{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T01:51:43Z","timestamp":1764813103601,"version":"build-2065373602"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T00:00:00Z","timestamp":1752624000000},"content-version":"vor","delay-in-days":196,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Clinical Teacher"],"published-print":{"date-parts":[[2025,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Providing bereavement support to parents who have experienced a perinatal loss requires knowledge, empathy and sensitivity. Undergraduate opportunities to learn directly from parents with personal experience remain limited. This study assessed medical students' responses to parent\u2010led stories on perinatal loss, evaluating their self\u2010reported changes in knowledge, skills and self\u2010awareness.<\/jats:p>\n <\/jats:sec>\n \n Approach<\/jats:title>\n Final\u2010year medical students in University College Dublin participated in a new educational initiative featuring parent\u2010educators from three perinatal loss advocacy groups. Each session focused on the parents' personal experiences of pregnancy loss and was designed collaboratively with the authors and independently led by the parents.<\/jats:p>\n <\/jats:sec>\n \n Evaluation<\/jats:title>\n \n Evaluation used a validated preintervention and postintervention questionnaire\u2014the Perinatal Bereavement Care Confidence Scale (PBCCS). This measures self\u2010reported knowledge, support skills and self\u2010awareness in providing bereavement care. Students also provided free\u2010text comments on confidence promoters, inhibitors and suggestions for improvement. Statistically significant improvements were observed across all three domains of the PBCCS following the educational sessions. Knowledge scores increased 28.2%, from 2.80 to 3.59 (\n p<\/jats:italic>\n \u2009<\u20090.01; Cohen's\n d<\/jats:italic>\n \u2009=\u20090.39). Skills rose 43.1%, from 2.16 to 3.09 (\n p<\/jats:italic>\n \u2009<\u20090.001;\n d<\/jats:italic>\n \u2009=\u20090.65). Self\u2010awareness increased 21.6%, from 3.29 to 4.00 (\n p<\/jats:italic>\n \u2009<\u20090.001). Thematic content analysis of free\u2010text responses revealed a lack of experience and fear of \u2018saying the wrong thing\u2019 as confidence inhibitors. Postintervention responses highlighted the value of hearing from the bereaved parents, with students calling for continued parent\u2010educator sessions.\n <\/jats:p>\n <\/jats:sec>\n \n Implications<\/jats:title>\n This pilot educational programme highlights the value of in\u2010person, parent\u2010led education and suggests that integrating the lived experience can better prepare students to provide bereavement care.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/tct.70146","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T05:24:28Z","timestamp":1752729868000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u2018Stories of Loss\u2019\u2014Designing and Evaluating a Patient\u2010Led Perinatal Bereavement Programme for Medical Students"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0593-9685","authenticated-orcid":false,"given":"Clare","family":"Kennedy","sequence":"first","affiliation":[{"name":"UCD Perinatal Research Centre, National Maternity Hospital University College Dublin Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Lynch","sequence":"additional","affiliation":[{"name":"Leanbh Mo Chro\u00ed Ireland (LMC) Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Doyle","sequence":"additional","affiliation":[{"name":"F\u00e9ileac\u00e1in Skibbereen Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanne","family":"Brodigan","sequence":"additional","affiliation":[{"name":"Ectopic Pregnancy Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Guild","sequence":"additional","affiliation":[{"name":"Ectopic Pregnancy Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6469-5169","authenticated-orcid":false,"given":"Mary\u00a0F.","family":"Higgins","sequence":"additional","affiliation":[{"name":"UCD Perinatal Research Centre, National Maternity Hospital University College Dublin Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2020.10.004"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0191635"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-054991"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12695"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.13028"},{"volume-title":"Standards for Bereavement Care Following Pregnancy Loss and Perinatal Death","year":"2016","author":"Health Service Executive","key":"e_1_2_11_7_1"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2021.102978"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0277496"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xagr.2025.100465"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-12-137"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0224325"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14765"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2019.07.001"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2024.104233"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2023.2243023"}],"container-title":["The Clinical Teacher"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tct.70146","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T17:05:58Z","timestamp":1762362358000},"score":1,"resource":{"primary":{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/10.1111\/tct.70146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/tct.70146"],"URL":"https:\/\/doi.org\/10.1111\/tct.70146","archive":["Portico"],"relation":{},"ISSN":["1743-4971","1743-498X"],"issn-type":[{"type":"print","value":"1743-4971"},{"type":"electronic","value":"1743-498X"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2025-03-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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