A student-initiated elective on end-of-life care: a unique perspective

Area of Science:

• Medical Education
• Curriculum Development
• Palliative Care

Background:

• Traditionally, faculty spearhead curriculum changes in medical schools.
• A first-year medical student identified a need for enhanced end-of-life care education.
• Disillusionment with existing physician roles at end-of-life prompted student action.

Purpose of the Study:

• To describe the process and challenges of a student-led end-of-life care curriculum change.
• To identify key dilemmas encountered during student-initiated curriculum reform.
• To provide recommendations for future student-led curriculum development.

Main Methods:

• The article details the 'Preceptorship on End of Life Care' program.
• It outlines five critical dilemmas faced by students initiating curriculum change.
• Recommendations are based on the experience of a student-led initiative.

Main Results:

• A first-year medical student successfully initiated and sustained an end-of-life curriculum change.
• Key dilemmas included resource acquisition, peer vs. faculty facilitation, and course structure (elective/required).
• Successful transition to new student leadership was also a consideration.

Conclusions:

• Student-led curriculum change is feasible and can address educational gaps.
• Overcoming challenges requires careful planning regarding resources, facilitation, and course design.
• Collaboration among students, faculty, and community affiliates is crucial for sustained success.