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Abstract

Fifty junior residents completed a six-month training period. An anonymous postal questionnaire was sent to collect the residents' opinions on improvements in their knowledge, perception of priorities and usefulness of training. Responses were rated from 5 (a great deal) to 1 (not at all improved).

A total of 33 (66%) questionnaires were returned. A mean score of 4.48 was obtained on general improvement of knowledge, 4.91 ± 0.29 on pain control, 4.17 ± 0.58 on neurological symptoms, 4.09 ± 0.77 on psychological symptoms, 4.64 ± 0.60 on communication skills and 4.4 ± 0.91 on physician attitudes. Some 58% of residents began the training with apprehension, 85% outlined their priorities and 76% reached these objectives. A total of 70% were fully satisfied with the tuition and support received and 98% recommended such clinical rotation.

Data suggest that a six-month rotation in palliative care results in high levels of perception of improvement in knowledge and satisfaction. Exposure to palliative care patients during clinical rotations in specialized centres must be encouraged.

Keywords

clinical rotation education palliative care

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References

Fins JJ , Nilson EG . An approach to educating residents about palliative care and clinical ethics . Acad Med 2000; 75: 662–665 .

Block SD , Bernier GM , Crawley LM , et al. Incorporating palliative care into primary care education . J Gen Intern Med 1998; 13: 768–773 .

Barclay S , Wyatt P , Shore S , Finlay I , Grande G , Todd C . Caring for the dying: how well prepared are general practitioners? A questionnaire study in Wales . Palliat Med 2003; 17: 27–39 .

Oneschuk D , Hanson J , Bruera E . An international survey of undergraduate medical education in palliative care . J Pain Symptom Manage 2000; 20: 174–179 .

Fischer SM , Gozansky WS , Kutner JS , et al. Palliative care education: an intervention to improve medical resident's knowledge and attitudes . J Palliat Med 2003; 6: 391–399 .

Weissman DE , Ambuel B , Norton AJ , Wang-Chen R , Schiedermayer D . A survey of competencies and concerns in end-of-life care for physicians trainees . J Pain Symptom Manage 1998; 15: 82–90 .

Esteva Canto M , Llobera Canaves J , Miralles Xamena J , Bauza Amengual ML . Management of terminal cancer patients: attitudes and training needs of primary heath care doctors and nurses . Support Care Cancer 2000; 8: 464–471 .

Duong PH, Zulian GB. La dépression en soins palliatifs, savoir la reconnaĩtre, la détecter et la traiter. Rev Med Suisse Romande 2002; 122: 189–95.

Lloyd-Williams M , Dogra N . Attitudes of preclinical medical students towards caring for chronically ill and dying patients: does palliative care teaching make a difference? Postgrad Med J 2004; 80: 31–34 .

10.

Knight CF , Knight PF , Gellula MH , Holman GH . Training our future physicians: a hospice rotation for medical students . Am J Hosp Palliat Care 1992; 9: 23–28 .

11.

Billings JA , Block SD . Palliative care in undergraduate medical education . Status report and future directions. JAMA 1997; 278: 733–738 .

12.

Emanuel EJ , Fairclough DL , Emanuel LL . Attitudes and desires related to euthanasia and physician-assisted suicide among terminally ill patients and their caregivers . JAMA 2000; 284: 2460–2468 .

13.

Lloyd-Williams M . Senior house officers' experience of six month post in a hospice . Med Educ 2002; 36: 45–48 .

Impact of a postgraduate six-month rotation in palliative care on knowledge and attitudes of junior residents

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