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How do junior doctors in the UK learn to provide end of life care: a qualitative evaluation of postgraduate education

Overview of attention for article published in BMC Palliative Care, September 2015
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3 tweeters

Citations

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16 Dimensions

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70 Mendeley
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Title
How do junior doctors in the UK learn to provide end of life care: a qualitative evaluation of postgraduate education
Published in
BMC Palliative Care, September 2015
DOI 10.1186/s12904-015-0039-6
Pubmed ID
Authors

Sophie Price, Susie Schofield

Abstract

The fundamental importance of good end of life care has been well documented however recent national publications have high-lighted inadequacies in training in this area. For many patients dying in the UK today care is provided in hospital and the number of inpatient deaths is forecast to climb significantly in future. The demands of providing medical care for these patients by junior doctors will continue to rise. However, there is currently only limited research on training for doctors in this setting. A qualitative study using semi-structured interviews of trainees working in general medicine analysed utilising a grounded theory approach. Eleven medical trainees from nine different medical schools participated. They had worked in fifteen different UK hospitals in the course of their careers. All of the doctors interviewed felt generally confident in managing a dying patient. This had developed at postgraduate level and increased when working in certain key specialties. Emerging themes fell into five main categories: perceived ability in clinical management, different learning opportunities experienced, the impact of variations in approach to end of life care, the role of the specialist palliative care team and suggestions for improvements to training. All participants felt further teaching would be beneficial. This study identified key areas where training could be improved. This included small changes in everyday practice to shift the emphasis for trainees to education. There also needs to be focus on end of life care in the curriculum, formal teaching programmes and assessment of junior doctors. The specialist palliative care team played a vital role in training as well as service provision. For those working in this specialty, every clinical encounter provides an opportunity for education. Specifically targeting junior doctors will not only improve patient care today but empower the consultants of the future.

Twitter Demographics

The data shown below were collected from the profiles of 3 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 70 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Malaysia 1 1%
Unknown 69 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 22 31%
Student > Bachelor 8 11%
Student > Postgraduate 5 7%
Student > Doctoral Student 5 7%
Researcher 5 7%
Other 15 21%
Unknown 10 14%
Readers by discipline Count As %
Medicine and Dentistry 34 49%
Nursing and Health Professions 12 17%
Social Sciences 5 7%
Arts and Humanities 2 3%
Psychology 2 3%
Other 3 4%
Unknown 12 17%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 May 2016.
All research outputs
#9,962,555
of 15,641,217 outputs
Outputs from BMC Palliative Care
#655
of 762 outputs
Outputs of similar age
#135,954
of 250,713 outputs
Outputs of similar age from BMC Palliative Care
#1
of 1 outputs
Altmetric has tracked 15,641,217 research outputs across all sources so far. This one is in the 23rd percentile – i.e., 23% of other outputs scored the same or lower than it.
So far Altmetric has tracked 762 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.3. This one is in the 9th percentile – i.e., 9% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 250,713 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 36th percentile – i.e., 36% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them