In tern ational Study TABlE 3 Teaching strategies for death education (n= 65) Medicine Canada Kingdom Strateg %n% % 7745 Case studies 96662 04661 65916704665 6 Audiovisual aids Self-directed activities Role playing 83011481170 Clinical experience 519730233222 Journal writing 4000 The death education teaching strategies reported by the nursing and medical programs in Canada and the United Kingdom are described in table 3. self-directed activities were used more than twice as often in U. K nursing programs as in Canadian pro grams. Lectures, case studies, and small-group discussion were used most frequently in Canadian medical programs, whereas medical programs in the United Kingdom preferred lectures and small-group discussion. The majority of Canadian(66% and U.K.(57%)nursing programs reported that most or several students had the opportunity to work with dying patients Opportunities to work with dying patien ts were also made avail- able for many Canadian (50%)and United Kingdom (55%) medical students Program Content Table 4 provides a summary of the content areas most frequently addressed in nursing and medical programs. Nursing programs in Canada and the United Kingdom covered very similar content areas, including grief and bereavement, communication, pain and symptom control, legal/ethical issues, and family needs. HoweveTe a c h in g Str a tegies Th e d e ath e d u c atio n te ach in g strate g ie s re p o rte d by th e n u rsin g an d m e d ic al p ro g r am s in Can ad a an d th e Un ite d Kin g d o m are d e scribe d in Table 3. Se lf-d ire c te d ac tivitie s we re u se d m o re th an twic e a s o fte n in U.K. n u rsin g p r o g r am s as in Can ad i an p r o - g r am s. Le c tu r e s, c as e stu d ie s, an d sm a ll-g ro u p d iscu ssio n we r e u s e d m o st fre q u e n tly in Can ad ian m e d ic a l p ro g r am s, wh e r e as m e d i c a l p r o g r am s in th e Un ite d Kin g d o m p r e f e r r e d le c tu re s an d sm a ll-g r o u p d is c u ssio n . Th e m a jo rit y o f Can ad ian ( 6 6% ) an d U.K. ( 57%) n u rsin g p ro g ram s re p o rte d th at m o st o r se ve ral stu d e n ts h ad th e o p p o rt u n ity to wo r k with d yin g p atie n ts. O p p o rtu n itie s to wo rk with d yin g p atie n ts we re also m ad e avail- ab l e f o r m an y Can ad ian ( 50% ) an d U n it e d Kin g d o m ( 55 % ) m e d ic al stu d e n ts. P rogra m C o n te n t Table 4 p ro vid e s a sum m ar y o f th e con te n t are as m o st fre qu e n tly ad d re sse d in n u rsin g an d m ed ical pro g ram s. Nu rsin g pro g ram s in Can ad a an d th e Un ite d Kin g d o m co ve re d ve r y sim ilar co n te n t are as, in clu din g g rief an d be reavem en t, co m m u n ication , pain an d sym pto m co n tro l, le g al/e th ical issu e s, an d fam ily n e e d s. H owe ve r, In ter n a tio n a l Stu d y 181