دورية أكاديمية
Assessing the Impact of a Hospice and Palliative Medicine Mentored Clinical Shadowing Experience for First-Year Medical and Dental Students: A Pilot Study.
| العنوان: | Assessing the Impact of a Hospice and Palliative Medicine Mentored Clinical Shadowing Experience for First-Year Medical and Dental Students: A Pilot Study. |
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| المؤلفون: | Engel KG; Harvard Medical School, Boston, MA, USA.; Division of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA., Millham LRI; Harvard Medical School, Boston, MA, USA.; Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA., Yeh IM; Harvard Medical School, Boston, MA, USA.; Division of Palliative Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.; Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA, USA., Malecha PW; Harvard Medical School, Boston, MA, USA.; Section of Palliative Care, Division of General Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA., Brizzi K; Harvard Medical School, Boston, MA, USA.; Division of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA., Schwartz AW; Harvard Medical School, Boston, MA, USA.; New England Geriatrics Research Education and Clinical Center, VA Boston Healthcare System, Boston, MA, USA.; Division of Aging, Brigham and Women's Hospital, Boston, MA, USA., Tolchin DW; Harvard Medical School, Boston, MA, USA.; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, USA.; Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital, Boston, MA, USA. |
| المصدر: | The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2024 Sep; Vol. 41 (9), pp. 1018-1028. Date of Electronic Publication: 2023 Nov 11. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 9008229 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-2715 (Electronic) Linking ISSN: 10499091 NLM ISO Abbreviation: Am J Hosp Palliat Care Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Thousand Oaks, Calif. : Sage Publications Original Publication: Weston, MA : Prime National Pub. Corp., c1990- |
| مواضيع طبية MeSH: | Students, Medical*/psychology , Students, Medical*/statistics & numerical data , Students, Dental*/psychology , Students, Dental*/statistics & numerical data , Palliative Medicine*/education , Hospice Care*/psychology , Hospice Care*/organization & administration, Humans ; Pilot Projects ; Male ; Female ; Adult ; Mentors/psychology ; Palliative Care/psychology ; Curriculum ; Young Adult ; Clinical Competence ; Boston ; Education, Medical, Undergraduate |
| مستخلص: | Background : All physicians encounter patients with serious illness. Medical students recognize the value of hospice and palliative medicine (HPM) and desire more knowledge and skills in this area. However, both pre-clinical and clinical HPM content are underrepresented within medical school curricula. Objectives : To conduct a pilot study examining the impact of a novel required HPM clinical experience on pre-clinical medical and dental students' learning through mixed methods evaluation of student responses. Design : Students completed a two-part electronic survey following a half-day HPM mentored clinical shadowing experience (HPM-MCSE) which included an introductory session, a faculty-mentored shadowing experience and a debriefing session. Setting/subjects: 163 first-year students at Harvard Medical School in Boston, Massachusetts, USA in 2022. Measurements : The survey collected demographic information and student responses to both closed-ended (Likert-scale) and open-ended prompts. Data were analyzed quantitatively using descriptive statistics and qualitatively using constant comparative methodology. Results : 127 medical and dental students responded (78% response rate). Qualitative analysis yielded three overarching themes: acquisition of knowledge about operational dimensions of HPM, acquisition of knowledge about psychosocial dimensions of HPM, and personal impact including an awareness of discordance between expectations and lived experience of HPM practice. Of the 109 students who completed the entire survey, 67% indicated that this experience increased their interest in palliative care and 98% reported an increase in their understanding of how palliative care enhances patient care. Conclusions : Early clinical exposure to HPM for first year students stimulates multi-dimensional learning about HPM and evokes personal reflection about serious illness care. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| فهرسة مساهمة: | Keywords: clinical teaching; curriculum development; end of life care; palliative medicine; preclinical student education; undergraduate medical education |
| تواريخ الأحداث: | Date Created: 20231111 Date Completed: 20240810 Latest Revision: 20240810 |
| رمز التحديث: | 20240812 |
| DOI: | 10.1177/10499091231214787 |
| PMID: | 37950642 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1938-2715 |
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| DOI: | 10.1177/10499091231214787 |