doctors unprepared to care for patients at the end of life?. Med Educ. 2011;45:389-399
16. Morrison C, Forbes K. Junior doctors' learning and development in foundation year 1 posts in palliative medicine. Palliat Med. 2012;26:851-857
17. Horowitz R, Gramling R, Quill T. Palliative care education in U.S. medical schools. Med Educ. 2014;48:59-66
18. Gamondi G, Larkin P, Payne S. Core competencies in palliative care: An EAPC white paper on palliative care education- part 1. Eur J Palliat Care. 2013;20:86-91
19. Ferris FD, Von Gunten CF, Emanuel LL. Ensuring competency in end-of-life care: Controlling symptoms. BMC Palliat Care. 2002;1:5
20. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psych. 2006;3:77-101
21. Clarke V, Braun V. Successful Qualitative Research: A Practical Guide for Beginners. London, UK: Sage; 2013
22. Patton MQ. Qualitative Evaluation and Research Methods. Beverly Hills, Calif: Sage; 1990
23. Patton MQ. Qualitative Research and Evaluation Methods. 2nd ed. Thousand Oaks, Calif: Sage; 2001
24. Carlson JA. Avoiding traps in member checking. Qual Rep. 2010;15:1102-1113
25. Brennan N, Corrigan O, Allard J, et al. The transition from medical student to junior doctor: Today's experiences of tomorrow's doctors. Med Educ. 2010;44:449-458
26. Jarvis-Selinger S, Pratt DD, Regehr G. Competency is not enough: Integrating identity formation into the medical education discourse. Acad Med. 2012;87:1185-1190
27. Hafferty FW. Beyond curriculum reform: Confronting medicine's hidden curriculum. Acad Med. 1998;73:403-407
28. Rhodes-Kropf J, Carmody SS, Seltzer D, et al. "This is just too awful; I just can't believe I experienced that": Medical students' reactions to their "most memorable" patient death. Acad Med. 2005;80:634-640
29. Billings ME, Engelberg R, Curtis JR, Block S, Sullivan AM. 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 Palliat Med. 2010;13:319-326
30. Cribb A, Bignold S. Towards the reflexive medical school: The hidden curriculum and medical education research. Stud High Educ. 1999;24:195-209
31. Sullivan AM, Lakoma MD, Block SD. The status of medical education in end-of-life care. J Gen Intern Med. 2003;18:685-695
32. MacLeod RD, Parkin C, Pullon S, Robertson G. Early clinical exposure to people who are dying: Learning to care at the end of life. Med Educ. 2003;37:51-58
33. Alexander SC, Keitz SA, Sloane R, Tulsky JA. A controlled trial of a short course to improve residents' communication with patients at the end of life. Acad Med. 2006;81:1008-1012
34. Walsh K. Curriculum integration will help newly qualified doctors provide better supportive and end-of-life care. J R Coll Physicians Edinb. 2013;43:187
35. Symonds IM, Talley NJ. Can professionalism be taught?. Med J Aust. 2013;199:380-381
36. Hurst C, Kahan D, Ruetalo M, Edwards S. A year in transition: A qualitative study examining the trajectory of first year residents' well-being. BMC Med Educ. 2013;13:96
37. Williams CM, Wilson CC, Olsen CH. Dying, death, and medical education: Student voices. J Palliat Med. 2005;8:372-381
38. Zambrano SC, Chur-Hansen A, Crawford GB. On the emotional connection of medical specialists dealing with death and dying: A qualitative study of oncologists, surgeons, intensive care specialists and palliative medicine specialists. BMJ Support Palliat Care. 2012;2:270-275