Patient Satisfaction with Medical Student Participation in a Family Practice Clinic

Sperry, Jeannie A.; Oreskovich, Jason; Carlisle, Robert; Guiffre, Aubree; Weinstein, Ben

doi:10.1007/bf03355157

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…These are all common occurrences in a busy ED. 6 – 9 Another potential confounding variable could be longer lengths of stay associated with medical student involvement. We found that length of stay increased by 25 minutes, a finding consistent with other studies.…”

Section: Discussionmentioning

confidence: 99%

“…6 Similar studies of non-ED ambulatory settings have also reported positive patient opinions about medical students. 7 – 9 …”

Section: Introductionmentioning

confidence: 99%

“…12 While reports from other settings provide reassurance that medical students are well received by patients, ED studies are limited. 6 – 9 Furthermore, recent literature indicates that patients have difficulty distinguishing between various providers. 13 , 14 Accordingly, there is a possibility that students could not only impact an ED’s overall PG scores, but also the scores of physician providers.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Medical Student Participation in Emergency Medicine Patient Care on Departmental Press Ganey Scores

Bernard

Martin

Moseley

et al. 2015

WestJEM

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IntroductionPress Ganey (PG) scores are used by public entities to gauge the quality of patient care from medical facilities in the United States. Academic health centers (AHCs) are charged with educating the new generation of doctors, but rely heavily on PG scores for their business operation. AHCs need to know what impact medical student involvement has on patient care and their PG scores.PurposeWe sought to identify the impact students have on emergency department (ED) PG scores related to overall visit and the treating physician’s performance.MethodsThis was a retrospective, observational cohort study of discharged ED patients who completed PG satisfaction surveys at one academic, and one community-based ED. Outcomes were responses to questions about the overall visit assessment and doctor’s care, measured on a five-point scale. We compared the distribution of responses for each question through proportions with 95% confidence intervals (CIs) stratified by medical student participation. For each question, we constructed a multivariable ordinal logistic regression model including medical student involvement and other independent variables known to affect PG scores.ResultsWe analyzed 2,753 encounters, of which 259 (9.4%) had medical student involvement. For all questions, there were no appreciable differences in patient responses when stratifying by medical student involvement. In regression models, medical student involvement was not associated with PG score for any outcome, including overall rating of care (odds ratio [OR] 1.10, 95% CI [0.90–1.34]) or likelihood of recommending our EDs (OR 1.07, 95% CI [0.86–1.32]). Findings were similar when each ED was analyzed individually.ConclusionWe found that medical student involvement in patient care did not adversely impact ED PG scores in discharged patients. Neither overall scores nor physician-specific scores were impacted. Results were similar at both the academic medical center and the community teaching hospital at our institution.

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Section: Discussionmentioning

confidence: 99%

“…6 Similar studies of non-ED ambulatory settings have also reported positive patient opinions about medical students. 7 – 9 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Impact of Medical Student Participation in Emergency Medicine Patient Care on Departmental Press Ganey Scores

Bernard

Martin

Moseley

et al. 2015

WestJEM

View full text Add to dashboard Cite

show abstract

“…Similar findings were reported from Australia where majority of patients were comfortable with involvement of medical students and recommended students be part and parcel of the medical team [ 7 ]. Other studies have showed that the level of global satisfaction of patients with their care did not vary between patients who consulted with their physicians alone and those who consulted in the presence of medical students [ 8 , 9 ]. A study in the US among surgical patients showed that patients’ attitudes were favorable regarding participation of medical students in their care.…”

Section: Introductionmentioning

confidence: 99%

Patients’ attitudes towards involvement of medical students in their care at university teaching hospitals of three public universities in Uganda: a cross sectional study

et al. 2022

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Background Comfort of patients with medical students is important and promotes appropriate clinical reasoning and skills development in the students. There is however limited data in this field in Uganda. In this study, we examined the attitudes and comfort of patients attending care at the medical and obstetrics/gynecology specialties in teaching hospitals of three public universities in Uganda. Methods We conducted a cross sectional study among patients attending care at teaching hospitals for three public universities; Makerere University (Mak), Mbarara University of Science and Technology (MUST), and Gulu University (GU). Logistic regression was used to determine the magnitude of associations between independent and dependent variables. Two-sided p < 0.05 was considered statistically significant. Results Eight hundred fifty-five patients participated in the study. Majority were aged 18 — 39 years (54%, n = 460), female (81%, n = 696) and married (67%, n = 567). Seventy percent (n = 599) of participants could recognize and differentiate medical students from qualified physicians, and had ever interacted with medical students (65%, n = 554) during earlier consultations. Regarding attitudes of patients towards presence of medical students during their consultations, most participants (96%; n = 818) considered involvement of medical students in patients’ care as essential ingredient of training of future doctors. Most participants prefer that medical students are trained in the tertiary public hospitals (80%; n = 683) where they attend care. Participants who were single/never married were 68% less likely to recognize and differentiate medical students (aOR = 0.32, 95%CI: 0.22 — 0.53) from other members of the healthcare team as compared with married participants. Participants with university education had 55% lower odds of being comfortable with presence of medical students during consultation compared to those with primary education (aOR = 0.45, 95%CI: 0.21 — 0.94). Participants from MUST teaching hospital had twofold higher odds of being comfortable with presence of medical students compared to participants from Mak teaching hospitals (aOR = 2.01; 95%CI: 1.20 — 3.39). Conclusion Patients are generally comfortable with medical students’ involvement in their care; they prefer to seek care in hospitals where medical students are trained so that the students may contribute to their care. Medical students need to introduce themselves appropriately so that all patients can know them as doctors in training; this will promote patients’ autonomy and informed decisions.

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Patient Satisfaction With Medical Student Participation in a Longitudinal Integrated Clerkship: A Controlled Trial

et al. 2020

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Purpose To determine whether longitudinal student involvement improves patient satisfaction with care. Method The authors conducted a satisfaction survey of patients followed by 10 University of Minnesota Medical School students enrolled in 2016–2017 in the Veterans Affairs Longitudinal Undergraduate Medical Education (VALUE) program, a longitudinal integrated clerkship at the Minneapolis Veterans Health Care System. Students were embedded in an ambulatory practice with primary preceptors who assigned students a panel of 14 to 32 patients to follow longitudinally in inpatient and outpatient settings. Control patients, matched on disease severity, were chosen from the preceptor’s panel. Two to five months after the students completed the VALUE program, the authors conducted a phone survey of the VALUE and control patients using a validated, customized questionnaire. Results Results are reported from 97 VALUE patients (63% response rate) and 72 controls (47% response rate) who had similar baseline characteristics. Compared with control patients, VALUE patients reported greater satisfaction with explanations provided by their health care provider, their provider’s knowledge of their personal history, and their provider’s looking out for their best interests (P < .05). Patients in the VALUE panel selected the top category more often than control patients for overall satisfaction with their health care (65% vs 43%, P < .05). Conclusions The results of this controlled trial demonstrate that VALUE student longitudinal participation in patient care improves patient satisfaction and patient-perceived quality of health care for VALUE patients compared with controls matched by primary care provider and disease severity. These findings may have implications outside the Veterans Administration population.

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Patient Satisfaction with Medical Student Participation in a Family Practice Clinic

Cited by 3 publications

References 4 publications

The Impact of Medical Student Participation in Emergency Medicine Patient Care on Departmental Press Ganey Scores

The Impact of Medical Student Participation in Emergency Medicine Patient Care on Departmental Press Ganey Scores

Patients’ attitudes towards involvement of medical students in their care at university teaching hospitals of three public universities in Uganda: a cross sectional study

Patient Satisfaction With Medical Student Participation in a Longitudinal Integrated Clerkship: A Controlled Trial

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