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Respecting patient choices: using the ’Go Wish' cards as a teaching tool
  1. Hibah Osman1,
  2. Katia El Jurdi2,
  3. Ramzi Sabra3 and
  4. Thalia Arawi4
  1. 1Family Medicine, Lebanese Center for Palliative Care – Balsam, Beirut, Lebanon, Lebanon
  2. 2American University of Beirut, Beirut, Lebanon
  3. 3Faculty of Medicine, American University of Beirut, Beirut, Lebanon
  4. 4Faculty of Medicine and Medical Center, American University of Beirut, Beirut, Lebanon
  1. Correspondence to Dr Thalia Arawi, Salim El-Hoss Bioethics Program, Faculty of Medicine and Medical Center, American University of Beirut PO Box 11-0236, Beirut, Lebanon; ta16{at}


Background Individuals have different values and priorities that can have an important impact on their medical management. Understanding this concept can help physicians provide medical care that is in line with the goals of their patients. Communicating this message effectively to students is challenging.

Objective To report our experience with using Go Wish cards in the medical education setting.

Design A thematic analysis of student reflection papers using grounded theory.

Setting/Subjects Second-year medical students participated in an activity using the Go Wish cards as part of a course module on palliative care. The activity aimed to encourage students to reflect on their own choices at the end of life and to highlight that different people have different priorities.

Results Forty-two students (42%) mentioned the Go Wish activity in their reflections on the module. They reported that the activity demonstrated the different priorities at the end of life, it illustrated the importance of providing personalised care, it promoted self-discovery, it transformed their view of death and dying, and it increased their appreciation of the importance of palliative care.

Conclusion Go Wish cards can be used to help illustrate the variability in priorities of patients. They can be used as an effective to teach medical students about the importance of considering patient preferences when illness progresses.

  • Palliative care
  • medical education
  • Go Wish cards
  • good death
  • personalization of care

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  • Contributors HO and TA planned the study. KEJ analysed it, and so did HO, TA and RS. All authors reviewed, edited and approved the final format. TA submitted the study. HO and TA are responsible for the overall content.

  • Competing interests None declared.

  • Ethics approval The study has been approved by the IRB.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Correction notice This article has been corrected since it published Online First. The second author’s name has been corrected.