Medical Students' Experience in a Trauma Chaplain Shadowing Program: A Mixed Method Analysis.

Publisher: Taylor & Francis Country of Publication: United States NLM ID: 9806550 Publication Model: Print Cited Medium: Internet ISSN: 1087-2981 (Electronic) Linking ISSN: 10872981 NLM ISO Abbreviation: Med Educ Online Subsets: MEDLINE

Publication: 2016- : Philadelphia, PA : Taylor & Francis
Original Publication: [E. Lansing, MI] : Medical Education Online, [1996-

Pastoral Care* ; Physician-Patient Relations*; Students, Medical/*psychology; Adult ; Female ; Focus Groups ; Humans ; Learning ; Male ; Spirituality ; Surveys and Questionnaires ; Young Adult

Despite the importance of spirituality to health and patient care, there remains a lack of educational opportunities for medical students to learn about and engage the spiritual needs of patients. Shadowing of hospital chaplains has been employed as a means of providing instruction in spirituality, but published experiences of this pedagogy are limited. This study therefore analyzed an elective, first-year medical student, eight-hour, trauma chaplain shadowing experience, the objectives of which are to increase students' knowledge and understanding of (i) the role of chaplains/pastoral care in patient care; (ii) strategies for engaging patients and/or families in difficult situations; and (iii) approaches for discussing issues of spirituality with patients and families. Aquestionnaire was sent to participants after the experience assessing the value of the experience. Two focus groups provided additional qualitative data. Of the 148 participants over 6 years, 100 completed the questionnaire (68%). Participants on average engaged 1.78 trauma patients or their families and experienced 3.63 overall patient/family interactions during their shadowing. Over 90% of respondents agreed or strongly agreed that the experience provided agreater understanding of the role of the chaplain, and was educationally, professionally, and personally useful. Over 60% of respondents agreed or strongly agreed that the experience improved their understanding of discussing difficult or spiritual topics with patients and families. Nearly all respondents (98%) would recommend asimilar shadowing experience to fellow medical students. Qualitative remarks echoed these findings, revealing themes surrounding the educational benefits, surprise, and awe experienced by participants, and indicating appreciation for the interprofessional aspect of the experience. These data demonstrate that trauma chaplain shadowing may be effective for introducing first-year medical students to healthcare chaplaincy, educating them about the challenges of navigating difficult spiritual conversations with patients and families, and exposing them to interprofessional collaboration.

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Keywords: Chaplain shadowing; Pastoral care; Religion; Interprofessional education; Physician-patient communication; Spirituality

Date Created: 20200105 Date Completed: 20200331 Latest Revision: 20201113

20240104

PMC6968636

10.1080/10872981.2019.1710896

31900090