SHIH-LI TSAIWEN-YU HUHAO-HSIANG CHANGSHAN-CHWEN CHANGChen C.-Y.TAI-YUAN CHIU2020-02-272020-02-2720080929-6646https://www.scopus.com/inward/record.uri?eid=2-s2.0-43449131198&doi=10.1016%2fS0929-6646%2808%2960094-7&partnerID=40&md5=b0a6d54054739fb02a7641c213a61191https://scholars.lib.ntu.edu.tw/handle/123456789/465638Background/purpose: The objective of this study was to investigate the effects of educational intervention using a multimodule curriculum of palliative care on medical students, and to explore significant factors that influence improvement in beliefs of ethical decision-making. Methods: A total of 259 medical students enrolled in the "Family, Society and Medicine" course, and accepted a multimodule palliative care curriculum that included a 1-hour lecture, 1 hour of patient contact, 1 hour of literature reading, and 1 hour of discussion. A questionnaire was administered before and after the course to evaluate improvements in medical students'knowledge (principles and clinical management) of palliative care and their beliefs concerning ethical decision-making in palliative care. Results: The students showed significant improvements after the course in their knowledge of the principles of palliative care (pretest 58.4% vs. posttest 73.1%; p<0.01) and clinical management of palliative care (pretest 58.8% vs. posttest 67.9%; p < 0.01). Although their beliefs about ethical decision-making were also improved after the course, the medical students did not have a positive belief of "artificial nutrition and hydration is not always beneficial for terminal cancer patients", with a mean score of only 3.15 and 3.51 (pretest and posttest, respectively, range, 1-5). The logistic regression model showed that improvement in knowledge of either principles or clinical management did not significantly improve beliefs about ethical decision-making. Conclusion: A multimodule curriculum of palliative care for medical students can significantly improve their knowledge on principles of clinical management and beliefs about ethical decision-making in palliative care. As for changes in beliefs about ethical decision-making in palliative care, continued ethical and clinical training is required. ? 2008 Elsevier & Formosan Medical Association.English[SDGs]SDG3adult; article; cancer palliative therapy; cancer patient; clinical education; content validity; correlation coefficient; curriculum; ethical decision making; female; health belief; human; male; medical education; medical school; medical student; palliative therapy; professional knowledge; structured interviewjournal article10.1016/S0929-6646(08)60094-7184455472-s2.0-43449131198