A national survey of medical students and educators at Korean medical schools, examining the impact of end-of-life care education provided to Korean medical students based on their attitudes.

Authors

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Do Yeun Kim

Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea, Republic of (South)

Do Yeun Kim, Kyong-Jee Kim, Sung Joon Shin, Dae Seog Heo, Soon-Nam Lee, Eun Mi Nam

Organizations

Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea, Republic of (South), Department of Medical Education, Dongguk University School of Medicine, Seoul, Korea, Republic of (South), Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea, Republic of (South), Ewha Womans University Medical Center, Seoul, Korea South, EWHA Womans University, Seoul, Korea South

Research Funding

Other

Background: This study explored the current state of end-of-life (EoL) care education provided to Korean medical students and their self-rated attitudes toward EoL-related education. Methods: An anonymous survey was given to fourth year medical students and the principle EoL care educators at all 41 Korean medical schools. The medical educators were asked to identify the EoL care-related topics that they usually teach students. Both students and medical educators completed seven items regarding self-perceived attitudes. Results: In total, 23 medical educators (56.1%) and 1,545 medical students (46.3%) responded. Of nine topics related to EoL care, the most frequently taught topics were delivering bad news (100%) and managing physical symptoms (74.1%), whereas setting treatment goals was taught the least frequently (37.0%). Approximately half of the educators taught the withdrawal of life-sustaining devices (59.3%), death and dying (55.6%), and advanced directives (55.6%). When the medical students were dichotomized into groups taught at least six topics (n = 815) versus five or fewer topics (n = 729), the group taught at least six topics expressed more satisfaction with EoL care education and they considered EoL care-related issues during their clerkship rotations. They also had fewer negative answers when they were asked about their readiness to practice EoL care. Conclusions: EoL education is inadequate for Korean medical students. However, medical students who were more fully instructed in this topic reported self-rated competency regarding EoL care-related issues. Further research should develop an education system that provides sufficient knowledge and training in EoL care for Korean medical students.

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Abstract Details

Meeting

2018 Palliative and Supportive Care in Oncology Symposium

Session Type

Poster Session

Session Title

Poster Session B: Advance Care Planning; Caregiver Support; Coordination and Continuity of Care; End-of-Life Care; Models of Care; Survivorship; and Symptom Biology, Assessment and Management

Track

Advance Care Planning,End-of-Life Care,Survivorship,Coordination and Continuity of Care,Symptom Biology, Assessment, and Management,Models of Care,Caregiver Support

Sub Track

End-of-Life Care

Citation

J Clin Oncol 36, 2018 (suppl 34; abstr 55)

DOI

10.1200/JCO.2018.36.34_suppl.55

Abstract #

55

Poster Bd #

B14

Abstract Disclosures

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