Chronic patients in undergraduate education: didactic value as perceived by students

Abstract

Programmes that aim to present chronic patients to medical students focus on patient selection so that patients who differ only very slightly from healthy persons are eliminated. In addition, realistic information on the types of patients with whom students can expect to have contact may help students appreciate the knowledge to be gained from these patients.

Training Health Care Professionals for 21st-Century Practice

“…Health System Organization of Health Care 57 Desguin 45 Lausen et al 63 LoFaso et al 46 Mullen et al 47 Nieman & Cheng 60 O'Connell et al 52 Schreier et al 48 Shapiro et al 49 Waddell & Davidson 44 (N = 10) Dent et al 53 Diederiks et al 54 Janson et al 64 Jerant et at 55 Lennon-Dearing et al 58 LoFaso et al 46 Nuovo et al 51 Plake 50 Stevens et al 65 Shapiro et al 49 (N = 10)…”

A gender-specific evaluation of a care-oriented curricular change in a Dutch medical school

“…Most students embark upon their studies inspired by noble motives and the ideal of providing instant help to patients with acute problems. Their interest is fuelled by complicated diseases in need of speedy and decisive clinical interventions, particularly those characterized by a technological tour de force (Holman 2004;Diederiks et al 2006). It is not unthinkable that longitudinal, patient-centred care management simply does not fit the bill for young students.…”

“…A onedimensional solution was based on a cure versus care orientation and the two-dimensional solution was based on an instrumental dimension (biomedical versus biopsychosocial) and an affective dimension ( personal detachment versus empathy). Diederiks and colleagues conducted factor analysis of the same data set collected during 2004/2005 that we used in our study and found two dimensions: a cure versus care dimension and a doctor-centred versus patient-centred dimension (Diederiks et al 2006).…”

The longitudinal simulated patient program: evaluations by teachers and students and feasibility

“…This is particularly true in the management of chronic diseases. With the rapidly growing prevalence of chronic illnesses, there have been several calls for medical schools to improve the training of students in chronic care (Darer et al 2004;Pham et al 2004;Diederiks et al 2006;Nieman 2007). This training requires extensive, longitudinal patient encounters rather than snapshot-like, single-case encounters (Diederiks et al 2006).…”