Evidence map›Paper›PMID 33208334›Full record

Observational studyBMJ open2020

Examining the effect of non-specialised clinical rotations upon medical students' Thanatophobia and Self-efficacy in Palliative Care: a prospective observational study in two medical schools.

Guilherme Gryschek, Dario Cecilio-Fernandes, Guilherme Antonio Moreira de Barros, Stephen Mason, Marco Antonio de Carvalho-Filho

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 22% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
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

5 authors at 4 institutions in 4 countries.

Guilherme GryschekInternal Medicine, University of Campinas School of Medical Sciences, Campinas, SP, Brazil.
Dario Cecilio-FernandesDepartment of Medical Psychology and Psychiatry, University of Campinas School of Medical Sciences, Campinas, SP, Brazil.ORCID 0000-0002-8746-1680
Guilherme Antonio Moreira de BarrosDepartment of Anesthesiology, Universidade Estadual Paulista Júlio de Mesquita Filho Câmpus de Botucatu Faculdade de Medicina, Botucatu, SP, Brazil.
Stephen MasonPalliative Care Institute Liverpool, University of Liverpool, Liverpool, UK.
Marco Antonio de Carvalho-FilhoCEDAR-Center for Educational Development and Research in Health Sciences, University Medical Centre Groningen, Groningen, Netherlands m.a.de.carvalho.filho@umcg.nl.ORCID 0000-0001-7008-4092
Universidade Estadual de Campinas (UNICAMP) · BRUniversidade Estadual Paulista (Unesp) · BRUniversity Medical Center Groningen · NLUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIncluding palliative care (PC) in overloaded medical curricula is a challenge, especially where there is a lack of PC specialists. We hypothesised that non-specialised rotations could provide meaningful PC learning when there are enough clinical experiences, with adequate feedback.

objectiveObserve the effects of including PC topics in non-specialised placements for undergraduate medical students in two different medical schools.

designObservational prospective study.

settingMedical schools in Brazil.

participants134 sixth-year medical students of two medical schools.

methodsThis was a longitudinal study that observed the development of Self-efficacy in Palliative Care (SEPC) and Thanatophobia (TS) in sixth-year medical students in different non-specialised clinical rotations in two Brazilian medical schools (MS1 and MS2). We enrolled 78 students in MS1 during the Emergency and Critical Care rotation and 56 students in MS2 during the rotation in Anaesthesiology. Both schools provide PC discussions with different learning environment and approaches. PRIMARY OUTCOMES: SEPC and TS Scales were used to assess students at the beginning and the end of the rotations.

resultsIn both schools' students had an increase in SEPC and a decrease in TS scores.

conclusionNon-specialised rotations that consider PC competencies as core aspects of being a doctor can be effective to develop SEPC and decrease TS levels.

Indexed as

Education, Medical, UndergraduateStudents, MedicalBrazilCurriculumHumansLongitudinal StudiesPalliative CareProspective StudiesSchools, MedicalSelf Efficacyadult palliative caremedical education & trainingpalliative care

Identifiers

PMID33208334
PMCPMC7677329
OpenAlexW3103696963

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.