Department of Palliative Medicine, Medical Faculty, RWTH Aachen University, Pauwelsstr. 30, 52074, Aachen, Germany.
Home Care Städteregion Aachen Non-profit Limited Liability Company, Aachen, Germany.
BMC Palliat Care. 2021 Jul 13;20(1):106. doi: 10.1186/s12904-021-00769-4.
The vast majority of medical students have no exposure to clinical palliative care encounters, especially in the community. Medical schools should respond to current challenges and needs of health systems by guaranteeing students adequate training that addresses palliative care needs of populations in different settings. The main purpose of this qualitative study was to capture the experiences of a select group of medical students' following a community-based PC course.
We carried out a qualitative study using two focus groups to capture the experience of medical students in a course that combined classroom teaching with community-based learning for undergraduate medical students in Germany. Discussions were transcribed and analyzed thematically.
Fifteen female students in their 2nd to 5th year participated in the focus groups, which provided didactic teaching and experiential learning. Four areas were particularly relevant: (1) authenticity, (2) demystification of the concepts of palliative care through personal contact with patients, (3) translation of theoretical knowledge into practice, and (4) observation of a role model interacting with seriously ill patients and engaging in difficult conversations.
Students whose encounters with patients and their families went beyond a review of their medical records had a better grasp of the holistic nature of PC than those who did not. Bringing students directly from the hospital to patients in their homes reinforced the benefits of an integrated healthcare system.
绝大多数医学生没有接触过临床姑息治疗，尤其是在社区。医学院校应该通过保证学生接受充分的培训来应对当前卫生系统的挑战和需求，这些培训要满足不同环境下人群的姑息治疗需求。本定性研究的主要目的是了解一组精选医学生在社区为基础的姑息治疗课程后的体验。
我们开展了一项定性研究，使用两个焦点小组来捕捉德国医学生在一门课程中的体验，该课程将课堂教学与社区学习相结合。讨论记录下来并进行了主题分析。
15 名女性学生参加了 2 至 5 年级的焦点小组，该课程提供了理论教学和体验式学习。有四个方面特别相关：（1）真实性，（2）通过与患者的个人接触消除对姑息治疗概念的神秘感，（3）将理论知识转化为实践，以及（4）观察与重病患者互动并进行艰难对话的榜样。
与患者及其家属的接触不仅仅是查看病历的学生比没有接触过的学生更能理解姑息治疗的整体性。将学生直接从医院带到患者家中，强化了综合医疗体系的好处。
