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Ethical Dilemmas II01:30

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Observational Study on Enhancing End-of-Life Care Competence Through OSCE: Educational Implications.

Juan Mora-Delgado1, Cristina Lojo-Cruz1, Manuel J Bández2

  • 1Internal Medicine and Palliative Care Clinical Management Unit, Hospital Universitario de Jerez de La Frontera, Ronda de Circunvalación S/N, 11407 Jerez de La Frontera, Spain.

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|May 12, 2025
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Summary
This summary is machine-generated.

Medical students show strong diagnostic skills in end-of-life care but need improvement in communication and ethical decision-making. Enhancing palliative care training is crucial for compassionate patient care.

Keywords:
Clinical CompetenceCommunication-methodsDecision Making ClinicalEducation Medical-methodsEthics Medical ProfessionalismPalliative Care-methodsTerminal Care-education

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Area of Science:

  • Medical Education
  • Palliative Care
  • Clinical Skills Assessment

Background:

  • End-of-life care training is essential but often inadequate in medical curricula.
  • Objective Structured Clinical Examinations (OSCEs) are effective tools for assessing clinical competence.
  • Gaps persist in preparing medical students for complex end-of-life communication and ethical challenges.

Purpose of the Study:

  • To evaluate final-year medical students' competencies in palliative care using a specialized OSCE.
  • To identify specific strengths and weaknesses in end-of-life skills among medical trainees.
  • To inform curricular improvements for comprehensive palliative care education.

Main Methods:

  • A cohort of 118 final-year medical students underwent a specialized OSCE.
  • The OSCE assessed skills in diagnosis, communication, ethical decision-making, and professionalism.
  • Performance data were statistically analyzed to identify areas of proficiency and difficulty.

Main Results:

  • Students demonstrated high proficiency in diagnostic skills and symptom management.
  • Significant variability was observed in communication, advance directive management, and informed consent for palliative sedation.
  • Ethical-legal aspects of end-of-life care presented higher difficulty and variability.

Conclusions:

  • Medical students possess strong diagnostic abilities but require enhanced training in communication and ethical considerations for end-of-life care.
  • Curricular modifications are needed to integrate technical skills with essential communicative and ethical components.
  • Improved training is vital for equipping future physicians with holistic skills for compassionate end-of-life care.