Department of Palliative Medicine, RWTH Aachen University, Aachen, Germany.
Department of Internal Medicine, St. Elisabeth-Krankenhaus Geilenkirchen, Geilenkirchen, Germany.
Palliat Support Care. 2022 Oct;20(5):646-653. doi: 10.1017/S1478951521001450.
Israel serves as a case study for understanding the importance of undergraduate palliative care (PC) education in implementing, developing, and enabling access to palliative care services. This article presents the findings collected from the five medical schools.
This qualitative study supported by a survey explores and describes the state of undergraduate PC education at medical schools in Israel. The survey included questions on voluntary and mandatory courses, allocation of different course models, teaching methods, time frame, content, institutions involved, and examinations. Semi-structured interviews with teaching faculty were conducted at the same locations.
Eleven expert interviews and five surveys demonstrate that PC is taught as a mandatory subject at only two out of the five Israeli universities. To enhance PC in Israel, it needs to become a mandatory subject for all undergraduate medical students. To teach communication, cultural safety, and other basic competencies, new interactive teaching forms need to be developed and adapted. In this regard, nationwide cooperation is proposed. An exchange between medical schools and university clinics is seen as beneficial. The new generation of students is open to PC philosophy and multidimensional care provision but resources to support their growth as professionals and people remain limited.
This study underlines the importance of teaching in PC at medical schools. Undergraduate education is a central measure of PC status and should be used as such worldwide. The improvement of the teaching situation would automatically lead to a better practical implementation for the benefit of people. Medical schools should cooperate, as the formation of expertise exchange across medical schools would automatically lead to better PC education.
以色列是一个案例研究,可从中了解本科阶段临终关怀(PC)教育在实施、发展和提供临终关怀服务方面的重要性。本文介绍了从五所医学院收集到的研究结果。
本研究采用调查为基础的定性方法,探索和描述了以色列医学院本科阶段 PC 教育的现状。该调查包括有关选修和必修课程、不同课程模式的分配、教学方法、时间框架、内容、涉及的机构和考试的问题。在同一地点对教学人员进行了半结构化访谈。
11 次专家访谈和 5 次调查表明,在五所以色列大学中,只有两所将 PC 作为必修科目教授。为了在以色列加强 PC,它需要成为所有本科医学生的必修科目。为了教授沟通、文化安全和其他基本能力,需要开发和改编新的互动教学形式。在这方面,建议进行全国范围内的合作。提倡医学院和大学诊所之间的交流。新一代学生对 PC 哲学和多维护理提供持开放态度,但支持他们成长为专业人士和个人的资源仍然有限。
本研究强调了医学院教授 PC 的重要性。本科教育是 PC 状况的核心衡量标准,应在全球范围内得到应用。教学状况的改善将自动促进实践的改善,使人们受益。医学院应开展合作,因为医学院之间的专业知识交流的形成将自动带来更好的 PC 教育。