Gryschek, Guilherme, Cecilio-Fernandes, Dario, Moreira de Barros, Guilherme Antonio, Mason, Stephen 
ORCID: 0000-0002-4020-6869 and de Carvalho-Filho, Marco Antonio
(2020)
Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools.
BMJ OPEN, 10 (11).
e041144-.
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Examining the effect of non-specialised clinical rotations upon medical students Thanatophobia and Self-efficacy in Palliati.pdf - Published version Download (324kB) | Preview |
Abstract
<h4>Introduction</h4>Including palliative care (PC) in overloaded medical curricula is a challenge, especially where there is a lack of PC specialists. We hypothesised that non-specialised rotations could provide meaningful PC learning when there are enough clinical experiences, with adequate feedback.<h4>Objective</h4>Observe the effects of including PC topics in non-specialised placements for undergraduate medical students in two different medical schools.<h4>Design</h4>Observational prospective study.<h4>Setting</h4>Medical schools in Brazil.<h4>Participants</h4>134 sixth-year medical students of two medical schools.<h4>Methods</h4>This was a longitudinal study that observed the development of Self-efficacy in Palliative Care (SEPC) and Thanatophobia (TS) in sixth-year medical students in different non-specialised clinical rotations in two Brazilian medical schools (MS1 and MS2). We enrolled 78 students in MS1 during the Emergency and Critical Care rotation and 56 students in MS2 during the rotation in Anaesthesiology. Both schools provide PC discussions with different learning environment and approaches.<h4>Primary outcomes</h4>SEPC and TS Scales were used to assess students at the beginning and the end of the rotations.<h4>Results</h4>In both schools' students had an increase in SEPC and a decrease in TS scores.<h4>Conclusion</h4>Non-specialised rotations that consider PC competencies as core aspects of being a doctor can be effective to develop SEPC and decrease TS levels.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | medical education &, training, palliative care, adult palliative care |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 29 Jun 2021 15:41 |
| Last Modified: | 18 Jan 2023 21:37 |
| DOI: | 10.1136/bmjopen-2020-041144 |
| Open Access URL: | https://bmjopen.bmj.com/content/10/11/e041144 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3128154 |
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