Perception of Palliative Care among Medical Students in a Teaching Hospital
DOI:
https://doi.org/10.31729/jnma.2772Keywords:
medical students; palliative care; perception.Abstract
Introduction: Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness. Palliative care must be a part of every medical personnel’s practice. But still medical education curriculums have not included palliative care in its syllabus, sufficiently due to which most of the health professional are not aware about this specialty. The purpose of this study is to find out the perception of the medical students in palliative care in a teaching hospital.
Methods: A descriptive study was done among 270 undergraduate medical students studying in Institute of Medicine using a self structured pretested questionnaire. Data was entered in Microsoft Excel and analyzed by using SPSS 21.
Results: Of the total 270 undergraduate medical students only 152 has heard the word “palliative careâ€. Only 84 students know, palliative care can be provided early in the life threatening illness. Total 80 students know it doesn’t intend to postpone and hasten death. Though only 49 students didn’t know PC is not included in our curriculum, 227 are interested to learn about it if given any opportunity.
Conclusions: The perception of palliative care medicine is low in first couple of year of medical study. It is increased in clinically exposed students but is surprisingly more in fourth year than final year undergraduate medical students. However, it should be included in undergraduate medical study.
Keywords: medical students; palliative care; perception.
References
[Online]. http://getpalliativecare.org/whatis/
2. Seymour JE, Clark D, Winslow M. Morphine use in cancer
pain: from ‘last resort’ to ‘gold standard’. Poster presentation
at the Third Research Forum of the European Association of
Palliative Care. Palliative Medicine 2004;18(4):378.
3. Schulz C, Möller MF, SeidlerD,et al. Evaluating an evidencebased
curriculum in undergraduate palliative care education:
piloting a phase II exploratory trial for a complex intervention.
BMC Med Educ. 2013;13:1–9.
4. Anderson WG, Williams JE, BostJE,et al. Exposure to death
is associated with positive attitudes and higher knowledge
about end-of-life care in graduating medical student. J Palliat
Med. 2008 Nov;11:1227–33.
5. Ostgathe C, Voltz R, NauckF,et al. Undergraduate training
in palliative medicine in Germany: what effect does a
curriculumwithout compulsory palliative care have on
medical students ’knowledge, skills and attitudes? Palliat
Med. 2007 Mar; 21:155–6.
6. Tsai SS, Hu WY, Chang HH,et al. Effects of a multimode
curriculum of palliative care on medical students.J Formos
Med Assoc. 2008 Apr;107:326–33.
7. von Gunten CF, Mullan P, Nelesen RA, et al. Development
and evaluation of a palliative medicine curriculum for thirdyearmedical
students. J Palliat Med. 2012 Nov;15(11):1198-
217.
8. Mason SR, Ellershaw JE. Preparing for palliative
medicine;evaluation of an education programme for fourth
year medical undergraduates. Palliat Med. 2008 Sep;22(6):687-
92.
9. Billings ME, Engelberg R, Curtis JR, et al. Determinants of
medical students’perceived preparation to perform end-oflifecare,
quality of end-of-life care education, and attitudes
toward end-of-life care. J Palliat Med. 2010;13(13):319–26.
10. Sadhu S, Salins NS, Kamath A. Palliative Care Awareness
among Indian Undergraduate Health Care Students: A
Needs-Assessment Study to Determine Incorporation of
Palliative Care Education in Undergraduate Medical, Nursing
and Allied Health Education.Indian J Palliat Care. 2010 Sep-
Dec;16(3): 154–19.
11. Christoph Ostgathe, Raymond Voltz, FriedemannNauck,
Eberhard Klaschik. Undergraduate training in palliative
medicine in Germany: what effect does a curriculum
without compulsory palliative care have on medical
students’ knowledge, skills and attitudes? Palliat Med. 2007
Mar;21(2):155-6.
12. Paudel BD, Ryan KM, Brown MS, Krakauer EL, Rajagopal
MR, Maurer MA, Cleary JF. Opioid availability and palliative
care in Nepal: influence of an international pain policy
fellowship. J Pain Symptom Manage. 2015 Jan;49(1):110-6.
13. Ratanawongsa, Neda MD; Teherani, Arianne PhD; Hauer,
Karen E. MD. Third-Year Medical Students’ Experiences
with Dying Patients during the Internal Medicine Clerkship:
A Qualitative Study of the Informal Curriculum.Academic
Medicine. 2005 July;80(7):641-7.
14. Mari Lloyd-Williams, and Rod D. M Macleod. A systematic
review of teaching and learning in palliative care within
the medical undergraduate curriculum.Med Teach. 2004
Dec;26(8):683-90.
15. Horowitz R1, Gramling R, Quill T. Palliative care education
in U.S. medical schools. Med Educ. 2014 Jan;48(1):59-66. doi:
10.1111/medu.12292.
16. Billings JA1, Block S. Palliative care in undergraduate medical
education. Status report and future directions. JAMA. 1997
Sep 3;278(9):733-8.
17. General Medical Council. Education Committee. Tomorrow’s
doctors: recommendations on undergraduate medical
education. The Council, 1993.
18. Martin-Moreno J, Harris M, Gorgojo L,et al. Palliative care
in the European Union. European Parliament Economic
andScientific Policy Department 2008; IP/A/ENVI/ST/2007-
22. PE 404.899:60–63 [Online]. http://tinyurl.com/6ogtz5
19. World Health Organization.The solid facts: palliative care.
Geneva: World Health Organization, 2004:24–24.
20. Centeno C, Ballesteros M, Carrasco JM, Arantzamendi M.
Does palliative care education matter to medical students?
The experience of attending an undergraduate course in
palliative care. BMJ Support Palliat Care. 2014 May 20.
doi:10.1136/bmjspcare-2014-000646.
21. O'Brien S, Dalton JA, Konsler G, Carlson J. The knowledge
and attitudes of experience oncology nurses regarding the
management of cancer-related pain. Oncology Nursing
Forum. 1996;23(3):515-21.
22. Emily S. Van Aalst-Cohen, Raine Riggs, and Ira R. Byock.
Palliative Care in Medical School Curricula: A Survey of
United States Medical Schools. Journal of Palliative Medicine.
2008 Nov;11(9): 1200-2. doi:10.1089/jpm.2008.0118.
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