Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/95079
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Type: | Journal article |
Title: | Junior doctors' views of how their undergraduate clinical electives in palliative care influenced their current practice of medicine |
Author: | Crawford, G. Zambrano, S. |
Citation: | Academic Medicine, 2015; 90(3):338-344 |
Publisher: | Association of American Medical Colleges |
Issue Date: | 2015 |
ISSN: | 1040-2446 1938-808X |
Statement of Responsibility: | Gregory B. Crawford and Sofia C. Zambrano, |
Abstract: | PURPOSE: To explore how junior doctors (doctors in postgraduate training) retrospectively perceived the influence of their undergraduate palliative care attachments (clinical electives) on their current medical practice. METHOD: From 2008 to 2013, 100 students participated in palliative care attachments at the University of Adelaide School of Medicine. In 2013, the authors invited 14 of these, now junior doctors, to be in this study. Participants took part in one-on-one, semistructured interviews. Interview data were analyzed for themes. RESULTS: Nine junior doctors participated. They were sent a summary of the findings to check whether the themes captured each participant's experiences. Eight replied and agreed. Two main themes were identified: (1) from apprehension to gaining a sense of control, and (2) gaining perspective on the practice of medicine. Participants perceived that the learning experiences from the attachments provided them with a sense of confidence and control over their interactions with dying patients and families. This positive influence not only was present when caring for patients at the end of life but also influenced the participants' identity as medical practitioners. CONCLUSIONS: Findings suggest that junior doctors trained earlier in palliative care have enhanced competencies of professionalism, patient-centered medicine, psychosocial and spiritual aspects of palliative care, communication, teamwork, and self-awareness. Learning a palliative approach can help them make a difference in treating dying patients, but also in general patient care. Therefore, physicians trained in palliative care may be better prepared to contribute to a health care system that is person-centered, ethically conscientious, and personally fulfilling. |
Keywords: | Palliative Care Education, Medical, Undergraduate Clinical Competence |
Description: | Research Report |
Rights: | © 2015 by the Association of American Medical Colleges |
DOI: | 10.1097/ACM.0000000000000632 |
Published version: | http://dx.doi.org/10.1097/acm.0000000000000632 |
Appears in Collections: | Aurora harvest 7 Medicine publications |
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