Medical students' experiences with and perceptions of chronic illness prior to medical school

Fitzpatrick, S. B.; O’Donnell, Renée; Getson, Pamela R.; Sahler, Olle Jane Z.; Goldberg, Rhonda; Greenberg, L. W.

doi:10.1111/j.1365-2923.1993.tb00281.x

Cited by 12 publications

(5 citation statements)

References 7 publications

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“…Students enter medical school with overwhelmingly positive attitudes toward working with the chronically ill, with less than 10% of new students reporting that they would change specialty plans if the incidence of chronically ill patients increased in their chosen field. 7,8 However, this proportion increased to 25% of students after completing their required clinical clerkships. The authors hypothesize that this deterioration is a result, in part, of negative role modeling experiences with faculty or residents rather than negative interactions with patients themselves.…”

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confidence: 96%

Disability Attitudes in Health Care

Chadd

Pangilinan

2011

American Journal of Physical Medicine &Amp; Rehabilitation

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The new Disability Attitudes in Health Care scale developed in this study shows good internal consistency and criterion validity. Attitudes toward caring for patients with disability seem to be unrelated to the standard medical education curriculum or previous experience with disability. Specific educational experiences may be designed to engender more positive attitudes toward providing health care to this patient population.

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confidence: 96%

Disability Attitudes in Health Care

Chadd

Pangilinan

2011

American Journal of Physical Medicine &Amp; Rehabilitation

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“…The increasing burden of chronic illness has prompted concerns about the traditional education model that focuses on management of acute disease 1–3. Chronic illness has replaced acute disease as the major cause of disability and total national health care expenditures 4–6.…”

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confidence: 99%

Postdischarge follow‐up visits for medical and pharmacy students on an inpatient medicine clerkship

Lai

Nye

Bookwalter

et al. 2008

Journal of Hospital Medicine

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BACKGROUND Teaching medical and pharmacy students to collaborate on discharge planning for chronically ill patients may facilitate their ability to provide quality care. OBJECTIVE To determine whether a discharge curriculum would improve students' attitudes and self‐assessed skills in interdisciplinary collaboration and transitional care for chronically ill patients. DESIGN The discharge curriculum of an inpatient medicine clerkship focused on safe patient transitions after hospitalization. Curricular components included an interdisciplinary workshop, follow‐up visits with discharged patients, a final group debriefing, and letters to patients' primary care providers. Preassigned medical and pharmacy student partners coordinated discharges and conducted postdischarge visits. The change in students' attitudes and skills in interdisciplinary collaboration and discharge planning was assessed using a 5‐point Likert‐scaled survey given before and after the curriculum, and students reported their satisfaction using additional Likert‐scaled and open‐ended questions. RESULTS The program was completed by 97% of students (37 of 39 medical, 22 of 22 pharmacy). The postcurriculum survey response rates were 92% and 86%, respectively; matched response rates were 58% and 59%. The attitudes and self‐assessed skills of both medical and pharmacy students significantly improved for most survey items after the curriculum. Students also reported that the curriculum had a favorable impact on their learning about interdisciplinary care (4.3, SD 0.72), humanism (4.3, SD 0.63), and discharge planning (4.4, SD 0.70). Ninety‐three percent reported that the curriculum was valuable to their education. CONCLUSIONS A clinically oriented curriculum with postdischarge visits improved students' attitudes and self‐assessed skills in interdisciplinary collaboration and transitional care and fostered a patient‐centered approach to care. Journal of Hospital Medicine 2008;3:20–27. © 2008 Society of Hospital Medicine.

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“…In addition, medical students can develop negative attitudes about caring for patients with chronic illnesses as their clinical experience with this patient population increases. [4][5][6][7] In response to the above deficiencies, geriatrics faculty at Weill Cornell Medical College (WCMC) developed and implemented the Chronic Illness Care in the Home Setting Program (CIC-HSP). This program is part of a required 6week primary care clerkship, which all WCMC medical students participate in during their third or fourth year of training.…”

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confidence: 99%

“…As a result, medical students lack opportunities to engage in and learn about chronic illness care. In addition, medical students can develop negative attitudes about caring for patients with chronic illnesses as their clinical experience with this patient population increases 4–7 …”

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confidence: 99%

Reflections of Medical Students on Visiting Chronically Ill Older Patients in the Home

Yuen

Breckman

Adelman

et al. 2006

J American Geriatrics Society

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The expanding number of Americans living with chronic illness necessitates educating future physicians about chronic illness care. Weill Cornell Medical College's Chronic Illness Care in the Home Setting Program (CIC-HSP), a mandatory part of the primary care clerkship, exposes medical students to persons with chronic illness via a half day of house calls with a geriatrics team. The investigators sought to qualitatively assess the effect of the CIC-HSP on medical students and recent medical graduates. Fifty-two prospective participants were approached, and 50 (96%) with varying training levels and time since completing the program were interviewed. Most respondents (63%) found that the home visits taught them important approaches to caring for the chronically ill, such as individualizing care to meet patients' individual needs and improving quality of life as a goal of care. Students remarked that the experience enhanced their empathy (18%) and sensitivity (20%) toward chronically ill patients and increased their appreciation for chronic illness care (35%). Many participants reported that patients were more empowered in the home (55%) and perceived greater rapport and warmth between the doctor and patient (57%) in the home (vs office) setting. The vast majority of recent medical graduates (84%) related that this educational exposure continued to positively influence their approach to patient care. A home visit experience with a geriatrics team can help foster medical students' understanding of the psychosocial and medical aspects of chronic illness, teach relevant approaches to patient care, and improve students' attitudes toward caring for the chronically ill.

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Medical students' experiences with and perceptions of chronic illness prior to medical school

Cited by 12 publications

References 7 publications

Disability Attitudes in Health Care

Disability Attitudes in Health Care

Postdischarge follow‐up visits for medical and pharmacy students on an inpatient medicine clerkship

Reflections of Medical Students on Visiting Chronically Ill Older Patients in the Home

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