Medical students in gynaecology clinics

Yang, Jenny; Black, Kirsten

doi:10.1111/tct.12122

Cited by 13 publications

(20 citation statements)

References 8 publications

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“…Comparing these results with previous studies from western countries, 1,12,13,15,[19][20][21][22] Chinese women's acceptance toward student involvement was lowest and varied largely depending on student gender. This tendency could be partly attributed to traditional Confucian cultural norms that have long influenced Chinese society.…”

Section: Discussionsupporting

confidence: 63%

The Impact of Trainee Nationality on Patient Acceptance of Obstetrics and Gynecology Care: A Chinese Study

Xiao

He²,

Jiang

et al. 2019

Teaching and Learning in Medicine

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Phenomenon: China is a relatively homogenous nation where the majority of people are Han Chinese. In recent years, a large number of international students have begun to study medicine in China. Due to the privacy and intimacy associated with obstetrical and gynecological diseases, Chinese women's acceptance toward international students' involvement in their care has not been reported thus far. This survey aims (1) to determine Chinese women's attitudes toward both Chinese and international medical student involvements in obstetrical and gynecological outpatient departments and (2) to investigate possible reasons, if any, for their rejection of the medical students. Approach: We conducted a cross-sectional survey study using a locally-developed questionnaire. The survey was conducted in the obstetrical and gynecological outpatient department of a tertiary hospital in a Chinese harbor city. We surveyed 600 patients for their attitudes towards the involvement of four groups of medical student in clinical practice: Chinese female, International female, Chinese male, and International male. Among the returned questionnaires, 501 satisfied the criteria for analysis. Findings: Patient's acceptance rates of the four groups of students (Chinese female, International female, Chinese male, and International male) were 59.7%, 55.9%, 32.1%, and 25.9%, respectively. Analysis revealed that language barriers and lack of friendliness were the two main reasons leading to patients' low acceptance rates of international students. Insights: Obstetrical and gynecological patients are more likely to accept female students over male students, regardless of their nationality, however International male students receive the least acceptance. For international students, improving their Chinese language skills and using more friendly expressions may facilitate their practice in China.

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Section: Discussionsupporting

confidence: 63%

The Impact of Trainee Nationality on Patient Acceptance of Obstetrics and Gynecology Care: A Chinese Study

Xiao

He²,

Jiang

et al. 2019

Teaching and Learning in Medicine

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“…While teaching will probably not be impeded by a 10.5 per cent non‐participation rate, the lost opportunity for training in more invasive and procedural areas is important. Greater reassurance from supervising doctors that patient safety and care will remain paramount may increase the proportion of patients agreeing to more ‘hands on’ student participation …”

Section: Discussionmentioning

confidence: 99%

“…Greater reassurance from supervising doctors that patient safety and care will remain paramount may increase the proportion of patients agreeing to more 'hands on' student participation. 8 Communication with patients about medical student involvement and meaningful consent is important. Where this is routine, acceptance of and a likely enthusiasm for medical students in a hospital is very high.…”

Section: Discussionmentioning

confidence: 99%

Medical training in private and public

Phillips

Xia

Zhuang

et al. 2019

The Clinical Teacher

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Summary Background Globally, the need for medical student training to be undertaken in the private sector is likely to increase. In Australia, it has increased by 250 per cent in the last decade. Effective clinical education is highly dependent on the attitudes and willingness to participate of both patients and medical staff. We aimed to examine these attitudes in both private and public hospitals. Methods Patients and medical staff at a private and a public hospital in Sydney were surveyed during December 2016 and January 2017 to investigate attitudes to medical student training. Attitudes were compared between hospitals. We also compared recent attitudes in the private hospital with those obtained in 2012. Results Patients at the public hospital were significantly more likely to want a student present at a consultation than those at a private hospital. Public hospital doctors had more positive attitudes towards medical students than their private colleagues. The negative financial impact of teaching was more significant for those in private practice. Since 2012, attitudes of private hospital patients towards medical students became significantly more positive whereas doctors’ attitudes became less positive. Discussion The willingness of patients to participate in medical student training in both public and private hospitals is encouraging for future expansion into the private sector. The reduced willingness amongst private hospital medical staff over time and, in comparison to public hospital staff, suggests a need to address barriers for staff in the private sector.

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“…These challenges relate to the sensitive nature of the pelvic exam, also seen in other ‘intimate’ examinations (female breast, male genital and rectal examinations) . Previous work identifies the following challenges: student anxiety, fewer opportunities for male medical students, supervisor bias, patient preferences, time constraints, increasing numbers of students, women spending less time in hospital preoperatively, intraoperative factors, and ethical concerns with regards to un‐consented pelvic examination; particularly when that is under anaesthetic, which is now regarded as inappropriate and unacceptable practice…”

Section: Introductionmentioning

confidence: 99%