Table 2 Comparative student self-assessment items rated after completing the offered elective course

1

I am capable of explaining in detail the basic principles of communication with severely ill patients.

Knowledge

2

I am capable of explaining in detail the NURSE model for dealing with emotions emerging during the meeting.

Knowledge

3

I can actively generate a reassuring atmosphere for my talk with a severely ill patient.

Skills

4

I am confident using non-verbal techniques while talking with a severely ill patient.

Skills

5

I can maintain a neutral attitude in order to professionally handle dying and death in my capacity as a physician.

Attitude

6

I can handle being directly confronted with my own mortality.

Attitude

7

I know how to interpret my dialogue partner’s emotions during a meeting.

Skills

8

I have all the skills and competences I need to be aware of my own feelings and maintain a balance between empathy and professionalism while meeting with a severely ill patient.

Skills

9

I can accept my emotional reaction when sympathising with a patient in an existential crisis.

Attitude

10

I can explain in detail how my own emotions influence my professionalism and work as a physician.

Knowledge

11

I am not afraid of meeting a severely ill patient.

Attitude

12

I know how to choose the right words when meeting with a severely ill patient.

Skills

13

I can handle silence in a meeting with a severely ill patient.

Skills

14

I can treat a dying person with dignity.

Attitude