Dying, death and doctors-in-training: survey

Approximately 50% of deaths occur in acute hospitals, and doctors-in-training (DITs) regularly encounter death in many forms and settings. Despite this frequent exposure to death and dying, DITs often feel unprepared and unsupported, leading to significant distress. This study is the first performed to date in Ireland to assess the training and support provided to DITs at Cork University Hospital in managing death and dying and explore the impact of these experiences on their spiritual well-being.

A 27-question electronic survey was completed by 130 DITs, gathering information on their training, confidence in managing end-of-life care (EoLC), perceptions of available support and spiritual impacts of death and dying.

67% of DITs felt inadequately trained in death and dying, with nearly half lacking confidence in discussing EoLC with patients or families. Additionally, 69% reported inadequate support or debriefing after patient deaths. Most respondents indicated that patient deaths had a personal impact; however, on average, respondents had a moderate sense of spiritual well-being.

This study highlights the need for improved training and support for DITs in managing death and dying, which could enhance both their overall well-being and the quality of patient care. Further research will expand the survey to other hospitals nationwide.