SynthesisBMJ supportive & palliative care2022
Palliative and end-of-life care and junior doctors: a systematic review and narrative synthesis.
Synthesis in BMJ supportive & palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Attitudes of undergraduate medical students towards end-of-life decisions: a systematic review of influencing factors.BMC medical education · 2025Pooled it
- Cross-Cultural Validation of the 11-Item Frommelt Attitude Toward the Care of the Dying Scale Among U.S. Preclinical Medical Students.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- General practitioners and general practitioner registrars' experiences and learning from caring for dying patients: a scoping review.BMJ open · 2026Article
- Quality indicators in undergraduate palliative medicine education: a scoping review.BMC medical education · 2026Article
- Death Literacy and End-of-Life Preparedness Among Health Professions Students: A Mixed-Methods Study.Cureus · 2026Article
- Article
- Factors in oncologists' attitudes on do-not-attempt-resuscitation orders for patients with cancer.International journal of clinical oncology · 2025Article
- Medical student's experiences of communication with dying patients and their families.BMC medical education · 2025Article
- Using Audit to Improve End-of-Life Care in a Tertiary Cancer Centre.Current oncology (Toronto, Ont.) · 2025Article
- Connect or detach: A transformative experience for medical students in end-of-life care.Medical education · 2025Article
- Evaluating the Impact of a Novel Competency-Based Education Workshop on Interns' Perceived Preparedness in Providing Generalist End-of-Life Palliative Care.Palliative medicine reports · 2025Article
- A qualitative exploration of the impact of a hospital electronic prescribing and medicines administration (HEPMA) protocol on junior doctor confidence and competence to prescribe end-of-life care medicines.International journal of clinical pharmacy · 2024Article
- Hospital at home - developing a simulation induction programme for junior doctors.Clinical medicine (London, England) · 2024Article
- Doctors' knowledge, attitudes and practices of palliative care in two South African districts.African journal of primary health care & family medicine · 2024Observational
- The Patient-Physician Relationship: Medical Students' Perceptions in a Novel Course.Journal of general internal medicine · 2024Article
- Mapping an undergraduate medical education curriculum against national and international palliative care reference learning objectives.BMC medical education · 2024Article
- Palliative care training in medical undergraduate education: a survey among the faculty.BMC palliative care · 2024Article
- Spiritual dimension in palliative medicine: a qualitative study of learning tasks: medical students, teachers, educationalists.BMJ supportive & palliative care · 2023Article
- Article
- General practitioner residents and patients end-of life: involvement and consequences.BMC medical ethics · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPalliative and end-of-life care is a core competency for doctors and is increasingly recognised as a key clinical skill for junior doctors. There is a growing international movement to embed palliative care education in medical student and junior doctor education. To date there has been no review of the literature concerning the views and experiences of junior doctors delivering this care.
aimTo review the published literature between 2000 and 2019 concerning junior doctors' experience of palliative and end-of-life care.
methodsSystematic literature review and narrative synthesis.
resultsA search of six databases identified 7191 titles; 34 papers met the inclusion criteria, with a further 5 identified from reference searching. Data were extracted into a review-specific extraction sheet and a narrative synthesis undertaken. Three key themes were identified: (1) 'Significance of death and dying': all papers found that junior doctors care for many patients approaching the end of life, and this often causes emotional distress and can leave persisting memories for many years afterwards; (2) 'Thrown in at the deep end': junior doctors feel unprepared and unsupported in providing palliative and end-of-life care; and (3) 'Addressing the gaps': junior doctors often experience a medical culture of disengagement towards dying patients and varying attitudes of senior doctors. Subsequently they have to learn the skills needed through seeking their own opportunities.
conclusionMedical education needs to change in order to better prepare and support junior doctors for their role in caring for dying patients. This education needs to focus on their knowledge, skills and attitudes.
Indexed as
Identifiers
What OpenQuestion holds
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.