ABSTRACT
BACKGROUND: End-of-life care has become a priority in medical education internationally. A previous study of hospice patients and staff regarding medical students teaching in a hospice showed positive responses from patients and hospice staff. However concern was expressed by some staff regarding medical students' welfare, contributing to gatekeeping by professionals. Studies have shown that medical students feel underprepared to care for the dying by the time they qualify. OBJECTIVE: The study's objective was to explore in more detail the views and experience of medical students who had spoken with patients during their hospice placement. DESIGN: This was a qualitative study. SETTING/SUBJECTS: The study was carried out with 14 Hull York Medical School (HYMS) students who had responded in an electronic survey that they had spoken with patients during their hospice placement. MEASUREMENT: Semistructured interviews provided the study's data. RESULTS: Although students expressed some anxieties prior to their hospice visit about meeting patients who were near the end of life, they felt that the overall experience, and the time spent with patients in particular, provided valuable learning about palliative care and preparation for caring for dying patients. CONCLUSIONS: We would encourage staff to not be overprotective but to support students to take every opportunity to meet with patients in a hospice.
Subject(s)
Hospice Care , Physician-Patient Relations , Students, Medical/psychology , Terminal Care , Adolescent , Adult , Education, Medical, Undergraduate , Female , Humans , Interviews as Topic , Male , Qualitative ResearchABSTRACT
BACKGROUND: All newly qualified doctors will look after patients in the last stages of life. CONTEXT: This article is a review of the literature regarding medical students learning from hospice patients, focusing on practical concerns of relevance to those involved in organising or conducting medical student teaching. INNOVATION: Medical students have increasing opportunities to learn about palliative care from talking to patients in a hospice. This resource is not fully utilised, in part because of concerns about patient and student welfare. These concerns are not supported by current research findings, including a qualitative interview study of patients and staff. IMPLICATIONS: We would encourage course coordinators to use opportunities for medical students to talk to hospice patients in order to enhance the education of medical students.
