{
  "abstract": "Objectives Approximately 50% of deaths occur in acute hospitals, and doctors-in-training (DITs) regularly encounter death in many forms and settings. Despite this frequent exposure to death and dying, DITs often feel unprepared and unsupported, leading to significant distress. This study is the first performed to date in Ireland to assess the training and support provided to DITs at Cork University Hospital in managing death and dying and explore the impact of these experiences on their spiritual well-being.Methods A 27-question electronic survey was completed by 130 DITs, gathering information on their training, confidence in managing end-of-life care (EoLC), perceptions of available support and spiritual impacts of death and dying.Results 67% of DITs felt inadequately trained in death and dying, with nearly half lacking confidence in discussing EoLC with patients or families. Additionally, 69% reported inadequate support or debriefing after patient deaths. Most respondents indicated that patient deaths had a personal impact; however, on average, respondents had a moderate sense of spiritual well-being.Conclusions This study highlights the need for improved training and support for DITs in managing death and dying, which could enhance both their overall well-being and the quality of patient care. Further research will expand the survey to other hospitals nationwide.",
  "authors": [
    {
      "affiliations": [
        "Medical Oncology, Cork University Hospital, Cork, Ireland"
      ],
      "name": "Conor Moloney"
    },
    {
      "affiliations": [
        "Pastoral Care, Cork University Hospital, Cork, Ireland",
        "Pastoral Care, Marymount University Hospital and Hospice, Cork, Ireland"
      ],
      "name": "Daniel Nuzum"
    },
    {
      "affiliations": [
        "End-of-Life Care, Cork University Hospital, Cork, Ireland"
      ],
      "name": "Mairead Lyons"
    },
    {
      "affiliations": [
        "Medical Oncology, Cork University Hospital, Cork, Ireland"
      ],
      "name": "Clara Steele"
    },
    {
      "affiliations": [
        "Medical Oncology, Cork University Hospital, Cork, Ireland"
      ],
      "name": "Clara Forrest"
    },
    {
      "affiliations": [
        "Medical Oncology, Cork University Hospital, Cork, Ireland"
      ],
      "name": "Emer Lynch"
    },
    {
      "affiliations": [
        "Medical Oncology, Cork University Hospital, Cork, Ireland"
      ],
      "name": "Eltayeb Elhassan"
    },
    {
      "affiliations": [
        "Medical Oncology, Cork University Hospital, Cork, Ireland"
      ],
      "name": "Hazel O’Sullivan"
    },
    {
      "affiliations": [
        "Department of Palliative Care, Marymount University Hospital and Hospice, Cork, Ireland",
        "Department of Palliative Care, Cork University Hospital, Cork, Ireland"
      ],
      "name": "Mary Jane O’Leary"
    },
    {
      "affiliations": [
        "Medical Oncology, Cork University Hospital, Cork, Ireland",
        "Cancer Research, University College Cork, Cork, Ireland"
      ],
      "name": "Seamus O’Reilly"
    }
  ],
  "title": "Dying, death and doctors-in-training: survey",
  "uid": "f915e370-a108-579b-96ce-39cc1827711b"
}