Palliative and end-of-life care training during the surgical clerkship
| Autor: | Kathryn M. Tchorz, Melanie Miller, Linda M. Barney, Ronald J. Markert, Thavm Thambipillai, Elizabeth A. Delaney, Larry Wayne Lawhorne, Margaret M. Dunn, Randy J. Woods, Mary Terrell White, Deborah M. Bentley, Kenneth W. Rundell, Mary C. McCarthy, Jerome Borchers, S. Bruce Binder, Priti Parikh |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Palliative care education Experiential learning Formative assessment Nursing Informed consent Humans Medicine Curriculum Resuscitation Orders Terminal Care business.industry Palliative Care Professional development Do not resuscitate Clinical Clerkship United States General Surgery Female Surgery business End-of-life care Education Medical Undergraduate |
| Zdroj: | Journal of Surgical Research. 185:97-101 |
| ISSN: | 0022-4804 |
| DOI: | 10.1016/j.jss.2013.05.102 |
| Popis: | Background In 2000, the Liaison Committee on Medical Education required that all medical schools provide experiential training in end-of-life care. To adhere to this mandate and advance the professional development of medical students, experiential training in communication skills at the end-of-life was introduced into the third-year surgical clerkship curriculum at Wright State University Boonshoft School of Medicine. Materials and methods In the 2007–08 academic year, 97 third-year medical students completed six standardized end-of-life care patient scenarios commonly encountered during the third-year surgical clerkship. Goals and objectives were outlined for each scenario, and attending surgeons graded student performances and provided formative feedback. Results All 97 students, 57.7% female and average age 25.6 ± 2.04 y, had passing scores on the scenarios: (1) Adult Hospice, (2) Pediatric Hospice, (3) Do Not Resuscitate, (4) Dyspnea Management/Informed Consent, (5) Treatment Goals and Prognosis, and (6) Family Conference. Scenario scores did not differ by gender or age, but students completing the clerkship in the first half of the year scored higher on total score for the six scenarios (92.8% ± 4.8% versus 90.5% ± 5.0%, P = 0.024). Conclusions Early training in end-of-life communication is feasible during the surgical clerkship in the third-year of medical school. Of all the scenarios, “Conducting a Family Conference” proved to be the most challenging. |
| Databáze: | OpenAIRE |
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