Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1136/bmjopen-2020-041144 http://hdl.handle.net/11449/209746 |
Resumo: | Introduction Including palliative care (PC) in overloaded medical curricula is a challenge, especially where there is a lack of PC specialists. We hypothesised that non-specialised rotations could provide meaningful PC learning when there are enough clinical experiences, with adequate feedback. Objective Observe the effects of including PC topics in non-specialised placements for undergraduate medical students in two different medical schools. Design Observational prospective study. Setting Medical schools in Brazil. Participants 134 sixth-year medical students of two medical schools. Methods This was a longitudinal study that observed the development of Self-efficacy in Palliative Care (SEPC) and Thanatophobia (TS) in sixth-year medical students in different non-specialised clinical rotations in two Brazilian medical schools (MS1 and MS2). We enrolled 78 students in MS1 during the Emergency and Critical Care rotation and 56 students in MS2 during the rotation in Anaesthesiology. Both schools provide PC discussions with different learning environment and approaches. Primary outcomes SEPC and TS Scales were used to assess students at the beginning and the end of the rotations. Results In both schools' students had an increase in SEPC and a decrease in TS scores. Conclusion Non-specialised rotations that consider PC competencies as core aspects of being a doctor can be effective to develop SEPC and decrease TS levels. |
id |
UNSP_7fe35294e20e0ae9160a4808c94814a4 |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/209746 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schoolsmedical education &trainingpalliative careadult palliative careIntroduction Including palliative care (PC) in overloaded medical curricula is a challenge, especially where there is a lack of PC specialists. We hypothesised that non-specialised rotations could provide meaningful PC learning when there are enough clinical experiences, with adequate feedback. Objective Observe the effects of including PC topics in non-specialised placements for undergraduate medical students in two different medical schools. Design Observational prospective study. Setting Medical schools in Brazil. Participants 134 sixth-year medical students of two medical schools. Methods This was a longitudinal study that observed the development of Self-efficacy in Palliative Care (SEPC) and Thanatophobia (TS) in sixth-year medical students in different non-specialised clinical rotations in two Brazilian medical schools (MS1 and MS2). We enrolled 78 students in MS1 during the Emergency and Critical Care rotation and 56 students in MS2 during the rotation in Anaesthesiology. Both schools provide PC discussions with different learning environment and approaches. Primary outcomes SEPC and TS Scales were used to assess students at the beginning and the end of the rotations. Results In both schools' students had an increase in SEPC and a decrease in TS scores. Conclusion Non-specialised rotations that consider PC competencies as core aspects of being a doctor can be effective to develop SEPC and decrease TS levels.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Univ Estadual Campinas, Internal Med, Sch Med Sci, Campinas, SP, BrazilUniv Estadual Campinas, Dept Med Psychol & Psychiat, Sch Med Sci, Campinas, SP, BrazilUniv Estadual Paulista, Dept Anesthesiol, Fac Med, Campus Botucatu, Botucatu, SP, BrazilUniv Liverpool, Palliat Care Inst Liverpool, Liverpool, Merseyside, EnglandUniv Med Ctr Groningen, Cedar Ctr Educ Dev & Res Hlth Sci, Groningen, NetherlandsUniv Minho, Life & Hlth Sci Res Inst, Braga, PortugalUniv Estadual Paulista, Dept Anesthesiol, Fac Med, Campus Botucatu, Botucatu, SP, BrazilCAPES: 88881.188776/2018-01Bmj Publishing GroupUniversidade Estadual de Campinas (UNICAMP)Universidade Estadual Paulista (Unesp)Univ LiverpoolUniv Med Ctr GroningenUniv MinhoGryschek, GuilhermeCecilio-Fernandes, DarioMoreira de Barros, Guilherme Antonio [UNESP]Mason, StephenCarvalho-Filho, Marco Antonio de2021-06-25T12:27:53Z2021-06-25T12:27:53Z2020-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article7http://dx.doi.org/10.1136/bmjopen-2020-041144Bmj Open. London: Bmj Publishing Group, v. 10, n. 11, 7 p., 2020.2044-6055http://hdl.handle.net/11449/20974610.1136/bmjopen-2020-041144WOS:000595708300009Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBmj Openinfo:eu-repo/semantics/openAccess2021-10-23T19:49:59Zoai:repositorio.unesp.br:11449/209746Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-23T19:49:59Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools |
title |
Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools |
spellingShingle |
Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools Gryschek, Guilherme medical education & training palliative care adult palliative care |
title_short |
Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools |
title_full |
Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools |
title_fullStr |
Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools |
title_full_unstemmed |
Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools |
title_sort |
Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools |
author |
Gryschek, Guilherme |
author_facet |
Gryschek, Guilherme Cecilio-Fernandes, Dario Moreira de Barros, Guilherme Antonio [UNESP] Mason, Stephen Carvalho-Filho, Marco Antonio de |
author_role |
author |
author2 |
Cecilio-Fernandes, Dario Moreira de Barros, Guilherme Antonio [UNESP] Mason, Stephen Carvalho-Filho, Marco Antonio de |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual de Campinas (UNICAMP) Universidade Estadual Paulista (Unesp) Univ Liverpool Univ Med Ctr Groningen Univ Minho |
dc.contributor.author.fl_str_mv |
Gryschek, Guilherme Cecilio-Fernandes, Dario Moreira de Barros, Guilherme Antonio [UNESP] Mason, Stephen Carvalho-Filho, Marco Antonio de |
dc.subject.por.fl_str_mv |
medical education & training palliative care adult palliative care |
topic |
medical education & training palliative care adult palliative care |
description |
Introduction Including palliative care (PC) in overloaded medical curricula is a challenge, especially where there is a lack of PC specialists. We hypothesised that non-specialised rotations could provide meaningful PC learning when there are enough clinical experiences, with adequate feedback. Objective Observe the effects of including PC topics in non-specialised placements for undergraduate medical students in two different medical schools. Design Observational prospective study. Setting Medical schools in Brazil. Participants 134 sixth-year medical students of two medical schools. Methods This was a longitudinal study that observed the development of Self-efficacy in Palliative Care (SEPC) and Thanatophobia (TS) in sixth-year medical students in different non-specialised clinical rotations in two Brazilian medical schools (MS1 and MS2). We enrolled 78 students in MS1 during the Emergency and Critical Care rotation and 56 students in MS2 during the rotation in Anaesthesiology. Both schools provide PC discussions with different learning environment and approaches. Primary outcomes SEPC and TS Scales were used to assess students at the beginning and the end of the rotations. Results In both schools' students had an increase in SEPC and a decrease in TS scores. Conclusion Non-specialised rotations that consider PC competencies as core aspects of being a doctor can be effective to develop SEPC and decrease TS levels. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 2021-06-25T12:27:53Z 2021-06-25T12:27:53Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1136/bmjopen-2020-041144 Bmj Open. London: Bmj Publishing Group, v. 10, n. 11, 7 p., 2020. 2044-6055 http://hdl.handle.net/11449/209746 10.1136/bmjopen-2020-041144 WOS:000595708300009 |
url |
http://dx.doi.org/10.1136/bmjopen-2020-041144 http://hdl.handle.net/11449/209746 |
identifier_str_mv |
Bmj Open. London: Bmj Publishing Group, v. 10, n. 11, 7 p., 2020. 2044-6055 10.1136/bmjopen-2020-041144 WOS:000595708300009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Bmj Open |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
7 |
dc.publisher.none.fl_str_mv |
Bmj Publishing Group |
publisher.none.fl_str_mv |
Bmj Publishing Group |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1803649619213680640 |