Practicing physicians' assessments of the impact of their medical-school clinical hospice experience.

Autor:	Seligman PA; Department of Medicine of the University of Colorado School of Medicine, Lakewood, USA. Paul.Seligman@UCHSC.edu, Massey E, Fink RS, Nelson-Marten P, von Lobkowitz P
Jazyk:	angličtina
Zdroj:	Journal of cancer education : the official journal of the American Association for Cancer Education [J Cancer Educ] 1999 Fall; Vol. 14 (3), pp. 144-7.
DOI:	10.1080/08858199909528605
Abstrakt:	Background: The authors measured the impact of a clinical hospice experience in medical school on present medical practice by surveying former students after graduation. Methods and Results: Of the graduates who apparently received anonymous questionnaires, 46 (71%) completed and returned them. Most were still in residency, and about a third were in private practice. Using a Likert scale, most gave the highest possible rankings in response to questions about how the experience had affected their present day-to-day communication with patients and their working knowledge of pain control, and the general question that asked about understanding quality-of-life issues. Written responses noted positive effects of the experience on the physicians' present practices, including improved knowledge of and attitudes towards dying patients, assessment of the effects of disease on patients and families, and quality-of-life. Conclusions: Although course work about death and dying is increasingly encountered in medical-school curricula, an intensive, focused clinical exposure is often lacking. This type of exposure has positive effects on physicians' self-assessments of their knowledge, attitudes, and skills in their present practices.
Databáze:	MEDLINE
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