Evidence map›Paper›PMID 29699593›Full record

ArticleBMC medical education2018

Can elearning be used to teach palliative care? - medical students' acceptance, knowledge, and self-estimation of competence in palliative care after elearning.

Christian Schulz-Quach, Ursula Wenzel-Meyburg, Katharina Fetz

Registry-linked trialAbstract read
In one paragraph

Article in BMC medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04078815 (Evolution of European Ethical Resuscitation and End-of-Life Practices From 2014 to 2019), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04078815 completednot on this mapstarted 2019, after this paper: background citation

Evolution of European Ethical Resuscitation and End-of-Life Practices From 2014 to 2019: A Survey-based Comparative Evaluation

TypeobservationalSponsorUniversity of AthensRan2019 to 2020Enrolled84ConditionsTerminal Illness, Heart Arrest, Ethics, Narrative
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  13. Religion as a determining factor for invasive care among physicians in end-of-life patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Christian Schulz-QuachInstitute of Psychiatry, Psychology and Neuroscience (IoPPN), Department of Psychological Medicine, King's College, London, UK.
Ursula Wenzel-MeyburgInterdisciplinary Centre for Palliative Medicine, Medical Faculty, Heinrich Heine University Dusseldorf, Dusseldorf, Germany.
Katharina FetzChair of Research Methodology and Statistics in Psychology, Department of Psychology & Psychotherapy, Faculty of Health, Witten/Herdecke University, Witten, Germany. Katharina.fetz@uni-wh.de.ORCID http://orcid.org/0000-0002-2391-2243

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUndergraduate palliative care education (UPCE) was mandatorily incorporated in medical education in Germany in 2009. Implementation of the new cross-sectional examination subject of palliative care (QB13) continues to be a major challenge for medical schools. It is clear that there is a need among students for more UPCE. On the other hand, there is a lack of teaching resources and patient availabilities for the practical lessons. Digital media and elearning might be one solution to this problem. The primary objective of this study is to evaluate the elearning course Palliative Care Basics, with regard to students' acceptance of this teaching method and their performance in the written examination on the topic of palliative care. In addition, students' self-estimation in competence in palliative care was assessed.

methodsTo investigate students' acceptance of the elearning course Palliative Care Basics, we conducted a cross-sectional study that is appropriate for proof-of-concept evaluation. The sample consisted of three cohorts of medical students of Heinrich Heine University Dusseldorf (N = 670). The acceptance of the elearning approach was investigated by means of the standard evaluation of Heinrich Heine University. The effect of elearning on students' self-estimation in palliative care competencies was measured by means of the German revised version of the Program in Palliative Care Education and Practice Questionnaire (PCEP-GR).

resultsThe elearning course Palliative Care Basics was well-received by medical students. The data yielded no significant effects of the elearning course on students' self-estimation in palliative care competencies. There was a trend of the elearning course having a positive effect on the mark in written exam.

conclusionsElearning is a promising approach in UPCE and well-accepted by medical students. It may be able to increase students' knowledge in palliative care. However, it is likely that there are other approaches needed to change students' self-estimation in palliative care competencies. It seems plausible that experience-based learning and encounters with dying patients and their relatives are required to increases students' self-estimation in palliative care competencies.

trial registrationHeinrich Heine University Medical School Clinical Trial Registry No. 4876 (date of approval 26.11.2014).

Indexed as

Attitude of Health PersonnelClinical CompetenceInternetAdultCross-Sectional StudiesCurriculumEducation, DistanceEducation, Medical, UndergraduateFemaleGermanyHumansMalePalliative CareStudents, MedicalSurveys and QuestionnairesEducation assessmentEvaluationMedical educationPalliative carePalliative medicineUndergraduate palliative care education

Identifiers

PMID29699593
PMCPMC5921412

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.