Patient perceptions of medical students’ involvement in their obstetrics and gynaecology health care

Carmody, Dianne; Tregonning, Alexandra M.; Nathan, Elizabeth; Newnham, John P.

doi:10.1111/j.1479-828x.2011.01362.x

Cited by 27 publications

(44 citation statements)

References 19 publications

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“…This is fortunate, as our students only obtain limited experience with professional patients because of poor availability, even though experience with such patients appears to improve pelvic examination skills . This study also found a patient preference for female students being present in consultations and performing examinations, which correlates with other studies, and reiterates the extra challenge that male students face in obtaining such skills …”

Section: Discussionsupporting

confidence: 83%

“…One study found that 12.5 per cent of patients thought ‘prior awareness’ was an area requiring improvement in patient–student interaction in gynaecological consultations, which suggests that pre‐informing patients may increase patient acceptance . Westberg conducted a randomised double blind trial to investigate whether being given information about a gynaecology clinic prior to arrival would increase the patients' acceptance of medical students .…”

Section: Introductionmentioning

confidence: 99%

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Medical students in gynaecology clinics

Yang

Black

2014

Clin Teach

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Medical students in gynaecology clinics

Yang

Black

2014

Clin Teach

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“…Others have also highlighted female patients being uncomfortable with male learners [7]. Patients may have individualized private matters which they would not want to share in front of a college student (e.g., sensitive parts of the history such as sexual concerns, or intimate parts of the physical exam).…”

Section: Discussionmentioning

confidence: 99%

Physician shadowing by college students: what do patients think?

2014

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BackgroundThe objective of this study is to determine patients’ perceptions of physician shadowing by college students.MethodsThirty-two patients who agreed to have a college student shadow their physician participated in semi-structured interviews during July and August 2013 at two outpatient family medicine centers. Qualitative techniques were utilized to analyze the transcripts of the patient interviews and identify common themes.ResultsThe majority of patients (78.1%) felt the college student had a neutral effect on their visit and denied having concerns about confidentiality (87.5%). No patient felt that having the college student present affected their ability to maintain a trusting relationship with their physician. Three themes emerged from the qualitative analysis: benefits to students, willing participation and sensitive issues. Most patients (78.5%) recognized that the student was in college or was a premedical student. The overwhelming majority of patients stated that they would have a college student shadow their physician again in the future.ConclusionsDespite concerns raised by other authors about the possible negative effects of physician shadowing by college students, this study shows that patients feel the impact to be primarily neutral and that there are many perceived benefits to both student and patient.

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“…Patients are having acute and shorter hospital stays and therefore finding quality clinical placements is becoming increasingly difficult [7]. An added pressure for many medical schools around the world are growing class sizes [8], a challenge that is not new, with the impact described as early as 1978 [9].…”

Section: Introductionmentioning

confidence: 99%

Medical student self-reported confidence in obstetrics and gynaecology: development of a core clinical competencies document

et al. 2013

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BackgroundClinical competencies in obstetrics and gynaecology have not been clearly defined for Australian medical students, the growing numbers of which may impact clinical teaching. Our aim was to administer and validate a competencies list, for self-evaluation by medical students of their confidence to manage common clinical tasks in obstetrics and gynaecology; to evaluate students’ views on course changes that may result from increasing class sizes.MethodsA draft list of competencies was peer-reviewed, and discussed at two student focus groups. The resultant list was administered as part of an 81 item online survey.ResultsSixty-eight percent (N = 172) of those eligible completed the survey. Most respondents (75.8%) agreed or strongly agreed that they felt confident and well equipped to recognise and manage most common and important obstetric and gynaecological conditions. Confidence was greater for women, and for those who received a higher assessment grade. Free-text data highlight reasons for lack of clinical experience that may impact perceived confidence.ConclusionsThe document listing competencies for medical students and educators is useful for discussions around a national curriculum in obstetrics and gynaecology in medical schools, including the best methods of delivery, particularly in the context of increasing student numbers.

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Patient perceptions of medical students’ involvement in their obstetrics and gynaecology health care

Cited by 27 publications

References 19 publications

Medical students in gynaecology clinics

Medical students in gynaecology clinics

Physician shadowing by college students: what do patients think?

Medical student self-reported confidence in obstetrics and gynaecology: development of a core clinical competencies document

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