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Integrating Spiritual Care Teaching Within the Australian Medical Curriculum
John Wenham1, Megan C Best2, David W Kissane Ac3
1School of Medicine, Sydney Campus, University of Notre Dame Australia, Darlinghurst, New South Wales, Australia.
A spiritual care workshop significantly improved medical students' ability to ask about patient spirituality. This training enhances holistic communication skills, addressing a gap in medical education.
Area of Science:
- Medical Education
- Spiritual Care
- Communication Skills Training
Background:
- Spiritual care is vital for holistic patient care but often omitted from medical curricula.
- Final year medical students reported a lack of spiritual care training in Australian medical schools.
- This study addresses the need to integrate spiritual care education into medical training.
Purpose of the Study:
- To evaluate the effectiveness of a three-hour spiritual care workshop.
- To assess the impact of the workshop on final year medical students' ability to take a spiritual history.
- To improve students' confidence and skills in spiritual care assessment.
Main Methods:
- Prospective pilot study design evaluating a half-day workshop.
- Video analysis of objective structured clinical examinations (OSCE) with standardized patients before and after the workshop.
- Pre- and post-workshop self-assessed confidence scales and assessment of learning-facilitating student characteristics.
Main Results:
- Statistically significant increase in students asking spirituality questions (p < 0.001).
- Significant improvements in self-assessed confidence across most domains, especially the spiritual domain.
- High inter-rater reliability in video analysis of spiritual consultations.
Conclusions:
- The spiritual care workshop demonstrated objective and subjective effectiveness in medical students.
- The training is readily translatable to multidisciplinary holistic communication skills training.
- Addressing spiritual care in medical education enhances patient-centered communication.
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