Medicine as It Should Be: Teaching Team and Teamwork during a Palliative Care Clerkship

J Palliat Med. 2018 May;21(5):638-644. doi: 10.1089/jpm.2017.0589. Epub 2018 Jan 17.

Abstract

Background: Interprofessional Education (IPE) is an important component of medical education. Rotations with palliative care interdisciplinary teams (IDTs) provide an optimal environment for IPE and teaching teamwork skills.

Objective: Our objective was to assess the learning of senior medical students during a palliative care rotation.

Design: A constant comparison method based on grounded theory was used in this qualitative study.

Setting/subjects: Senior medical students completed a semi-structured reflective writing exercise after a required one-week palliative care clerkship. Sixty randomly selected reflective writings were analyzed.

Measurements: The reflective writings were analyzed to evaluate the student's experiences.

Results: Dominant themes identified were related to teams and teamwork. Eight specific themes were identified: value of IDT for team members; value of IDT for patient/family; importance of each team member; reliance on other team members; roles of team members; how teams work; team communication; and interdisciplinary assessment and care planning. Students described exposure to novel experiences and planned to incorporate newly learned behaviors in their future practice.

Conclusion: By participating in palliative care IDTs, medical students consistently learned about teamwork within healthcare. Additionally, they learned the importance of such teamwork to patients and the team itself. Rotations with palliative care IDTs have a significant role to play in IPE and preparing medical students to practice on teams.

Keywords: interprofessional education; medical education; palliative care; teamwork.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Clinical Clerkship / organization & administration*
  • Cooperative Behavior
  • Curriculum
  • Education, Medical / organization & administration*
  • Female
  • Hospice and Palliative Care Nursing / education*
  • Humans
  • Interdisciplinary Studies
  • Interprofessional Relations*
  • Male
  • Palliative Care / psychology*
  • Patient Care Team / organization & administration*
  • Qualitative Research
  • Students, Medical / psychology*
  • Young Adult