{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T18:10:36Z","timestamp":1774548636934,"version":"3.50.1"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Support Palliat Care"],"accepted":{"date-parts":[[2026,3,4]]},"abstract":"\n Objectives<\/jats:title>\n High-fidelity simulation is an effective tool for the education of medical students in end-of-life care. Reported examples often involve small groups or repeated sessions. We demonstrate the use of a large group, single session format to improve medical students\u2019 confidence in providing ward-based end-of-life care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We designed a single, hour-long simulation session for up to 30 junior clinical medical students, with an online tutorial prior. A mixed-method quantitative and qualitative approach consisting of a repeated survey and a semistructured interview was used to assess change in confidence in the topic and explore their thoughts on their future role and use of simulation.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The survey demonstrated an increase in confidence in students\u2019 ability to communicate with family and certify death. The semistructured interviews found that our students had personal experience but lacked clinical experience with death and dying and were na\u00efve to their future role as junior doctors. They found benefit in simulation as a teaching modality and thought prebriefing was beneficial.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n We demonstrated that a single session can be effective to introduce end-of-life care to a large group of medical students. This could provide a shared foundation on which to build in future clinical placements in a resource-constrained environment.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/spcare-2025-005754","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T17:20:15Z","timestamp":1774545615000},"page":"spcare-2025-005754","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Single simulation session to introduce large medical student groups to end-of-life care"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2512-2421","authenticated-orcid":false,"given":"Jonathan","family":"Mair","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Otago, Wellington, New Zealand"},{"name":"Te Whatu Ora Health New Zealand Capital, Coast and Hutt Valley, Newtown, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Cotter","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Otago, Wellington, New Zealand"},{"name":"Te Whatu Ora Health New Zealand Capital, Coast and Hutt Valley, Newtown, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bonnie","family":"Taylor","sequence":"additional","affiliation":[{"name":"Wellington Simulation Centre, Wellington Regional Hospital, Newtown, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brad","family":"Peckler","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Health New Zealand Capital, Coast and Hutt Valley, Newtown, New Zealand"},{"name":"Wellington Simulation Centre, Wellington Regional Hospital, Newtown, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7635-6199","authenticated-orcid":false,"given":"Sin\u00e9ad","family":"Donnelly","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Otago, Wellington, New Zealand"},{"name":"Te Whatu Ora Health New Zealand Capital, Coast and Hutt Valley, Newtown, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"2026032610200713000_spcare-2025-005754v1.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2019-001853"},{"key":"2026032610200713000_spcare-2025-005754v1.2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2018-001595"},{"key":"2026032610200713000_spcare-2025-005754v1.3","doi-asserted-by":"crossref","first-page":"915","DOI":"10.2147\/AMEP.S153630","article-title":"Simulation training in palliative care: state of the art and future 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Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/spcare-2025-005754","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T17:20:16Z","timestamp":1774545616000},"score":1,"resource":{"primary":{"URL":"https:\/\/spcare.bmj.com\/lookup\/doi\/10.1136\/spcare-2025-005754"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,26]]},"references-count":13,"alternative-id":["10.1136\/spcare-2025-005754"],"URL":"https:\/\/doi.org\/10.1136\/spcare-2025-005754","relation":{},"ISSN":["2045-435X","2045-4368"],"issn-type":[{"value":"2045-435X","type":"print"},{"value":"2045-4368","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,26]]}}}