Division of Semiology, Department of Medicine, Centro Universitário São Camilo, São Paulo, Brazil.
Department of Epidemiology, School of Public Health, University of Sao Paulo, Sao Paulo, Brazil.
J Palliat Care. 2021 Oct;36(4):243-247. doi: 10.1177/0825859720923435. Epub 2020 May 10.
To evaluate the perception of attending physicians, medical residents, and undergraduate medical students about death and dying, the end of life (EoL), and palliative care (PC) during training and clinical practice, highlighting knowledge gaps, and the changes needed in medical school curricula.
Cross-sectional study of 12 attending physicians, residents, and undergraduate medical students randomly selected from a single teaching hospital in São Paulo, Brazil, 2018. Semi-structured interviews were conducted, transcripts were coded in depth, and categorizing analysis was carried out.
Three topical categories were recognized: Negative feelings about death and the EoL, importance of PC, and gaps in curricular structure hindering preparedness for PC and EoL communication. Besides differing perspectives depending on their years of experience, all participants strongly endorsed that the current medical school curriculum does not train and support physicians to handle EoL and PC.
Medical education plays a fundamental role in the development of knowledge and skills on death, dying, and PC. Such practices should extend throughout the course and be continuously improved after graduates move to clinical practice.
评估实习医师、住院医师和医学生在培训和临床实践中对死亡和临终、生命末期（EoL）和姑息治疗（PC）的看法，强调知识差距，以及医学院课程中需要做出的改变。
2018 年，从巴西圣保罗的一家教学医院中随机选择了 12 名主治医生、住院医师和本科医学生进行横断面研究。进行了半结构化访谈，对转录本进行了深入编码，并进行了分类分析。
确定了三个主题类别：对死亡和生命末期的负面感受、PC 的重要性，以及课程结构中的差距，这些差距阻碍了 PC 和 EoL 沟通的准备。除了根据他们的经验年限存在不同的观点外，所有参与者都强烈认为，目前的医学院课程并没有培训和支持医生处理生命末期和 PC。
医学教育在发展有关死亡、临终和 PC 的知识和技能方面发挥着重要作用。这些实践应该贯穿整个课程，并在毕业生进入临床实践后不断改进。
