Department of Public and Occupational Health, VU University Medical Center, EMGO Institute for Health and Care Research, Amsterdam, The Netherlands.
J Palliat Med. 2010 Apr;13(4):381-7. doi: 10.1089/jpm.2009.0291.
The aims of this study were to investigate: (1) opinions of medical students regarding quantity and content of education on end-of-life care in the curriculum, (2) medical students' knowledge of different aspects of the euthanasia act, and (3) factors associated with positive opinions about the quantity and content of education on end-of-life care in the curriculum.
A total of 204 medical students received a questionnaire; 176 completed it (response rate, 86%).
Approximately half of the students (55%) considered the quantity of end-of-life care education in the curriculum moderate; 35% rated it as good. Half of the students rated the content of end-of-life care education as moderate (50%); 47% rated it as good. Fourteen percent of the students gave correct answers to 6 or 7 of the 8 questions about the euthanasia act. Students who took the elective course "Terminal and Palliative Care," students who had experience with a patient requesting euthanasia and physician-assisted suicide in their personal lives, and students with more knowledge of the euthanasia act were more positive about the quantity of end-of-life care education. Students who completed fewer clerkships and totally agreed with the statement, "Everyone has the right to decide about their own life and death" were more positive about the content on end-of-life care education.
The data of this study suggest that more attention can and should be paid to education on end-of-life care in the medical curriculum, so students are well prepared to provide adequate end-of-life care.
本研究旨在调查:(1)医学生对课程中临终关怀教育的数量和内容的看法,(2)医学生对安乐死法案不同方面的知识,以及(3)与课程中临终关怀教育的数量和内容的正面意见相关的因素。
共有 204 名医学生收到了一份问卷;176 人完成了问卷(应答率为 86%)。
大约一半的学生(55%)认为课程中临终关怀教育的数量适中;35%的学生认为它很好。一半的学生对临终关怀教育的内容评价适中(50%);47%的学生认为它很好。14%的学生在关于安乐死法案的 8 个问题中答对了 6 个或 7 个。上过“终末期和姑息治疗”选修课的学生、在个人生活中有过患者要求安乐死和医生协助自杀经历的学生、以及对安乐死法案了解更多的学生,对临终关怀教育的数量评价更为积极。完成的实习较少且完全同意“每个人都有权决定自己的生死”的学生,对临终关怀教育的内容评价更为积极。
本研究的数据表明,可以而且应该更加关注医学课程中的临终关怀教育,以便学生能够做好充分的临终关怀准备。