Palliative care training in Spanish medical schools: student assessment.

Abstract

Objectives: This study investigates the status of end-of-life (EOL) care and palliative care (PC) training in Spanish medical schools and assesses students' perspectives.

Methods: The research employs a quantitative cross-sectional survey and a systematic review of curricula including schools to which the respondent students belonged to.

Results: A systematic review reveals that only 12 out of 39 universities offer mandatory PC or EOL care subjects, often integrated with other areas. Optional courses exist in nine universities but with minimal emphasis. Survey responses from 368 senior medical students indicate limited exposure to EOL or PC training, with significant deficits reported in communicative attitudes, ethics, administrative procedures and self-care. Most students lack confidence in EOL care and PC skills, often relying on imitation or personal experience for learning. Nearly half have sought training outside their regular curriculum, and the majority express a desire for additional education in these areas.

Conclusions: The study underscores the urgent need to enhance PC and EOL care teaching in Spanish medical schools, addressing gaps in physiological understanding, communication, ethics, administrative processes and self-care for healthcare professionals dealing with EOL situations.