Evidence map›Paper›PMID 41947878›Full record

ArticlePalliative care and social practice2026

A whole-process management intervention to transform pessimistic attitudes toward cancer care among internal medicine residents.

Yi-Chen Huang, Yan-Fang Xing, Jian-Liang Xu, Li Zou, Ya-Qin Sun, Kou-Xing Zhang, Xiang-Yuan Wu, Xing Li

Abstract read
In one paragraph

Article in Palliative care and social practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yi-Chen HuangMedical Examination Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.ORCID https://orcid.org/0009-0006-2112-0791
Yan-Fang XingDepartment of Nephrology, The Third Affiliated Hospital of Guangzhou Medical University, China.
Jian-Liang XuDepartment of Hepatobiliary Surgery, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Li ZouDepartment of Endocrinology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Ya-Qin SunDepartment of Medical Oncology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Kou-Xing ZhangDepartment of General Practice, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xiang-Yuan WuDepartment of Medical Oncology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Xing LiMedical Examination Center, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In China, improved cancer survival contrasts with persistent pessimistic attitudes among clinicians, which impacts care quality. We developed a "Whole-Process Management" (WPM) training program to bridge this gap by reshaping internal medicine residents' understanding of the cancer care continuum. Objective: To investigate whether a WPM clinical training strategy can transform pessimistic attitudes toward cancer care and foster a more integrated understanding of palliative therapy among internal medicine residents. Design: A pre-post study utilizing semi-structured interviews. Responses were coded using a predefined categorical framework (positive/negative/NA) and compared before versus after the intervention to characterize internal medicine residents' attitudinal shifts regarding cancer curability, treatment toxicity, and the role of palliative care within the cancer care continuum. Methods: Fifty-seven junior internal medicine residents undergoing oncology rotation at a university-affiliated hospital (January 2022-January 2023) received the WPM intervention. This novel training employed longitudinal patient case tracking and structured reflective seminars to help internal medicine residents view cancer as a chronic condition that can be actively managed. Results: The WPM program significantly reduced pessimistic attitudes. Internal medicine residents recognizing patients in good physical condition increased from 26% to 81% ( Conclusion: The WPM clinical training strategy effectively addresses pessimistic attitudes by transforming internal medicine residents' clinical perspective from isolated tasks to the patient's entire journey, thereby enhancing their ability to provide integrated palliative and anti-cancer care.

Indexed as

hospice carejunior residentsmedical educationpalliative carewhole-process management

Identifiers

PMID41947878
PMCPMC13051117

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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.