Death and End of Life: Perceptions Throughout The Career About Death, Palliative Care, and Educational Process.

Abstract:

PURPOSE:To evaluate the perception of attending physicians, medical residents, and undergraduate medical students about death and dying, the end of life (EoL), and palliative care (PC) during training and clinical practice, highlighting knowledge gaps, and the changes needed in medical school curricula. METHOD:Cross-sectional study of 12 attending physicians, residents, and undergraduate medical students randomly selected from a single teaching hospital in São Paulo, Brazil, 2018. Semi-structured interviews were conducted, transcripts were coded in depth, and categorizing analysis was carried out. RESULTS:Three topical categories were recognized: Negative feelings about death and the EoL, importance of PC, and gaps in curricular structure hindering preparedness for PC and EoL communication. Besides differing perspectives depending on their years of experience, all participants strongly endorsed that the current medical school curriculum does not train and support physicians to handle EoL and PC. CONCLUSIONS:Medical education plays a fundamental role in the development of knowledge and skills on death, dying, and PC. Such practices should extend throughout the course and be continuously improved after graduates move to clinical practice.

journal_name

J Palliat Care

authors

Corradi MLG,Duim E,Rodrigues CIS

doi

10.1177/0825859720923435

subject

Has Abstract

pub_date

2020-05-10 00:00:00

pages

825859720923435

eissn

0825-8597

issn

2369-5293

pub_type

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