217 Attitudes towards Physician-Assisted Dying among medical students in an Irish medical school

Abstract

Abstract Background Physician-Assisted Dying (PAD) is a controversial topic, particularly among medical practitioners, While PAD is currently illegal in Ireland, it has been legalised in several European countries. It is likely PAD will become an increasingly contentious issue as current medical students progress through their training and over the course of their future careers. Methods This project comprised of a fully anonymised survey (using the platform Qualtrics), exploring Trinity College Dublin (TCD) medical students’ attitudes towards PAD. All TCD medical students, aged 18 and above, were invited to take part in the online survey. The survey included thirteen questions, addressing student: sex, age, stage of medical training, exposure to geriatric medicine rotations, opinions on training in relation to PAD, and overall attitude to PAD. A participation information leaflet containing a link & QR code to the survey was distributed to students at lectures. An email inviting students to take part in the study was also circulated. Consent was implied by completion of the survey. Results 200 students completed the survey. 119/200 (59.5%) of students were in favour of PAD, 53/200 (26.5%) were unsure, and 28/200 (14%) were opposed to PAD. Only 42/200 (21.%) students felt that their medical training adequately prepared them for potential discussions with patients about PAD The majority of students (31/37) who had completed rotations in Gerontology also felt that they were not adequately prepared for such discussions. 173/200 students feel that additional medical training related to PAD is warranted. Conclusion The majority of TCD medical students, across all genders, year of training and age groups, were in favour of PAD. Most students feel that their medical training does not prepare them for potential discussions about PAD in the future. Those who had clinical rotations in Gerontology did not feel more prepared for future discussions regarding PAD, suggesting the need for more formal teaching on the subject.