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Death is not always a failure: outcomes from implementing an online virtual patient clinical case in palliative care for family medicine clerkship

BACKGROUND: The dying patient is a reality of medicine. Medical students, however, feel unprepared to effectively manage the complex end-of-life (EOL) management issues of the dying patient and want increased experiential learning in Palliative Care. AIMS: To address the need for more formal curricu...

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Detalles Bibliográficos
Autores principales: Tan, Amy, Ross, Shelley Paige, Duerksen, Kimberley
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3838968/
https://www.ncbi.nlm.nih.gov/pubmed/24267774
http://dx.doi.org/10.3402/meo.v18i0.22711
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author Tan, Amy
Ross, Shelley Paige
Duerksen, Kimberley
author_facet Tan, Amy
Ross, Shelley Paige
Duerksen, Kimberley
author_sort Tan, Amy
collection PubMed
description BACKGROUND: The dying patient is a reality of medicine. Medical students, however, feel unprepared to effectively manage the complex end-of-life (EOL) management issues of the dying patient and want increased experiential learning in Palliative Care. AIMS: To address the need for more formal curriculum in EOL care, we developed and implemented an online virtual patient (VP) clinical case in Palliative Care into the 2010–2011 Year Three Family Medicine Clerkship rotation curriculum. METHODS: A mixed-method design was used to measure the change in knowledge and perceived preparedness level in EOL care before and after completing the online VP case. A survey collected qualitative descriptions of the students’ educational experience of using this case. RESULTS: Ninety five percent (130/137) of the students voluntarily consented to have their results analyzed. The group knowledge score (n=127) increased significantly from a pre-course average of 7.69/16±2.27, to a post-course average of 10.02/16±2.39 (p<0.001). The students’ self-assessed comfort level increased significantly with all aspects of EOL management from pre-course to post-course (p<0.001). Nearly, 91.1% of the students rated the VP realism as ‘Good to Excellent’, 86% rated the case as educationally beneficial. Nearly 59.3% of students felt emotionally engaged with the VP. Qualitative feedback found that the case content was very useful and realistic, but that the interface was sometimes awkward to navigate. CONCLUSIONS: The online VP case in Palliative Care is a useful teaching tool that may help to address the need for increased formal Palliative Care experience in medical school training programs.
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spelling pubmed-38389682013-11-26 Death is not always a failure: outcomes from implementing an online virtual patient clinical case in palliative care for family medicine clerkship Tan, Amy Ross, Shelley Paige Duerksen, Kimberley Med Educ Online Short Communication BACKGROUND: The dying patient is a reality of medicine. Medical students, however, feel unprepared to effectively manage the complex end-of-life (EOL) management issues of the dying patient and want increased experiential learning in Palliative Care. AIMS: To address the need for more formal curriculum in EOL care, we developed and implemented an online virtual patient (VP) clinical case in Palliative Care into the 2010–2011 Year Three Family Medicine Clerkship rotation curriculum. METHODS: A mixed-method design was used to measure the change in knowledge and perceived preparedness level in EOL care before and after completing the online VP case. A survey collected qualitative descriptions of the students’ educational experience of using this case. RESULTS: Ninety five percent (130/137) of the students voluntarily consented to have their results analyzed. The group knowledge score (n=127) increased significantly from a pre-course average of 7.69/16±2.27, to a post-course average of 10.02/16±2.39 (p<0.001). The students’ self-assessed comfort level increased significantly with all aspects of EOL management from pre-course to post-course (p<0.001). Nearly, 91.1% of the students rated the VP realism as ‘Good to Excellent’, 86% rated the case as educationally beneficial. Nearly 59.3% of students felt emotionally engaged with the VP. Qualitative feedback found that the case content was very useful and realistic, but that the interface was sometimes awkward to navigate. CONCLUSIONS: The online VP case in Palliative Care is a useful teaching tool that may help to address the need for increased formal Palliative Care experience in medical school training programs. Co-Action Publishing 2013-11-22 /pmc/articles/PMC3838968/ /pubmed/24267774 http://dx.doi.org/10.3402/meo.v18i0.22711 Text en © 2013 Amy Tan et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Short Communication
Tan, Amy
Ross, Shelley Paige
Duerksen, Kimberley
Death is not always a failure: outcomes from implementing an online virtual patient clinical case in palliative care for family medicine clerkship
title Death is not always a failure: outcomes from implementing an online virtual patient clinical case in palliative care for family medicine clerkship
title_full Death is not always a failure: outcomes from implementing an online virtual patient clinical case in palliative care for family medicine clerkship
title_fullStr Death is not always a failure: outcomes from implementing an online virtual patient clinical case in palliative care for family medicine clerkship
title_full_unstemmed Death is not always a failure: outcomes from implementing an online virtual patient clinical case in palliative care for family medicine clerkship
title_short Death is not always a failure: outcomes from implementing an online virtual patient clinical case in palliative care for family medicine clerkship
title_sort death is not always a failure: outcomes from implementing an online virtual patient clinical case in palliative care for family medicine clerkship
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3838968/
https://www.ncbi.nlm.nih.gov/pubmed/24267774
http://dx.doi.org/10.3402/meo.v18i0.22711
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