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Related Experiment Videos

Interns learning to care for dying patients.

Jennifer Rhodes-Kropf1, Diane Meier, Ronald Adelman

  • 1Montefiore Medical Center, The University Hospital for Albert Einstein College of Medicine, Division of Geriatrics, Bronx, New York 10467-2490, USA. jrhodesk@montefiore.org

Journal of Palliative Medicine
|January 22, 2004
PubMed
Summary

Internal medicine interns felt comfortable discussing end-of-life care but provided minimal emotional support. They identified direct observation of attending physicians as key to improving skills, despite variable role model performance.

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Area of Science:

  • Medical Education
  • Palliative Care
  • Internal Medicine

Background:

  • Interns play a crucial role in patient care, including end-of-life situations.
  • Evaluating the support interns provide and their learning experiences is vital for medical education.

Purpose of the Study:

  • To assess interns' perceptions of emotional support for dying patients and families.
  • To evaluate attending physicians as role models in end-of-life care.

Main Methods:

  • A semistructured, face-to-face interview approach was used.
  • 38 internal medicine interns from two New York City teaching hospitals participated.
  • Interviews focused on experiences with patients dying between January and April 2000.

Main Results:

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  • 58% of interns reported good to excellent comfort discussing end-of-life issues.
  • 60% felt their impact on patients' emotional experiences was minimal.
  • 74% rated patient physical comfort as good to excellent.
  • 66% viewed attending physicians as effective role models; 34% rated them poorly.
  • Direct observation of attending physicians was deemed the most effective learning method.

Conclusions:

  • Interns are comfortable with end-of-life discussions but perceive limited emotional support capacity.
  • Direct observation of attending physicians is considered essential for skill development.
  • Variability in attending physician role modeling impacts intern learning.