Effects of a Multimodule Curriculum of Palliative Care on Medical Students

作者: Stanley S.L. Tsai , Wen-Yu Hu , Hao-Hsiang Chang , Shan-Chwen Chang , Chin-Yu Chen

DOI: 10.1016/S0929-6646(08)60094-7

关键词:

摘要: Background/Purpose: The objective of this study was to investigate the effects educational intervention using a multimodule curriculum palliative care on medical students, and explore significant factors that influence improvement in beliefs ethical decision-making. Methods: A total 259 students enrolled ”Family, Society Medicine” course, accepted included 1-hour lecture, 1 hour patient contact, literature reading, discussion. questionnaire administered before after course evaluate improvements students’ knowledge (principles clinical management) their concerning decision-making care. Results: showed principles (pretest 58.4% vs. posttest 73.1%; p<0.01) management 58.8% 67.9%; p<0.01). Although about were also improved did not have positive belief ”artificial nutrition hydration is always beneficial for terminal cancer patients”, with mean score only 3.15 3.51 posttest, respectively; range, 1-5). logistic regression model either or significantly improve decision-making. Conclusion: can As changes care, continued training required. [J Formos Med Assoc 2008; 107(4):326-333]

参考文章(18)
Keay T, Hawtin C, Ross Dd, Alexander C, Timmel D, O'Mara A, O'Brien W rd, Schnaper N, Pickens N, Hospice and palliative care education in medical school: a module on the role of the physician in end-of-life care. Journal of Cancer Education. ,vol. 12, pp. 152- 156 ,(2009) , 10.1080/08858199709528478
Doreen Oneschuk, John Hanson, Eduardo Bruera, An international survey of undergraduate medical education in palliative medicine. Journal of Pain and Symptom Management. ,vol. 20, pp. 174- 179 ,(2000) , 10.1016/S0885-3924(00)00172-X
Mari Lloyd-Williams, Rod D. M Macleod, A systematic review of teaching and learning in palliative care within the medical undergraduate curriculum. Medical Teacher. ,vol. 26, pp. 683- 690 ,(2004) , 10.1080/01421590400019575
John F. Forbes, Towards an optimal teaching programme for supportive care. Supportive Care in Cancer. ,vol. 2, pp. 7- 15 ,(1994) , 10.1007/BF00355234
Wayne A. Ury, Robert M. Arnold, James A. Tulsky, Palliative Care Curriculum Development: A Model for a Content and Process-Based Approach Journal of Palliative Medicine. ,vol. 5, pp. 539- 548 ,(2002) , 10.1089/109662102760269779
Karin Porter-Williamson, Charles F. von Gunten, Karen Garman, Laurel Herbst, Harry G. Bluestein, Wendy Evans, Improving knowledge in palliative medicine with a required hospice rotation for third-year medical students. Academic Medicine. ,vol. 79, pp. 777- 782 ,(2004) , 10.1097/00001888-200408000-00013
Risa P. Hayes, Alan S. Stoudemire, Kathy Kinlaw, Mary Lynn Dell, Amy Loomis, Changing attitudes about end-of-life decision making of medical students during third-year clinical clerkships. Psychosomatics. ,vol. 40, pp. 205- 211 ,(1999) , 10.1016/S0033-3182(99)71236-3
Tai-Yuan Chiu, Yih-Ru Cheng, Rong-Bin Chuang, Ching-Yu Chen, Wen-Yu Hu, Why Taiwanese hospice patients want to stay in hospital: health-care professionals' beliefs and solutions. Supportive Care in Cancer. ,vol. 12, pp. 285- 292 ,(2004) , 10.1007/S00520-004-0611-8
Bernard Lo, Care at the End of Life: Guiding Practice Where There Are No Easy Answers Annals of Internal Medicine. ,vol. 130, pp. 772- 774 ,(1999) , 10.7326/0003-4819-130-9-199905040-00018
David E. Weissman, Julie Griffie, Integration of Palliative Medicine at the Medical College of Wisconsin 1990–1996 Journal of Pain and Symptom Management. ,vol. 15, pp. 195- 201 ,(1998) , 10.1016/S0885-3924(97)00265-0