With increased demand for palliative care (PC), the World Health Organisation (WHO) have called for PC teaching to be made routine. However, medical students report feeling unprepared in dealing with end-of-life care. Necessary benchmarking of the preparedness of clinicians to provide PC is required to identify where current training is sub-optimal and ensure future doctors are equipped to meet the needs of their patients. The aim of this study is to assess the utility of an electronic International Medical Education in Palliative Care (IMEP-e) assessment tool that examines the preparedness of clinicians to provide PC. A multi-phase pilot study. Phase 1: To transpose the Self-Efficacy Palliative Care Scale (SEPCs) and the Thanatophobia Scale (TS) to an electronic format and evaluate its utility. Phase 2: To assess the effects of PC teaching by comparing data from year three (Y3) and year five (Y5 - who have participated in PC placement) medical students. Scales: The 23 item SEPC and 7 item TS assess attitudes towards caring for dying patients. Total questionnaires sent =360 (280 Y3, 80 Y5). Total response rate = 46.39%, n = 167 (127 Y3, 40 Y5). Completed data: n = 125 (95 Y3, 30 Y5). Analysis identified statistically significant differences (p < 0.001) between year groups across all subscales of the SEPC; communication skills (t = − 13.52), Pain and Treatment management (t = − 14.25) and multidisciplinary management (t = − 7.89). The TS shows a statistically significant increased positive attitudes (z = − 2.85 p < 0.005). From the focus group, three themes were identified from the qualitative feedback including university based teaching, hospice based teaching and utility of IMEP-e tool. The IMEP-e tool is a viable and comparable method for collecting data on the preparedness to practice PC. A larger scale study is needed to determine and evaluate if, and how, preparing clinicians to work in PC has been adapted in to routine training.

中文翻译：

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开发和评估评估姑息治疗本科培训效果的电子工具：姑息治疗国际电子医学教育（IMEP-e）评估工具

随着对姑息治疗（PC）的需求增加，世界卫生组织（WHO）要求将PC教导定为常规。但是，医学生报告说在处理临终护理时感觉没有准备。需要对临床医生准备提供PC的能力进行必要的基准测试，以识别当前培训欠佳的地方，并确保将来的医生能够满足患者的需求。这项研究的目的是评估电子国际姑息治疗医学教育（IMEP-e）评估工具的实用性，该工具检查临床医生准备提供PC的准备情况。多阶段的试验研究。阶段1：将自我效能感姑息治疗量表（SEPC）和恐怖恐惧症量表（TS）转换为电子格式，并评估其效用。阶段2：通过比较三年级（Y3）和五年级（Y5-参加过PC安置）医学生的数据来评估PC教学的效果。量表：SEPC的23项和TS的7项评估了对垂死患者的护理态度。发送的问卷总数= 360（280年3年代，80年5年代）。总回应率= 46.39％，n = 167（127 Y3，40 Y5）。完成的数据：n = 125（95 Y3，30 Y5）。分析确定了SEPC所有子量表中各年组之间的统计学显着性差异（p <0.001）；沟通技巧（t = − 13.52），疼痛和治疗管理（t = − 14.25）和多学科管理（t = − 7.89）。TS显示出统计学上显着的积极态度（z =-2.85 p <0.005）。在焦点小组中，从定性反馈中确定了三个主题，包括基于大学的教学，基于临终关怀的IMEP-e工具教学和实用性。IMEP-e工具是一种可行且可比的方法，用于收集有关准备PC实践的数据。需要进行较大规模的研究，以确定和评估是否以及如何使临床医生准备在PC中工作已适应常规培训。