Women’s perception and attitude to medical students’ participation in obstetrics and gynecology care

Subki, Ahmed Hussein; Algethami, Mohammed R.; Addas, Firas A.; Alnefaie, Majed; Hindi, Muhab Mohammed; Abduljabbar, Hassan

doi:10.15537/smj.2018.9.22668

Cited by 9 publications

(14 citation statements)

References 22 publications

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Section: Discussionmentioning

confidence: 99%

“…28,29 In addition, one study of Saudi Arabian women seeking OB-GYN care showed that they were more comfortable in the presence of female medical students, especially when pelvic examination was indicated, and the presence of male medical students increased the levels of patient discomfort. 30 The study's strengths include a high response rate and a high degree of internal and external data consistency. Limitations are primarily due to those inherent in crosssectional surveys and use of a single academic care center site, which may constrain the generalizability of study findings.…”

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confidence: 99%

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How Relevant is Obstetrician and Gynecologist Gender to Women in Saudi Arabia?

Subki

Agabawi

Hindi

et al. 2021

IJWH

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Background:The patient-doctor relationship is one of the most important factors in determining the outcome of healthcare. The first step in establishing this relationship is choosing a physician. This study sought to identify patient preferences concerning the gender of their obstetrics and gynecology (OB-GYN) physician and the effect of religion and society on these choices. Methods: A cross-sectional study was conducted at the OB-GYN outpatient clinics at King Abdulaziz University Hospital in Jeddah between February 2017 and June 2017. A total of 227 female patients were recruited. Eligible were women ages 18 years or older who had attended the clinic at least three times. A 30-item questionnaire was administered. Results: Significantly, more female doctors were preferred for pelvic examination in lower income group (p=0.003), while male doctors were preferred for surgery (p=0.010) in higher income group. Significantly more male doctors were preferred for pelvic examination and gynecological surgery in >35-year age group (p=0.015 and p=0.017, respectively). With regard to predictors, embarrassment was the most significant factor reported for not choosing a male obstetrician/gynecologist (OB-GYN) in the younger age group. Nearly three-quarters (71.2%) of respondents with age ≤35 reported embarrassment as a factor for not choosing a male OB-GYN; 79.7% of this subgroup indicated that female doctors were more knowledgeable about women's health issues. Conclusion: Participants expressed a strong preference for female providers overall, although some women preferred male providers during certain circumstances (gynecologic surgery). Despite these gender preferences, more important to women in their choice of OB-GYN provider was the doctor's experience, qualifications, and reputation. Such trends are consistent with those culturally similar countries and in line with trends worldwide. These findings have the potential to significantly impact the personal health for women in Saudi Arabia and elsewhere in the Middle East where religious and cultural traditions are so important in decision-making.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

How Relevant is Obstetrician and Gynecologist Gender to Women in Saudi Arabia?

Subki

Agabawi

Hindi

et al. 2021

IJWH

View full text Add to dashboard Cite

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“…Several studies, including ours, found that participants felt more at ease with female students than with male students (Salah et al, 2015;Subki et al, 2018). Chang et al (2010) reported that male students were refused by patients to participate in clinical interviews and physical examinations, including pelvic examinations.…”

Section: Discussionmentioning

confidence: 80%

“…Like other literature (Nicum & Karoo, 1998), medical students also provided patients with useful medical information and support. Furthermore, patients strongly supported the idea that real patient encounters and practices under clinical supervision are more effective methods for improving student's clinical skills than just mere observation or skill laboratory practice (Subki et al, 2018).…”

Section: Discussionmentioning

confidence: 97%

Patients’ attitude and factors influencing the acceptance of medical students’ participation in pelvic examination

Deesaen

Sutantikorn

Phonngoenchai

et al. 2022

TAPS

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Introduction: Pelvic examination of patients in the department of obstetrics and gynaecology (Ob-Gyn) is an important skill for medical students. Because it involves a physical assessment of the patients' genitalia, patients may refuse medical students to participate in the examination, affecting the medical students' clinical skills. Methods: This cross-sectional study was conducted at Naresuan University Hospital to determine the factors that influence the acceptance of medical student participation in the pelvic examinations. A total of 198 out-patients from the Ob-Gyn department were included. A Likert scale questionnaire was designed which featured topics on patients’ attitudes and circumstances related to medical student involvement in gynaecological procedures. Results: The majority of outpatients (71.7%) accepted the participation of medical students in pelvic examinations. Patients with prior experiences in physical and pelvic examination by medical students had a significant impact on the patients' acceptance (P-value<0.001). The patients’ impressions had an influence on the decision to accept students in pelvic exam participation. Approximately 40% of patients were concerned about the breach of confidentiality. However, most patients strongly agreed that allowing medical students to perform pelvic examination would benefit their medical education. Conclusion: Most of the participants permitted medical students to participate in pelvic examinations and preferred that the medical instructor be the one to request permission. The patients’ impressions of medical students were crucial factors that significantly influence their decision whether to allow or deny them to participate in the procedure. Disclosure of confidentiality was found to be matters of concern to most patients.

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“…However, their gynaecological patients were more accepting of medical students than obstetric patients. 14 Studies conducted elsewhere reported that male students are denied consent to perform pelvic examination more often by clinic patients than by private patients. 15,16 None of our participants are private patients.…”

Section: Discussionmentioning

confidence: 99%

Patients’ Perception towards General and Pelvic Examination by Male Medical Students: A Cross-sectional Study in a Multi-ethnic Population

Arasoo

Dominic

Ratnasingam

et al. 2021

imjm

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Introduction Male medical students globally have difficulty in obtaining consent to perform pelvic examination. We sought to identify independent factors influencing women consenting to male medical students performing general and pelvic examination under supervision. Methods This cross-sectional study conducted at a tertiary hospital and a public health care centre in Johor Bahru, Malaysia recruited 369 women above 18 years old who have had sexual intercourse before and no prior hysterectomy. A validated self-administered bilingual questionnaire was used to collect data on factors that influence them consenting to male medical students examining them and performing pelvic examination when indicated. Results The respondents were largely below 30 years old (52.9%), Malays (73.4%) and Muslims (75.3%). The consent rates for general and pelvic examination were 27.4% and 18.9%, respectively. Being a Muslim, having an occupation and being introduced by a male medical specialist increased the likelihood of women consenting to general examination. However, a history of being examined by male students decreased the likelihood by 64%. Believing that male doctors should have the skills to treat patients in women's health was the only independent factor that increased the likelihood for women to consent for pelvic examination to be conducted by male medical students. Conclusion Believing that male doctors should be skilled in treating women positively influences decision to consent. Explaining earnestly to women on how they aid in developing the skills of future doctors should be prioritised. Keywords: patients’ perception; male medical students; pelvic examination

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Women’s perception and attitude to medical students’ participation in obstetrics and gynecology care

Cited by 9 publications

References 22 publications

How Relevant is Obstetrician and Gynecologist Gender to Women in Saudi Arabia?

How Relevant is Obstetrician and Gynecologist Gender to Women in Saudi Arabia?

Patients’ attitude and factors influencing the acceptance of medical students’ participation in pelvic examination

Patients’ Perception towards General and Pelvic Examination by Male Medical Students: A Cross-sectional Study in a Multi-ethnic Population

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