Centeno Carlos, Ballesteros Montse, Carrasco José Miguel, Arantzamendi María
ATLANTES Research Program, Institute for Culture and Society, University of Navarra, Pamplona, Spain Faculty of Medicine, University of Navarra, Pamplona, Spain.
ATLANTES Research Program, Institute for Culture and Society, University of Navarra, Pamplona, Spain School of Nursing, University of Valladolid, Campus Soria, Soria, Spain.
BMJ Support Palliat Care. 2016 Mar;6(1):128-34. doi: 10.1136/bmjspcare-2014-000646. Epub 2014 May 20.
Palliative care (PC) education has become a priority in many European countries where PC is quickly developing. There remains, however, a lack of information on acceptability and medical students' experiences in PC education. This kind of information is important because it could encourage universities to adapt their curricula appropriately to the demographic and societal necessity.
To explore medical students' reactions to an optional PC course using their reflective written comments.
316 medical students at the University of Navarra, over a period of 4 years, wrote evaluative comments regarding their experience and what they perceived as the course's contribution to their education. With these comments, a qualitative thematic analysis was carried out.
With a response ratio of 90%, five main themes were identified: (1) The course helped medical students to become and act as doctors, (2) The benefits of having a holistic view of the patient and taking the family into account, (3) PC opens up a new a field of knowledge, (4) The course makes students think and reflect on their personal development and encourages them to deepen humanistic aspects of their practice, (5) The practical aspect is essential in PC learning. In addition, significantly, students used vigorous and positive expressions when writing about their experiences.
The subject of PC turns out to be very important to students, who almost unanimously evaluated their experience positively and highlighted the benefits of attending a PC course. Students especially reported being surprised by the humane and holistic features of the course, and they found that what they learned in the course is applicable to all patients and prepares them to work better as doctors. Participants recommend the course for all undergraduate students as a core component of the curricula.
在许多姑息治疗（PC）迅速发展的欧洲国家，姑息治疗教育已成为优先事项。然而，关于PC教育的可接受性和医学生体验的信息仍然匮乏。这类信息很重要，因为它可以促使大学根据人口结构和社会需求适当调整课程。
通过医学生的反思性书面评论，探讨他们对一门选修PC课程的反应。
纳瓦拉大学的316名医学生在4年时间里，就他们的经历以及他们认为该课程对其教育的贡献撰写了评价性评论。利用这些评论进行了定性主题分析。
回复率为90%，确定了五个主要主题：（1）该课程帮助医学生成为并像医生一样行事，（2）对患者有整体观并考虑家庭的益处，（3）PC开辟了一个新的知识领域，（4）该课程促使学生思考和反思个人发展，并鼓励他们深化实践中的人文方面，（5）实践方面在PC学习中至关重要。此外，值得注意的是，学生在撰写经历时使用了有力且积极的表述。
事实证明，PC主题对学生非常重要，他们几乎一致对自己的经历给予积极评价，并强调参加PC课程的益处。学生特别提到对该课程的人文和整体特征感到惊讶，他们发现所学内容适用于所有患者，并使他们能更好地胜任医生工作。参与者建议将该课程作为所有本科生课程的核心组成部分推荐给他们。
