Undergraduate attitudes to exposure to an NHSresource allocation problem

McEvoy, Marian T.; O'Brien, Michael

doi:10.1016/s0033-3506(85)80109-8

Cited by 2 publications

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“…Six studies explored medical students' attitudes towards education about managed care and use of non-human resources [15-20]. Five studies examined students' perceptions of the adequacy of their medical curricula [15-19].…”

Section: Resultsmentioning

confidence: 99%

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Attitudes of medical students to medical leadership and management: a systematic review to inform curriculum development

et al. 2011

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BackgroundThere is a growing acknowledgement that doctors need to develop leadership and management competences to become more actively involved in the planning, delivery and transformation of patient services. We undertook a systematic review of what is known concerning the knowledge, skills and attitudes of medical students regarding leadership and management. Here we report the results pertaining to the attitudes of students to provide evidence to inform curriculum development in this developing field of medical education.MethodsWe searched major electronic databases and citation indexes within the disciplines of medicine, education, social science and management. We undertook hand searching of major journals, and reference and citation tracking. We accessed websites of UK medical institutions and contacted individuals working within the field.Results26 studies were included. Most were conducted in the USA, using mainly quantitative methods. We used inductive analysis of the topics addressed by each study to identity five main content areas: Quality Improvement; Managed Care, Use of Resources and Costs; General Leadership and Management; Role of the Doctor, and Patient Safety. Students have positive attitudes to clinical practice guidelines, quality improvement techniques and multidisciplinary teamwork, but mixed attitudes to managed care, cost containment and medical error. Education interventions had variable effects on students' attitudes. Medical students perceive a need for leadership and management education but identified lack of curriculum time and disinterest in some activities as potential barriers to implementation.ConclusionsThe findings from our review may reflect the relatively little emphasis given to leadership and management in medical curricula. However, students recognise a need to develop leadership and management competences. Although further work needs to be undertaken, using rigorous methods, to identify the most effective and cost-effective curriculum innovations, this review offers the only currently available summary of work examining the attitudes of students to this important area of development for future doctors.

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Section: Resultsmentioning

confidence: 99%

“…One study involved an education intervention in the form of an evaluation of a community resource allocation project involving an ongoing service problem [20]. This was rated positively by most students.…”

Section: Resultsmentioning

confidence: 99%

Attitudes of medical students to medical leadership and management: a systematic review to inform curriculum development

et al. 2011

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UK medical students’ perceptions, attitudes, and interest toward medical leadership and clinician managers

Rouhani¹,

Burleigh²,

Hobbis³

et al. 2018

AMEP

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BackgroundWe aimed to determine UK medical students’ perceptions and attitudes and interest toward medical leadership and clinician managers.MethodsA cross-sectional study was conducted during the academic year 2015–2016. An online questionnaire was distributed to 2,349 final-year students from 10 UK medical schools. Participants were asked to complete a 5-point Likert scale on their current perceptions, attitudes, and interest toward medical leadership and clinician managers. They were also asked to self-rate their leadership competences set by the Medical Leadership Competency Framework and to rate the quality of management and leadership training they received from their medical school.ResultsIn total, we received 114 complete responses. Only 7.9% of respondents were in agreement (strongly agree or agree) when asked whether they felt they were well informed about what a managerial position in medicine entails. When asked whether clinicians should influence managerial decisions within a clinical setting, 94.7% of respondents were in agreement with the statement. About 85% of respondents were in agreement that it is important for clinicians to have managerial or leadership responsibilities, with 63.2% of students in agreement that they would have liked more management or leadership training during medical school. Over half the respondents rated their management and leadership training they received during medical school as “very poor” or “poor” (54.4%).ConclusionOur study suggests that UK medical students have an appetite for management and leadership training and appreciate its importance but feel that the training they are receiving is poor. This suggests that there is a gap between the demand for management and leadership training and the quality of training supplied by UK medical schools.

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Undergraduate attitudes to exposure to an NHSresource allocation problem

Cited by 2 publications

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Attitudes of medical students to medical leadership and management: a systematic review to inform curriculum development

Attitudes of medical students to medical leadership and management: a systematic review to inform curriculum development

UK medical students’ perceptions, attitudes, and interest toward medical leadership and clinician managers

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Undergraduate attitudes to exposure to an NHSresource allocation problem

Cited by 2 publications

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Attitudes of medical students to medical leadership and management: a systematic review to inform curriculum development

Attitudes of medical students to medical leadership and management: a systematic review to inform curriculum development

UK medical students&rsquo; perceptions, attitudes, and interest toward medical leadership and clinician managers

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UK medical students’ perceptions, attitudes, and interest toward medical leadership and clinician managers