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American Journal of Hospice and Palliative Medicine®
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Effectiveness of an Integrated Ward-based Program in Preparing Medical Students to Care for Patients at the End of Life

Matthew S. Ellman, MD

Yale University School of Medicine, New Haven, matthew.ellman{at}yale.edu

Julie R. Rosenbaum, MD

Waterbury Hospital Health Center, Waterbury, Connecticut

Emily Cherlin, MSW

Yale University School of Medicine, New Haven

Margaret Bia, MD

Yale University School of Medicine, New Haven

Integrating end-of-life care training into the clinical years of medical school has been promoted to enhance education in this area. To assess the effectiveness of an end-of-life care exercise integrated into clinical clerkships, we compared the level of preparedness in end-of-life care reported by students who did or did not complete the exercise. A greater proportion of students who completed the exercise compared with those who did not felt prepared in end-of-life care [50.7% (39/77) vs 35.6% (64/180); P = .02]. Among 5 domains of skills examined, significant differences were seen in interviewing/communicating (3.7 vs 3.5; P = .05) and management of common symptoms (3.3 vs 3.0; P < .01). We conclude that a ward-based integrated end-of-life care exercise may improve graduating students' self-reported preparedness to care for patients at the end of life.

Key Words: curriculum • terminal care • students • medical

This version was published on February 1, 2009

American Journal of Hospice and Palliative Medicine®, Vol. 26, No. 1, 18-23 (2009)
DOI: 10.1177/1049909108325437
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