A. A. D. Río, Uri Torruco-García, José Daniel Morales-Castillo
Oct 15, 2015
Revista médica del Instituto Mexicano del Seguro Social
BACKGROUND From June to November 2013 an elective subject "The doctor before death" was held in a public medical school. The aim of this report is to assess the achievement of the objectives of this course. METHODS The main objectives of the course were to develop competences, aptitude for reflection before death and encourage changes in attitude towards it. Each session was preceded by an article on the content; during sessions the interaction with physicians and patients facing the approach of death was favored; audiovisual, computer resources were used and conducted discussions. The evaluation of the course was a retrospective questionnaire as a quantitative source, and semi structured interviews and essays as qualitative sources. RESULTS The development of competences, aptitude for reflection about death and attitude changes showed an increase after the intervention (p < 0.01); competence development had the smallest increase. With qualitative information 11 categories were integrated; all showed positive changes in attitude towards death, aptitude for reflection and developed competences (although in this respect the impact was minor). CONCLUSIONS The educational intervention evaluated met the objectives, however, for a future intervention is necessary to reinforce competence development.