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“The education is a mirror of where palliative care stands in Israel today”: An exploration of palliative care undergraduate education at medical schools in Israel

Published online by Cambridge University Press:  10 September 2021

Frank Elsner ,
Anne Müller ,
Woukelyne Gil  and
Piret Paal Open the ORCID record for Piret Paal [Opens in a new window]
Frank Elsner*
Affiliation:
Department of Palliative Medicine, RWTH Aachen University, Aachen, Germany
Anne Müller
Affiliation:
Department of Palliative Medicine, RWTH Aachen University, Aachen, Germany Department of Internal Medicine, St. Elisabeth-Krankenhaus Geilenkirchen, Geilenkirchen, Germany
Woukelyne Gil
Affiliation:
Rambam Health Care Campus, Haifa, Israel
Piret Paal
Affiliation:
Institute for Nursing Research and Practice, Paracelsus Medical University, Salzburg, Austria
*
Author for correspondence: Frank Elsner, Klinik für Palliativmedizin, Universitätsklinikum Aachen, Pauwelsstraße 30, 52074Aachen, Germany. E-mail: [email protected]
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Abstract

Objective

Israel serves as a case study for understanding the importance of undergraduate palliative care (PC) education in implementing, developing, and enabling access to palliative care services. This article presents the findings collected from the five medical schools.

Method

This qualitative study supported by a survey explores and describes the state of undergraduate PC education at medical schools in Israel. The survey included questions on voluntary and mandatory courses, allocation of different course models, teaching methods, time frame, content, institutions involved, and examinations. Semi-structured interviews with teaching faculty were conducted at the same locations.

Results

Eleven expert interviews and five surveys demonstrate that PC is taught as a mandatory subject at only two out of the five Israeli universities. To enhance PC in Israel, it needs to become a mandatory subject for all undergraduate medical students. To teach communication, cultural safety, and other basic competencies, new interactive teaching forms need to be developed and adapted. In this regard, nationwide cooperation is proposed. An exchange between medical schools and university clinics is seen as beneficial. The new generation of students is open to PC philosophy and multidimensional care provision but resources to support their growth as professionals and people remain limited.

Significance of results

This study underlines the importance of teaching in PC at medical schools. Undergraduate education is a central measure of PC status and should be used as such worldwide. The improvement of the teaching situation would automatically lead to a better practical implementation for the benefit of people. Medical schools should cooperate, as the formation of expertise exchange across medical schools would automatically lead to better PC education.

Keywords

Cultural safetyIsraelMedical curriculumPalliative careUndergraduate education
Type
Original Article
Information
Palliative & Supportive Care , Volume 20 , Issue 5 , October 2022 , pp. 646 - 653
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

†

These authors contributed equally to this work.

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