Medical students on the hospital ward: what do patients really think?

Jeyaraj, Rebecca; Kunnumpurath, Anamika; Soh, Ernest; Trotman, Rhonda; Huckstep, Annie; Sran, Harkiran; Chang, Elvin; Newman, Joseph; Camilleri, Matthew; Dilworth, J P; Fernando, Bimbi

doi:10.7861/futurehosp.6-1-s169

Cited by 3 publications

(7 citation statements)

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“…and N.R. after reviewing the questions asked of patients in previous studies that assessed their experiences [8,10,13,[18][19][20]22] and creating questions that answered specific components of our hypothesis: factors that may affect motivation for participation (adequacy of informed consent, desire to teach students, sense of obligation, boredom), and examination of the quality of the experience (effect on happiness, pain, perception of hospital stay). The survey included 19 statements that were rated by patients on a Likert scale from 1 to 5, and three short answer questions which allowed for free-text answers and comments.…”

Section: Surveymentioning

confidence: 99%

“…Furthermore, the patients all filled in their own survey without assistance or presence of preceptors, study staff or medical students and placed anonymous responses in a sealed envelope thus lessening the chance of bias. Additionally, unlike other surveys in the literature [19,20,22], this study asked patients about a specific teaching experience directly after it happened, rather than surveying patients in general about their attitudes towards medical student's involvement in patient care or collecting information about the teaching experience as part of a discharge questionnaire. Our survey was brief and patients overwhelmingly were able to complete the entire survey leading to little missing data.…”

Section: (6)mentioning

confidence: 99%

“…Similar to other survey based studies of the patient experience [19,20,22] we did not use a validated tool as none is currently available. N.R.…”

Section: (6)mentioning

confidence: 99%

“…However, it is not clear whether patients in the hospital view interactions with medical students as a burden. The data on patients' perspectives on participating in medical student or junior medical staff teaching in the in-patient setting is limited [18][19][20][21]. For example, Nair et al [18] found that patients generally had a positive outlook on participating in bed-side teaching with junior medical trainees including interns, residents and medical students, but only 37.5% of the learners in the study were medical students.…”

Section: Introductionmentioning

confidence: 99%

“…The 73 geriatric patients generally had a positive outlook on in-hospital participation in medical student teaching, although 9 and 23% of patients noted the process was tiresome or time-consuming respectively [19]. Furthermore, in a survey of 77 patients who either independently or with assistance of the medical student filled a 4 page survey, only 50% patients felt that previous interactions with medical students positively influenced their time in the hospital [20]. None of these studies focused specifically on medical students outside of the patient care team.…”

Section: Introductionmentioning

confidence: 99%

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Patient participation in medical student teaching: a survey of hospital patients

et al. 2020

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Background: Despite the common practice of involving in-patients in the teaching of medical students little is known about the experience for patients. This study investigated inpatients' willingness, motivations and experience with participation in medical student bedside teaching. Methods: In-patients at a tertiary hospital who participated in medical student teaching answered a 22 question survey. The survey examined the motivations, impact and overall experience for these patients. Results: During July and August of 2019, 111 patients aged 19-93 years completed the survey. Most patients who were approached by preceptors to participate in teaching agreed to participate (74%). Ninety-six percent of patients felt like they could have said no if they had not wanted to participate in medical student teaching. Ninety percent of patients valued the time they spent with students. Conclusions: Most hospital inpatients are willing to participate in medical student teaching in order to be helpful, and most have a positive experience. Preceptors in undergraduate medical education should prioritize a quality informed consent process and understand that the teaching experience can be mutually productive for patients and students.

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Section: Surveymentioning

confidence: 99%

Section: (6)mentioning

confidence: 99%

“…Similar to other survey based studies of the patient experience [19,20,22] we did not use a validated tool as none is currently available. N.R.…”

Section: (6)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patient participation in medical student teaching: a survey of hospital patients

et al. 2020

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Patient outlook on bedside teaching in a medical school

Shetty

Chogtu

2021

Journal of Taibah University Medical Sciences

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Objective Bedside teaching is an important element of training undergraduate and postgraduate medical students to attain clinical skills. The perceptions of patients about bedside teaching vary significantly based on their understanding of the educational climate in hospitals. This study aimed to evaluate the views of diverse groups of patients on bedside teaching and the degree of involvement of medical students in their clinical decision-making processes. Methods This was a cross-sectional study conducted among patients admitted to various departments of a tertiary care hospital. A total of 200 patients were surveyed by students using a questionnaire, which covered their knowledge, views, and expectations with respect to medical students in hospital settings and bedside teaching. Results The majority (83.5%) of patients surveyed felt that the students made the hospital environment more comfortable and friendly. Male patients chose to permit students’ involvement more than female patients. Among the female patients, teens, young adults, and unmarried women were more positive towards students' direct participation in their physical examinations. Health concerns and stress were issues for adults and older patients, whereas privacy and confidentiality concerned the younger age group. Patients admitted to the obstetrics and gynaecology wards were more likely to reject student involvement in hospital procedures than patients in other departments. Conclusion Most of the patients had a markedly positive attitude towards bedside teaching. Alternative methods of teaching can be implemented in situations where patients feel uncomfortable with students’ involvement during their hospital stay.

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Willingness of Patients and Their Companions Participating in Clinical Teaching: A Cross-Sectional Study

Zhang,

Wang

2023

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Objective: To investigate the characteristics of active patients and their involvement in medical education; learn about their motivations, needs, and experiences in participating in medical teaching; and explore the reasons for the differences in their attitudes toward medical education. Method: Patients who were hospitalized in our institution from July 2019 to June 2022 and their companions were recruited, and they participated in a medical lesson in which they were taken a medical history and physical examination. Information on their willingness during the lesson was collected through self-designed questionnaires. The questionnaire results were then analyzed by SPSS software. Results: Valid questionnaires from 349 patients and their companions were collected for analysis. There are differences in the motivation and participation in clinical teaching of patients and their companions. In general, companions have a more negative attitude toward clinical teaching. Patients participating in clinical teaching generally enjoy communication with interns. In addition, the level of education is also an influencing factor for patients and their companions to participate in clinical teaching activities. Discussion: Patients and their families choose teaching hospitals for more standard and advanced care but not for clinical teaching. Nonetheless, clinical teaching engagement and effectiveness could be significantly improved by improving trainee behavioral patterns to screen patients for specific characteristics.

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Medical students on the hospital ward: what do patients really think?

Cited by 3 publications

References 1 publication

Patient participation in medical student teaching: a survey of hospital patients

Patient participation in medical student teaching: a survey of hospital patients

Patient outlook on bedside teaching in a medical school

Willingness of Patients and Their Companions Participating in Clinical Teaching: A Cross-Sectional Study

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