Journal
PALLIATIVE & SUPPORTIVE CARE
Volume 20, Issue 5, Pages 646-653Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S1478951521001450
Keywords
Cultural safety; Israel; Medical curriculum; Palliative care; Undergraduate education
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This study highlights the importance of undergraduate palliative care education at medical schools and suggests that palliative care should be a mandatory subject for all undergraduate medical students. It also recommends the development of new teaching methods to enhance communication and cultural safety. Cooperation and exchange of expertise among medical schools are proposed to improve palliative care education.
Objective 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. Method 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. Results 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. Significance of results 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.
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