Patient Attitudes Toward Medical Students in an Outpatient Colorectal Surgery Clinic

Shah-Khan, Miraj G.; Chowdhry, Shahnaz; Brand, Marc I.; Saclarides, Theodore J.

doi:10.1007/s10350-007-0274-x

Cited by 18 publications

(26 citation statements)

References 10 publications

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“…Of great interest in this work is that differences in attitudes were not only related to the sex of the patients but was also related to their educational level and socio-economic characteristics, which were evident even after stratifying for patient sex. This is contrary to the study of Shah-Khan and colleagues in Chicago that found no relationship between the economic level or degree of educational attainment and the degree of satisfaction of patients [31]. …”

Section: Discussioncontrasting

confidence: 97%

Patient attitudes towards medical students at Damascus University teaching hospitals

2012

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BackgroundThe cooperation of patients and their consent to involve medical students in their care is vital to clinical education, but large numbers of students and lack of experience as well as loss of privacy may evoke negative attitudes of patients, which may sometimes adversely affect the clinical teaching environment. This study aimed to explore the attitudes of patients towards medical students at Damascus University hospitals, and to explore the determinants of those attitudes thus discussing possible implications applicable to clinical teaching.MethodsThis cross-sectional study was conducted at three teaching hospitals affiliated to the Faculty of Medicine at Damascus University. Four hundred patients were interviewed between March and April 2011 by a trained sociologist using a structured questionnaire.ResultsOf the patients interviewed, 67.8% approved the presence of medical students during the medical consultation and 58.2% of them felt comfortable with the presence of students, especially among patients with better socio-economic characteristics. 81.5% of the patients agreed to be examined by students in the presence of the supervisor, while 40.2% gave agreement even in the absence of the supervisor. Privacy was the most important factor in the patients' reticence towards examination by the students, whilst the relative safety and comfort if a supervisor was available determined patients' agreement.ConclusionsThe study concluded overall positive attitudes to the medical students' involvement in medical education. However, it is essential that students and clinical supervisors understand and adhere to professional and ethical conduct when involving patients in medical education.

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Section: Discussioncontrasting

confidence: 97%

Patient attitudes towards medical students at Damascus University teaching hospitals

2012

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“…This survey has shown that 71% of patients would allow medical students to be present. This result agrees with previous research that reveals a general trend of acceptance amongst patients for medical student involvement 1–7…”

Section: Discussionsupporting

confidence: 93%

“…However conflict can arise between the educational requirements of medical students and the needs of the patients. Previous studies have shown that patients are generally tolerant of medical students in a variety of settings from the emergency department1 to outpatient clinics 2–7. However, no study has yet enquired about the acceptability of medical students during the induction of regional anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Patients’ attitudes towards the involvement of medical students during induction of regional anesthesia

Malhotra

Hosdurga²

2010

LRA

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Study objectiveWe surveyed patients undergoing day surgery to determine attitudes towards medical students’ during induction of regional anesthesia.Design/InterventionsDuring a two-month period, an anonymous questionnaire was given to one hundred and eighty patients presenting for elective day surgery with planned regional anesthesia.SettingPre-operative assessment area in a district general hospital.PatientsAll adult elective day surgery patients undergoing regional anesthesia.Main resultsOne hundred sixteen patients (72%) would allow medical students to be present during the induction of regional anesthesia, and 104 (63%) would allow medical students to perform basic procedures.ConclusionsThis survey confirms that the majority of patients undergoing regional anesthesia would allow medical students to be present during the induction and to participate in supervised procedures. Concerns regarding patient anxiety could be alleviated by the introduction of the student pre-operatively; the problem of clinical errors made by students is the responsibility of the supervising doctor, and careful selection of practical procedures is crucial.

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“…Em trabalho semelhante ao nosso estudo, também realizado em ambulatório de coloproctologia, porém com a presença de estudantes de medicina ao invés de residentes, obtiveram como maiores causas de recusa da presença dos estudantes, a perda de privacidade e o aumento do tempo da consulta 3 . Esta última razão não foi assinalada por nenhum paciente no presente estudo.…”

Section: Tabela 2 -Razões Para a Aceitação Da Presença Do Residente Dunclassified

Visão do paciente quanto à participação do residente no exame proctológico em ambulatório

Elias¹,

Filho²,

Mansur³

et al. 2006

Rev bras. colo-proctol.

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RESUMO:Objetivos: O acompanhamento ambulatorial de pacientes e a participação no exame proctológico são essenciais ao aprendizado do residente de coloproctologia. Entretanto pode haver relutância por parte dos pacientes em relação à presença do residente durante sua consulta e exame físico. Este estudo visa avaliar a visão do paciente quanto a este aspecto do aprendizado prático do residente de coloproctologia. Métodos: Cem pacientes consecutivos responderam , de forma voluntária e anônima a um questionário após a realização de exame proctológico com a aprticipação de residentes em coloproctologia em ambulatório de instituição privada. Foram investigados, sexo, idade, cor, estado civil e nível educacional e sócio-econômico, assim como a visão do paciente em relação à presença de residentes durante o exame proctológico, procurando-se identificar razões para a sua aceitação ou recusa durante a consulta. As respostas foram analisadas usando-se teste do qui-quadrado e o teste t de Student. Resultados: Observou-se que 87% dos pacientes aceitaram bem a participação do residente no exame proctológico, enquanto 1% respondeu que recusaria sua presença. Onze por cento se mostraram indiferentes em relação à presença do residente e um paciente não respondeu. Não houve diferença significativa em relação às variáveis estudadas no que diz respeito à presença do residente durante o exame proctológico, exceto para estado civil, uma vez que uma taxa maior de pacientes casados aceitou o residente. A principal razão para a aceitação foi contribuir para a formação médica, enquanto que a recusa esteve relacionado à perda da privacidade. Conclusão: De um modo geral, os residentes são bem aceitos no ambulatório de coloproctologia em uma instituição privada. O conhecimento das razões para sua aceitação ou recusa podem favorecer posturas que facilitem a aceitação e minimizem a recusa.Descritores: residente, exame proctológico, educação médica. INTRODUÇÃOA educação médica apóia-se sobre dois palres: a aquisição do conhecimento teórico e das habilidades práti-cas. A residência médica, etapa fundamental para a formação do especialista, tem no conhecimento prático a base de seu aprendizado. Para tanto, o atendimento ambulatorial de pacientes e a participação no seu exame físico são essenciais para a adequada formação do médico residente. Entretanto, em especialidades como a coloproctologia, o exame físico é profundamente íntimo, lidando com área do corpo humano, na qual imperam preconceitos e tabus. Desta forma, pode haver relutância, nem sempre evidente, por parte dos pacientes à participação do residente no exame proctológico em regime ambulatorial. A literatura médica fornece poucas informações sobre este assunto, não se conhecendo os fatores que poderiam influenciar a aceitação ou recusa do paciente com relação à presença do residente durante o exame proctológico.Este estudo tem como objetivo avaliar a visão do paciente neste aspecto, determinando os fatores que poderiam influenciar para a aceitação ou recusa da presença do residente du...

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Patient Attitudes Toward Medical Students in an Outpatient Colorectal Surgery Clinic

Cited by 18 publications

References 10 publications

Patient attitudes towards medical students at Damascus University teaching hospitals

Patient attitudes towards medical students at Damascus University teaching hospitals

Patients’ attitudes towards the involvement of medical students during induction of regional anesthesia

Visão do paciente quanto à participação do residente no exame proctológico em ambulatório

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Patient Attitudes Toward Medical Students in an Outpatient Colorectal Surgery Clinic

Cited by 18 publications

References 10 publications

Patient attitudes towards medical students at Damascus University teaching hospitals

Patient attitudes towards medical students at Damascus University teaching hospitals

Patients&rsquo; attitudes towards the involvement of medical students during induction of regional anesthesia

Visão do paciente quanto à participação do residente no exame proctológico em ambulatório

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Patients’ attitudes towards the involvement of medical students during induction of regional anesthesia