Why are newly qualified doctors unprepared to care for patients at the end of life

摘要: CONTEXT Death and dying occur in almost all areas of medicine; it is essential to equip doctors with the knowledge, skills attitudes they need care for patients at end life. Little known about what learn end-of-life while medical school how their first year as doctors. METHODS We carried out a qualitative study using face-to-face interviews purposive sample 21 newly qualified who trained different schools. RESULTS Data were analysed constant comparative approach. Two main groups themes emerged. The pertained experiences care, including: lack exposure; culture 'clerking signs'; being kept keeping away from patients; examinations; variable experiences, theoretical awareness. second group recently included: realising that really do die; learning by doing; role seniors; death within hospital culture; nursing staff, palliative team. CONCLUSIONS Undergraduate education currently failing prepare junior caring omitting provide meaningful contact these during school. This exposure prevents trainee own needs, which only become evident when step onto wards are expected patients. Newly perceive receive little formal teaching or new setting does not encourage this subject. They also report 'trial error' 'doing job', but knowledge limited therefore seek advice those outside usual team, mainly staff members teams.