The request for assisted suicide – a challenging topic to teach in medical education. Project report on a compulsory elective course at the Aachen University Hospital

Aim: As part of the Erasmus+ project “ELPIS”, a compulsory elective course in palliative medicine on handling wishes to die and the desire for suicide was put into place and offered for the first time at the Clinic for Palliative Medicine at RWTH Aachen University in the 2023 summer semester, both a...

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Main Authors: Scherg, Alexandra, Wegmann, Miriam, Biersching, Thekla, Fink, Daniel, Lemos, Martin, Elsner, Frank
Format: Article
Language:deu
Published: German Medical Science GMS Publishing House 2025-06-01
Series:GMS Journal for Medical Education
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Online Access:https://journals.publisso.de/en/journals/jme/volume42/zma001755
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author Scherg, Alexandra
Wegmann, Miriam
Biersching, Thekla
Fink, Daniel
Lemos, Martin
Elsner, Frank
author_facet Scherg, Alexandra
Wegmann, Miriam
Biersching, Thekla
Fink, Daniel
Lemos, Martin
Elsner, Frank
author_sort Scherg, Alexandra
collection DOAJ
description Aim: As part of the Erasmus+ project “ELPIS”, a compulsory elective course in palliative medicine on handling wishes to die and the desire for suicide was put into place and offered for the first time at the Clinic for Palliative Medicine at RWTH Aachen University in the 2023 summer semester, both as a classroom-based session and an online session. The aim of this project was to provide students with background knowledge, skills and the opportunity to stake out a position in the ongoing debate on assisted suicide. Method: The course was initially offered to 15 students in a classroom-based format and entailed 120 minutes during which an introductory lecture and an interactive conversation with a simulated patient were held. A pseudonymized online evaluation took place. In addition to 4 items to collect demographic data, the focus was specifically on capturing personal attitudes toward and knowledge about assisted suicide (6 items). The survey also described the global outcome (4 items) and measured gain in learning on the levels of knowledge, skills and attitude (8 items). Results: The evaluation showed that assisted suicide is viewed as a form of medical care, but suggests at the same time that there are knowledge deficits concerning end-of-life alternatives. The students’ self-assessed level of preparedness increased as a result of the intervention, while their fear of being confronted with a wish for assisted suicide decreased. The opportunity to take up a dynamic stance using an athletic playing field as an aid was perceived as helpful. The specific outcome evaluation showed a gain in learning in all of the dimensions. Conclusion: The participants displayed an open attitude toward assisted suicide as a form of medical care. At the same time, they felt unprepared and fearful of the responsibility that comes with receiving requests for assisted suicide. In order to gain a better understanding of the students’ perspectives and fears, a comparative analysis of the digital course and semi-structured student interviews are currently underway.
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spelling doaj-art-6bcf50463f6541e7a08353df9699e69a2025-08-20T03:30:37ZdeuGerman Medical Science GMS Publishing HouseGMS Journal for Medical Education2366-50172025-06-01423Doc3110.3205/zma001755The request for assisted suicide – a challenging topic to teach in medical education. Project report on a compulsory elective course at the Aachen University HospitalScherg, Alexandra0https://orcid.org/0000-0002-8778-7429Wegmann, Miriam1Biersching, Thekla2Fink, Daniel3Lemos, Martin4https://orcid.org/0000-0002-0788-2400Elsner, Frank5RWTH Aachen University, Medical Faculty, Department of Palliative Medicine, Aachen, GermanyRWTH Aachen University, Medical Faculty, Department of Palliative Medicine, Aachen, GermanyUniversity of Duisburg-Essen, University Hospital Essen, Department of Palliative Medicine, Essen, GermanyRWTH Aachen University, Faculty of Medicine, Audiovisual Media Center, Aachen, GermanyRWTH Aachen University, Faculty of Medicine, Audiovisual Media Center, Aachen, GermanyRWTH Aachen University, Faculty of Medicine, Audiovisual Media Center, Aachen, GermanyAim: As part of the Erasmus+ project “ELPIS”, a compulsory elective course in palliative medicine on handling wishes to die and the desire for suicide was put into place and offered for the first time at the Clinic for Palliative Medicine at RWTH Aachen University in the 2023 summer semester, both as a classroom-based session and an online session. The aim of this project was to provide students with background knowledge, skills and the opportunity to stake out a position in the ongoing debate on assisted suicide. Method: The course was initially offered to 15 students in a classroom-based format and entailed 120 minutes during which an introductory lecture and an interactive conversation with a simulated patient were held. A pseudonymized online evaluation took place. In addition to 4 items to collect demographic data, the focus was specifically on capturing personal attitudes toward and knowledge about assisted suicide (6 items). The survey also described the global outcome (4 items) and measured gain in learning on the levels of knowledge, skills and attitude (8 items). Results: The evaluation showed that assisted suicide is viewed as a form of medical care, but suggests at the same time that there are knowledge deficits concerning end-of-life alternatives. The students’ self-assessed level of preparedness increased as a result of the intervention, while their fear of being confronted with a wish for assisted suicide decreased. The opportunity to take up a dynamic stance using an athletic playing field as an aid was perceived as helpful. The specific outcome evaluation showed a gain in learning in all of the dimensions. Conclusion: The participants displayed an open attitude toward assisted suicide as a form of medical care. At the same time, they felt unprepared and fearful of the responsibility that comes with receiving requests for assisted suicide. In order to gain a better understanding of the students’ perspectives and fears, a comparative analysis of the digital course and semi-structured student interviews are currently underway.https://journals.publisso.de/en/journals/jme/volume42/zma001755assisted suicidepalliative medicinemedical educationprofessional identity formation
spellingShingle Scherg, Alexandra
Wegmann, Miriam
Biersching, Thekla
Fink, Daniel
Lemos, Martin
Elsner, Frank
The request for assisted suicide – a challenging topic to teach in medical education. Project report on a compulsory elective course at the Aachen University Hospital
GMS Journal for Medical Education
assisted suicide
palliative medicine
medical education
professional identity formation
title The request for assisted suicide – a challenging topic to teach in medical education. Project report on a compulsory elective course at the Aachen University Hospital
title_full The request for assisted suicide – a challenging topic to teach in medical education. Project report on a compulsory elective course at the Aachen University Hospital
title_fullStr The request for assisted suicide – a challenging topic to teach in medical education. Project report on a compulsory elective course at the Aachen University Hospital
title_full_unstemmed The request for assisted suicide – a challenging topic to teach in medical education. Project report on a compulsory elective course at the Aachen University Hospital
title_short The request for assisted suicide – a challenging topic to teach in medical education. Project report on a compulsory elective course at the Aachen University Hospital
title_sort request for assisted suicide a challenging topic to teach in medical education project report on a compulsory elective course at the aachen university hospital
topic assisted suicide
palliative medicine
medical education
professional identity formation
url https://journals.publisso.de/en/journals/jme/volume42/zma001755
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