| Título: | The Effect of a Community Hospice Rotation on Self-Reported Knowledge, Attitudes and Skills of Third-Year Medical Students |
| Autores: |
Ferrini, Rebecca Klein, Jeffery L. |
| Fecha: | 1969-12-31 |
| Publicador: | Medical Education Online |
| Fuente: |
 |
| Tipo: | |
| Tema: | No aplica |
| Descripción: | INTRODUCTION: Increasing attention is being paid to educating practicing and future physicians about end-of-life care. Since 1994, the University of California, San Diego has provided a mandatory 16 hour rotation for third-year medical students in hospice and palliative medicine at a community hospice. AIM OF INVESTIGATION: To determine the effectiveness of an intensive, community-based rotation in changing palliative medicine attitudes, knowledge and skills among third-year medical students. METHODS: Pre- and post-test questionnaires incorporating self-assessment of knowledge, attitudes and skills were administered to 195 third-year medical students before and after completion of this rotation from 1997 to 1999. Analyses compared responses, controlling for age, gender and previous clinical experience. RESULTS: In general, students report a deficit in their ability to perform palliative medicine tasks, irrespective of prior clinical experience. Students reported significant improvements in each of 17 items measuring knowledge and confidence performing palliative medicine tasks after completion of the rotation. Medical students reported positive attitudes about palliative medicine which improved after the rotation. However, as a result of the rotation, medical students were more likely to report self-awareness of personal fear about death. CONCLUSIONS: This rotation may serve as a model for teaching the art and science of palliative medicine to physicians in training. KEY WORDS: medical student, education, palliative medicine, hospice, attitudes, knowledge, selfassessment |
| Idioma: | Inglés |
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