title: Evaluation of Knowledge Among Interns in a Medical College Regarding Palliative Care in People Living with HIV/AIDS and the Impact of a Structured Intervention.
abstract: BACKGROUND
  The evolving nature of palliative care and its renewed role in people living with HIV/AIDS (PLWHA) in the post-HAART (highly active anti-retroviral therapy) era warrants an evaluation of the present curriculum in medical under graduates.
  
  
  OBJECTIVE
  The objectives are(1) to measure the existing knowledge regarding palliative care and its application to PLWHA among medical interns and (2) to measure the impact of a structured intervention on knowledge dimensions.
  
  
  METHODS
  Interventional repeated measures study.
  
  
  METHODS
  A convenience sample of 106 interns in the medical college completed a pre-test assessment and a post-test assessment following a structured intervention for evaluation and comparison of knowledge over three dimensions which were (1) knowledge of palliative care and its application in PLWHA, (2) medical symptoms in PLWHA requiring palliative care and (3) psychosocial needs in PLWHA requiring palliative care.
  
  
  RESULTS
  The mean scores on knowledge showed a consistent increase after the structured intervention and Student's t-test was significant across three dimensions of knowledge of palliative care and its application (t=9.12, P value <0.001), medical symptoms in PLWHA requiring palliative care (t=12.72, P value <0.001) and psychosocial needs in PLWHA (t=11.14, P value <0.001).
  
  
  CONCLUSIONS
  In spite of the unique challenges presented by the varying course of illness in PLWHA and the variety of needs on the medical, psychosocial and family dimensions, a structured approach and an integrated course curriculum involving principles of both primary and palliative care principles will improve the efficiency of the undergraduate medical education program and enable delivery of effective palliative care interventions and improve quality of life in PLWHA.
authors.affiliation: Department of Community Medicine, Prathima Institute of Medical Sciences, Nagunur, Karimnagar, Andhra Pradesh, India.
authors.forename: Sameer
authors.initials: S
authors.lastname: Valsangkar
authors.forename: Trupti N
authors.initials: TN
authors.lastname: Bodhare
authors.forename: Shripad B
authors.initials: SB
authors.lastname: Pande
authors.forename: Samir D
authors.initials: SD
authors.lastname: Bele
authors.forename: B Sitarama
authors.initials: BS
authors.lastname: Rao