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. 2020 Dec 28;20:516. doi: 10.1186/s12909-020-02411-y

Table 1.

PICOS

Inclusion criteria Exclusion criteria
Population Medical students

• Main focus on other healthcare professionals and other healthcare students

 ○Doctors

 ○Nurses, nursing students

 ○Allied health workers/ healthcare support staff, allied health students

 ○Other non-medical student populations

• Main focus on patients/family/friends

 ○Patients

 ○Caregiver, family, relatives, friends

Intervention/Exposure Being involved in care of dying patients

• No involvement in care of dying patients

 ○No clearly defined patient care experience (e.g. study just explores student attitudes to death/ palliative care)

 ○Patient population not dying patients (incl. “geriatrics”, patients without specification that they are dying)

 ○Focus on physician assisted suicide/ medical assistance in death/ suicide

 ○Focus on organ donation/ transplant

 ○Personal experience of death of family/ friend

• Teaching activities about dying patients without substantial patient care component:

 ○Simulation/ case-based learning/ hypothetical scenario

 ○Dissection, prosection, cadaveric studies, autopsy

 ○Other classroom-based activity

 ○One-off encounter with dying patient, or non-clinical encounter (e.g. half day experience), as opposed to being part of care team for a substantial duration

• Animal studies/ Interaction with animals

Comparison
Outcome measures

Impact on medical students’

• Emotions

• Attitude

• Behavioural changes and adaptations

• Personal and professional development

• Personal and professional relationships

• Main focus is evaluation and discussion of another outcome:

 ○Effectiveness of teaching/ assessment methodology

 ○Student’s performance/ knowledge/ skills

 ○Patient outcomes

 ○Others

• Evaluation of societal norms, cultural beliefs, acceptability, ethics

Study design

• English language

• No restriction on design (qualitative, quantitative, mixed)

• No restriction on type of publication (includes perspectives, opinion pieces, commentary, case reports, grey literature) No restriction on geographical location of study or publication

• Non-English publications without English translation

• Unable to retrieve full article