Location
Philadelphia
Start Date
11-5-2016 1:00 PM
Description
Home care/end-of-life training for medical students begins with a medical home visit to an elder and a small group case presentation after. Later that day, this group is called to assist with one of their patients who had been rushed to the emergency department. The elder (now a simulation mannequin) requires resuscitation. Advance Directive (AD) is available, which might inform their decision about whether to discontinue their efforts; however, despite everything, the elder dies. Following pronouncement of death, each student completes a death certificate and informs family members (actors) of the death; they are met with different reactions. Prior to 2010 students had not had a Palliative Care course in their previous year. But after medical students participated in a one-week Palliative Care course, our thesis is that Palliative Care education will improve crucial end-of-life care competencies, such as Knowledge/understanding of Advance Directives and enhanced communication skills/ability to deliver bad news. To test this, videos of students informing family members were reviewed by 3 raters including one clinician and data was analyzed by Chi-Square and Independent Samples t-test. Student cohorts from 2008-10 (Pre) and 2010-11 (Post) were compared for statistically significant differences.
Will a palliative care course enhance competencies of medical students delivering bad news to patients?
Philadelphia
Home care/end-of-life training for medical students begins with a medical home visit to an elder and a small group case presentation after. Later that day, this group is called to assist with one of their patients who had been rushed to the emergency department. The elder (now a simulation mannequin) requires resuscitation. Advance Directive (AD) is available, which might inform their decision about whether to discontinue their efforts; however, despite everything, the elder dies. Following pronouncement of death, each student completes a death certificate and informs family members (actors) of the death; they are met with different reactions. Prior to 2010 students had not had a Palliative Care course in their previous year. But after medical students participated in a one-week Palliative Care course, our thesis is that Palliative Care education will improve crucial end-of-life care competencies, such as Knowledge/understanding of Advance Directives and enhanced communication skills/ability to deliver bad news. To test this, videos of students informing family members were reviewed by 3 raters including one clinician and data was analyzed by Chi-Square and Independent Samples t-test. Student cohorts from 2008-10 (Pre) and 2010-11 (Post) were compared for statistically significant differences.