“My Patient is Going to Die!” Medical Students' High Resilience Correlates with Higher Self-efficacy in Palliative Care

2019 ◽  
Author(s):  
Guilherme Gryschek
Keyword(s):  
Palliative Care ◽  
Medical Students ◽  
Self Efficacy

scholarly journals Examining the effect of non-specialised clinical rotations upon medical students’ Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e041144
Author(s):  
Guilherme Gryschek ◽  
Dario Cecilio-Fernandes ◽  
Guilherme Antonio Moreira de Barros ◽  
Stephen Mason ◽  
Marco Antonio de Carvalho-Filho
Keyword(s):  
Palliative Care ◽  
Critical Care ◽  
Longitudinal Study ◽  
Medical Students ◽  
Self Efficacy ◽  
Prospective Observational Study ◽  
Medical Schools ◽  
Clinical Experiences ◽  
Undergraduate Medical Students ◽  
Clinical Rotations

IntroductionIncluding palliative care (PC) in overloaded medical curricula is a challenge, especially where there is a lack of PC specialists. We hypothesised that non-specialised rotations could provide meaningful PC learning when there are enough clinical experiences, with adequate feedback.ObjectiveObserve the effects of including PC topics in non-specialised placements for undergraduate medical students in two different medical schools.DesignObservational prospective study.SettingMedical schools in Brazil.Participants134 sixth-year medical students of two medical schools.MethodsThis was a longitudinal study that observed the development of Self-efficacy in Palliative Care (SEPC) and Thanatophobia (TS) in sixth-year medical students in different non-specialised clinical rotations in two Brazilian medical schools (MS1 and MS2). We enrolled 78 students in MS1 during the Emergency and Critical Care rotation and 56 students in MS2 during the rotation in Anaesthesiology. Both schools provide PC discussions with different learning environment and approaches.Primary outcomesSEPC and TS Scales were used to assess students at the beginning and the end of the rotations.ResultsIn both schools’ students had an increase in SEPC and a decrease in TS scores.ConclusionNon-specialised rotations that consider PC competencies as core aspects of being a doctor can be effective to develop SEPC and decrease TS levels.

scholarly journals Assessing palliative care education in undergraduate medical students: translation and validation of the Self-Efficacy in Palliative Care and Thanatophobia Scales for Brazilian Portuguese

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e034567
Author(s):  
Guilherme Gryschek ◽  
Dario Cecilio-Fernandes ◽  
Stephen Mason ◽  
Marco Antonio de Carvalho-Filho
Keyword(s):  
Palliative Care ◽  
Medical Students ◽  
Medical School ◽  
Psychometric Properties ◽  
Self Efficacy ◽  
Brazilian Portuguese ◽  
The Self ◽  
Care Education ◽  
Palliative Care Education ◽  
Educational Programmes

BackgroundAs the global population ages, palliative care is ever more essential to provide care for patients with incurable chronic conditions. However, in many countries, doctors are not prepared to care for dying patients. Palliative care education should be an urgent concern for all medical schools all around the world, including Latin America and Brazil. Advances in palliative care education require robust assessment tools for constant evaluation and improvement of educational programmes. Bandura’s social cognitive theory proposes that active learning processes are mediated by self-efficacy and associated outcome expectancies, both crucial elements of developing new behaviour. The Self-Efficacy in Palliative Care (SEPC) and Thanatophobia Scales were developed using Bandura’s theory to assess the outcomes of palliative care training.ObjectivesWe aimed to translate and validate these scales for Brazilian Portuguese to generate data on how well doctors are being prepared to meet the needs of their patients.DesignCross-sectional study.SettingOne Brazilian medical school.ParticipantsThird-year medical students.MethodsThe authors translated the scales following the European Organisation for Research and Treatment of Cancer’s recommendations and examined their psychometric properties using data collected from a sample of 111 students in a Brazilian medical school in 2017.ResultsThe Brazilian versions of SEPC and Thanatophobia Scales showed good psychometric properties, including confirmatory factor analysis, replicating the original factors (factor range: 0.51–0.90), and acceptable values of reliability (Cronbach’s alpha: 0.82–0.97 and composite reliability: 0.82–0.96). Additionally, the Brazilian versions of the scales showed concurrent validity, demonstrated through a significant negative correlation.ConclusionsThe Brazilian version of the scales may be used to assess the impact of current undergraduate training and identify areas for improvement within palliative care educational programmes. The data generated allow Brazilian researchers to join international conversations on this topic and educators to develop tailored pedagogical approaches.

Palliative Care Self-Efficacy Scale

2011 ◽  
Author(s):  
Jane Phillips ◽  
Yenna Salamonson ◽  
Patricia M. Davidson
Keyword(s):  
Palliative Care ◽  
Self Efficacy

scholarly journals Comparison of the medical students’ perceived self-efficacy and the evaluation of the observers and patients

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Jette Ammentorp ◽  
Janus Laust Thomsen ◽  
Dorte Ejg Jarbøl ◽  
René Holst ◽  
Anne Lindebo Holm Øvrehus ◽  
...  
Keyword(s):  
Medical Students ◽  
Self Efficacy

Medical Students’ Professionalism Narratives Reveal That Experiences With Death, Dying, or Palliative Care Are More Positive Than Other Experiences During Their Internal Medicine Clerkship

2016 ◽  
Vol 34 (1) ◽  
pp. 79-84 ◽  
Author(s):  
Larry D. Cripe ◽  
David G. Hedrick ◽  
Kevin L. Rand ◽  
Debra Burns ◽  
Daniella Banno ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Palliative Care ◽  
Medical Students ◽  
Educational Strategies ◽  
Barriers To Learning ◽  
Medicine Clerkship ◽  
Student Preparedness ◽  
Internal Medicine Clerkship ◽  
The Common ◽  
And Control

Purpose: More physicians need to acquire the skills of primary palliative care. Medical students’ clerkship experiences with death, dying, and palliative care (DDPC), however, may create barriers to learning such skills during residency. Whether professional development is differentially affected by DDPC is unknown. This knowledge gap potentially hinders the development of educational strategies to optimize students’ preparedness for primary palliative care. Method: Third-year students submitted professionalism narratives (N = 4062) during their internal medicine clerkship between 2004 and 2011. We identified DDPC-related narratives and then randomly selected control narratives. Narratives were compared by valence (positive or negative) and professionalism-related themes. Results and Conclusion: Less than 10% of the narratives were related to DDPC, but the majority was positive. There was a significant overlap in professionalism themes between DDPC and control narratives. The results suggest student preparedness for primary palliative care may be improved by addressing the common professionalism challenges of clinical clerkships.

scholarly journals Relationships between Academic Self-Efficacy, Learning-Related Emotions, and Metacognitive Learning Strategies with Academic Performance in Medical Students: A Structural Equation Model

2020 ◽  
Author(s):  
Ali Asghar Hayat ◽  
Karim Shatery ◽  
Mitra Amini ◽  
Nasrin Shokrpour
Keyword(s):  
Academic Performance ◽  
Medical Students ◽  
Learning Strategies ◽  
Self Efficacy ◽  
Structural Equation ◽  
Positive Emotions ◽  
Mediating Effect ◽  
Academic Emotions ◽  
Metacognitive Learning ◽  
Academic Self Efficacy

Abstract Recognition of the factors affecting the medical students’ academic success is one of the most important challenges and concerns in medical schools. Hence, this study aimed to investigate the mediating effect of metacognitive learning strategies in the relationship between learning-related emotions and academic self-efficacy with academic performance in medical students. Methods: The present study was carried out on 279 students of medicine studying in Shiraz University of Medical Sciences. The students filled out three questionnaires: academic emotions (AEQ), metacognitive learning strategies, and academic self-efficacy questionnaires. The data were analyzed using SPSS and Smart PLS3. Results: The results of structural equation modeling revealed that the students’ self-efficacy has an impact on their positive emotions and metacognitive learning strategies, and these in turn affect the students’ academic performance. Moreover, positive emotions influence the metacognitive learning strategies which in turn mediate the effect of positive emotions on the academic performance. Discussion: The results of this study revealed that metacognitive strategies can play a mediating role in the students’ self-efficacy, positive emotions, and academic performance. Therefore, in case we can strengthen the students’ self-efficacy and their positive academic emotions, their performance will improve.

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