Teaching advance care planning to medical students with a computer-based decision aid.

来自 EBSCO

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摘要：

Discussing end-of-life decisions with cancer patients is a crucial skill for physicians. This article reports findings from a pilot study evaluating the effectiveness of a computer-based decision aid for teaching medical students about advance care planning. Second-year medical students at a single medical school were randomized to use a standard advance directive or a computer-based decision aid to help patients with advance care planning. Students' knowledge, skills, and satisfaction were measured by self-report; their performance was rated by patients. 121/133 (91%) of students participated. The Decision-Aid Group ( n =60) outperformed the Standard Group ( n =61) in terms of students knowledge ( p <0.01), confidence in helping patients with advance care planning ( p <0.01), knowledge of what matters to patients ( p =0.05), and satisfaction with their learning experience ( p <0.01). Likewise, patients in the Decision Aid Group were more satisfied with the advance care planning method ( p <0.01) and with several aspects of student performance. Use of a computer-based decision aid may be an effective way to teach medical students how to discuss advance care planning with cancer patients.

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关键词：

Advance directives Advance care planning Medical student education Computer-based instruction

DOI：

10.1007/s13187-010-0146-2

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年份：

2011