Patient attitudes toward medical student participation in a general internal medicine clinic

Simons, Richard J.; Imboden, E; Martel, Julie

doi:10.1007/bf02599880

Cited by 51 publications

(61 citation statements)

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“…It has been noticed in many hospitals worldwide that a minority of patients refuse, or feel negative about the involvement of medical students in their care (Simons et al 1995 Passaperuma et al 2008,). However, the comfort levels of patients regarding medical students found to be different between patients of different specialties.…”

Section: Introductionmentioning

confidence: 99%

Patients' attitude towards undergraduate medical students at university charity teaching hospital in Sudan

Alawad

Younis²

2014

IJM

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Background: The cooperation of patients and their acceptance to involve medical students in their care is vital to clinical education. Objective: To explore the attitudes of patients towards medical students at University charity teaching hospital, and to explore the determinants of those attitudes. Methods: This cross-sectional study was conducted at University charity teaching hospital affiliated to University of Medical Sciences and Technology (UMST). Four hundred and thirty-two patients were interviewed between January and December 2013 using a structured questionnaire. Results: Four hundred and thirty-two patients had responded to all questions they were asked. Of the patients interviewed, 95.2% approved the presence of medical students during the medical consultation. 79.8% of the patients agreed to be examined by students in the presence of a doctor, while 33.5% gave agreement even in the absence of a doctor. More than half of the patients think that it is important that students examine patients as part of their training and 18 % of them were not sure about the importance of clinical examination. Conclusion: The study concluded overall positive attitudes to the medical students involvement by patients. Patients preferred lower number of students to be involved; however, few were aware of their rights. Keywords: Bedside Teaching, Clinical Education, Patients Acceptability.

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Section: Introductionmentioning

confidence: 99%

Patients' attitude towards undergraduate medical students at university charity teaching hospital in Sudan

Alawad

Younis²

2014

IJM

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“…In general medicine and gynaecology outpatient clinics a significant proportion of patients reported feeling uncomfortable having students present and disclosing personal information to them. [1][2][3] Surveys of medical schools in the United Kingdom carried out in 1984 and 1994 found a decrease in the time allocated to genitourinary medicine (GUM) training. 4 5 Additionally, it was found that only one third of medical schools thought that at least 80% of graduating students would be able to take a sexual history, perform a genital examination, and have a good understanding of sexual health issues.…”

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confidence: 99%

The attitude of patients towards medical students in a sexual health clinic

Ryder

Ivens²,

Sabin³

2005

Sexually Transmitted Infections

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Objectives: To determine patient attitudes toward medical students in the sexual health clinic, and to describe factors associated with patient refusal of medical student involvement. Method: A self administered questionnaire was given to 259 consecutive patients attending the general genitourinary medicine clinic. Participants were asked to indicate their attitude to questioning and/or examination by medical students. Information was also collected on sex, age, ethnicity, and previous visits to sexual health clinics and previous exposure to medical students. The proportion of patients reporting comfort with student involvement, and association with age, sex, country of birth, language spoken, and previous experience of student and/or genitourinary medicine clinics are reported. Results: 82.6% of patients agreed to participate. The proportion reporting feeling comfortable with students ranged from 64% for female students questioning them with a doctor present to 35% for a male student questioning them alone. Comfort levels were associated with the sex of the student and previous exposure to medical students, but not age, country of birth, language spoken, or previous attendance at a sexual health clinic. The most common reasons for feeling uncomfortable with students were privacy concerns and poorer quality of care. Conclusion: Many patients feel uncomfortable with medical student involvement in a sexual health clinic consultation; particularly patients with no previous contact with medical students. Privacy and standard of care were the most common concerns, which are potentially amenable to change through better explanation of the students' role in the clinic.T he attitude of patients towards the involvement of medical students in a sexual health clinic is currently unknown. In general medicine and gynaecology outpatient clinics a significant proportion of patients reported feeling uncomfortable having students present and disclosing personal information to them.

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“…In contrast, Tang and Skye (2009) found that a full 59% of surveyed medical students reported having been denied participation in a patient encounter three or more times due to their student status during a four-week family medicine clerkship. Similarly, Simons, Imboden, and Martel (1995) surveyed internal medicine patients regarding their preferences for medical student involvement in their care and found that 33% of patients preferred to see the physician by themselves (that is, they did not want to see a student) and an additional 10% preferred to see the student only with the physician. It also appears that there is at times a mismatch between patient values and acceptance of medical students into their personal care, where patients may believe in the importance of medical education, including the need for medical students to participate in patient encounters, but may have reservations about personal participation in the process.…”

Section: Patient Acceptance Of Medical Studentsmentioning

confidence: 99%

“…Perhaps when physicians are uncomfortable with the discussion, this discomfort comes across to patients as discomfort with the medical students themselves. Additionally, up to 50% of patients may also want to have time alone with their physicians (Simons et al, 1995), and offering this as part of a visit may increase acceptance rates of medical students into some parts of the encounter.…”

Section: Influencing Patient Acceptance Of Medical Studentsmentioning

confidence: 99%

Impact of educational messages on patient acceptance of male medical students in OB–GYN encounters

Buck

Littleton

2016

Journal of Psychosomatic Obstetrics & Gynecology

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Patient attitudes toward medical student participation in a general internal medicine clinic

Cited by 51 publications

References 5 publications

Patients' attitude towards undergraduate medical students at university charity teaching hospital in Sudan

Patients' attitude towards undergraduate medical students at university charity teaching hospital in Sudan

The attitude of patients towards medical students in a sexual health clinic

Impact of educational messages on patient acceptance of male medical students in OB–GYN encounters

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