[Use of the film Keep on the open road in palliative care education of undergraduate medical students :  Proof-of-concept study].
OBJECTIVE
Recently palliative care has become an integral and compulsory part of undergraduate medical training in Germany. From 2014 onwards every German medical faculty must have developed and implemented undergraduate teaching in this cross-disciplinary medical field and to conduct examinations. At Witten/Herdecke University (Germany) this new cross-sectional course in palliative care was taught for the first time in 2011. The film "Keep on the open road" was incorporated and the use of this film as part of compulsory palliative care education was evaluated from the student perspective.


METHODS
In two teaching units (1.5 h each) the film was watched with the students and discussed in the context of the palliative care setting with a special focus on psychosocial aspects. A semi-quantitative evaluation was performed after the debriefing.


RESULTS
A total of 23 students participated in the course, 87 % (n = 20) evaluated the use of the film as unrestricted useful and 14 indicated a benefit from the film in terms of their medical attitude. Most of the students (n = 19, 83%) did not consider bed-side teaching to be more useful than the film unit. The free text answers underlined that primarily the multidisciplinary aspects of a palliative treatment situation and the meaning of a social environment were highlighted by the film.


CONCLUSIONS
According to the evaluation of the students and the judgement of the participating teachers the use of the film is a suitable method to clarify complex medical, social and psychological aspects in palliative care. Especially at faculties with much larger numbers of students the film unit is thought to be a helpful method to teach psychosocial aspects and to promote development of attitude in palliative care. In future semesters further experience with the unit and the use of films in palliative care teaching will be collected.
Lehrstuhl für Anästhesiologie I, Klinik für Anästhesiologie, Universität Witten/Herdecke, HELIOS Klinikum Wuppertal, Heusnerstr. 40, 42283 Wuppertal, Deutschland. Isabel.dietz@helios-kliniken.de
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Dietz
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Gerbershagen
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Mielke
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Pattberg
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Pesch
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Poels
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Schmalz
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Joppich
D001291:Attitude of Health Personnel; D003479:Curriculum; D004501:Education, Medical / Q000379:methods*; D004504:Education, Medical, Undergraduate; D006801:Humans; D009040:Motion Pictures; D010166:Palliative Care; D010817:Physician-Patient Relations; D013337:Students, Medical; D013663:Teaching