1
40
1
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
June 2020 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
June 2020 List
URL Address
<a href="http://doi.org/10.15766/mep_2374-8265.10895" target="_blank" rel="noreferrer noopener">http://doi.org/10.15766/mep_2374-8265.10895</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Ethical Dilemmas at the Beginning and End of Life: A Needs-Based, Experience-Informed, Small-Group, Case-Based Curriculum for Pediatric Residents
Publisher
An entity responsible for making the resource available
MedEdPORTAL
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
Subject
The topic of the resource
Artificial Nutrition; End of Life; Ethics/Bioethics; Futility; Hospice; Medical Ethics; Neonatal-Perinatal Medicine; Neonatology; Palliative Care; Palliative Medicine; Pediatrics; Terminal Care
Creator
An entity primarily responsible for making the resource
Herbst L A; deSante-Bertkau J
Description
An account of the resource
Introduction: Pediatric residents are faced with ethical dilemmas in beginning- and end-of-life situations throughout their training. These situations are innately challenging, yet despite recommendations that residents receive training in ethics and end-of-life domains, they continue to report the need for additional training. To address these concerns, we developed an interactive and reflective palliative care and medical ethics curriculum including sessions focusing on ethical dilemmas at the beginning and end of life. Methods: This module includes a trio of case-based, small-group discussions on artificial nutrition and hydration, futility, and ethical considerations in neonatology. Content was developed based on a needs assessment, input from local experts, and previously published material. Trainees completed assessments of comfort and understanding before and after each session. Results: The module was attended and assessed by an average of 27 trainees per session, including residents and medical students. Knowledge of ethical considerations improved after individual sessions, with 86% of trainees reporting understanding ethical considerations involved in the decision to withdraw or withhold medically provided nutrition and hydration and 67% of trainees reporting understanding the use of the term futility. Trainee comfort in providing counseling or recommendations regarding specific ethical issues demonstrated a trend toward improvement but did not reach statistical significance. Discussion: We successfully implemented this innovative module, which increased trainees' comfort with end-of-life care and ethical conflicts. Future studies should focus on the trainees' ability to implement these skills in clinical practice.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.15766/mep_2374-8265.10895" target="_blank" rel="noreferrer noopener">10.15766/mep_2374-8265.10895</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2020
Artificial Nutrition
deSante-Bertkau J
End Of Life
Ethics/Bioethics
Futility
Herbst L A
Hospice
June 2020 List
MedEdPORTAL
Medical Ethics
Neonatal-Perinatal Medicine
Neonatology
Palliative Care
Palliative Medicine
Pediatrics
Terminal Care