A challenge to medical schools.
Future doctors need to recognise dying, be able to describe its process and be able to behave comfortably alongside dying people. 'Being with' isn't a medical task, but a human one, and it is an important skill set.
Suggest:
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1. First year students are allocated a volunteer patient who is thought to be in their last year of life. Students visit in pairs at home over the academic year, attending hospital if the patient is admitted.
5 pairs meet twice a term to discuss their learning with tutor.
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2. Students are asked to find out what their volunteer patient understands about their illness; what they expect about dying; any concerns they have.
Request permission to observe visits from GP, DN, pall care team, other LTCs experts.
Compare learning in seminar group.
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3. Students' seminar meetings include info about ordinary dying & advance care planning, to give context to their visits.
4. Students make at least one bereavement visit to patient's family and/or write personal condolences letters.
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5. Final year students spend 2 wks in hospice IP unit/COTE ward as personal support/helpers to families of dying people.
Help to ensure pt's visitors are supplied with beverages; top-up car parking; offer to sit with patient if family goes for meal.
Visit pt at least 2x daily
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