Patients' Perceptions Towards the Participation of Medical Students in their Care

Obstetrics and gynecology patients' perceptions about bedside teaching at a Saudi teaching hospital

BACKGROUND

Bedside teaching (BST) is a crucial component of medical education. It entails the interaction of students with patients in outpatient clinics and inpatient wards under the supervision of their tutors in order to improve the clinical skills of the students and, ultimately, patient outcomes. This teaching relies heavily on patients' willingness and cooperation. The aim of this study was to assess the perception of Obstetrics and Gynecology (OB/GYN) patients regarding the presence and participation of medical students in BST.

MATERIALS AND METHODS

A cross-sectional survey was conducted among OB/GYN patients at the outpatient clinics and inpatient wards at King Fahd Hospital of the University (KFHU) in Al-Khobar from January 1 to April 30, 2023. Data were collected online through the Google Drive survey tool using a validated and pilot tested questionnaire. Data were analyzed utilizing SPSS version 26.0. Chi-squared test was employed to test for association between two categorical variables. Multiple logistic regression model was used to determine variables associated with positive attitudes.

RESULTS

A total of 507 patients completed online questionnaire. A highly positive patients' attitude was observed toward the presence and participation of medical students during BST with a mean score of 81.8 ± 10.4. The acceptance rates were higher for female students compared to male students (91.9% vs 61.7%) and for senior doctors compared to junior doctors (89.9% vs 58.9%). Patients who came to the outpatient clinics were also more likely to accept students' presence than those who went to hospital wards. Age, marital status, and previous clinic visits were positively associated with the acceptance level of the presence and involvement of medical students in BST without a significant difference.

CONCLUSION

In general, patients had a good perception of medical students' engagement in their care and that the gender of the medical students/doctors and clinical setting could affect this perception. Raising patients' awareness of their valuable role in male medical students' and doctors' education should be raised, as this will increase their acceptance during BST.

Patients' Attitudes Toward the Involvement of Medical Students in Their Health Care in the Family Medicine Clinics in the Makkah Region, Saudi Arabia

Background The medical undergraduates in the College of Medicine at Umm Al-Qura University, Saudi Arabia, are dedicated to undergrad training in family health facilities. Throughout this clinical attachment, students receive instructions in family practice, patient management, communication skills, clinical examination, and history-taking. Objectives This study was conducted to assess patients' attitudes and key contributing variables toward having medical students participate in their health care consultations in family medicine clinics in the Makkah region of Saudi Arabia. Methods A descriptive cross-sectional study was conducted on a sample of 529 patients who attended family medicine clinics in primary health care settings and were living in the Makkah region. The researchers collected the relevant data during a three-month period (from February 1 to the end of April 2023) by administering a validated, well-structured, self-administered online survey of 24 items on several electronic platforms and analyzing it with SPSS Version 23. Results The mean of their answers on attitude was found to be 41.6 ± 8.51, suggesting a positive attitude of the patients toward the involvement of medical students in their health care. Around 150 (28.4%) of the participants strongly agreed that medical students obtained their histories, and 119 (22.5%) strongly agreed that medical students performed clinical examinations for them. Around 104 (19.7) of the participants strongly agreed and 140 (26.5) perceived that the involvement of medical students in their health care improves doctors' competence. Being 56 years old or older, widowed, retired, or having chronic diseases were found to be associated with a more positive attitude of the patients toward the involvement of medical students in their health care, with p-values of 0.024, 0.034, 0.009, and 0.005, respectively. Conclusions Patients showed favorable attitudes toward the existence and participation of medical students in their health care in family medicine clinics. The provision of health-related information and the taking of a detailed history were the most notable benefits of medical students' involvement in patient care, according to most of the patients. Older, widowed, retired, and those with chronic diseases seemed to possess a positive attitude toward the engagement of medical students in their health care in the family medicine clinics.

Patient's Perceptions and Attitudes Towards Medical Student's Involvement in Their Healthcare at a Teaching Hospital in Jordan: A Cross Sectional Study

BACKGROUND

Medical students' involvement in patients' care varies according to patient's willingness, as some might consider it a privacy invasion. Thus, exploring patients' perceptions and attitudes towards this interaction should be thoroughly investigated, to better understand it and to provide evidence-based data for improving the training of future doctors.

METHODS

A cross-sectional study was conducted at Jordan University Hospital. A questionnaire was answered by 420 patients from the out-patients' clinics.

RESULTS

Of the patients interviewed, 94% were aware that they were in a teaching hospital, 92% approved the presence of medical students during their consultation and 80% accepted to be observed and examined by medical students in the presence of a senior doctor. However, this decreased to 30.5% if there was no senior doctor. Almost 83% of the patients believed that their consent should be obtained first. However, only 58% of them indicated that the student asked for consent prior to interacting with them. Patients who were more likely to approve the existence of medical students during consultation and allow students to perform procedures on them, respectively, were those who were asked for consent by students (P = 0.001 and P = 0.021), considered seeing medical students' enjoyable (P < 0.001 and P < 0.001), thought that their privacy was not violated (P < 0.001 and P < 0.001), and were provided with useful information about their health problems (P < 0.001 and P < 0.001).

CONCLUSION

Patients showed an overall positive stance towards the involvement of medical students in their healthcare. The majority were delighted to see medical students while some expressed concerns over their privacy due to the large number of students and because several students do not ask for their consent. It is essential to apply medical ethics practices together with patient-centered approach.

Participation of medical students in patient care: How do patients perceive it?

Introduction

Clinical teaching helps students develop clinical reasoning, decision-making, professionalism, empathy, and patient management. These benefits can only be obtained if patients show reasonable acceptance towards medical students. The aim of this study was to assess patients' perceptions regarding their level of acceptance towards students' participation in their healthcare.

Methods

This descriptive cross-sectional study was conducted at King Fahd University hospital between December 2018 and March 2019. The data were collected via face-to-face interviews with patients from four clinical departments using a self-administered questionnaire. A total of 196 patients were approached for an interview, of whom 187 agreed to participate (a response rate of 95.4%).

Results

Overall, patients showed a positive attitude towards students' participation in their care. The acceptance rate was higher in cases where there was minimal or no student-patient physical contact, such as reading patient's medical records (88.8%) and attending outpatient clinics (83.3%). On the other hand, the refusal rate increased dramatically (from 11% to 43.3%) when permission was sought from patients to perform diagnostic procedures. In a comparison of specialties, the highest refusal rate was observed in the obstetrics/gynecology department, whereas the lowest refusal rate was observed in the pediatrics department.

Conclusions

Patients seeking healthcare services in a tertiary care teaching hospital have an overall positive attitude towards the involvement of undergraduate students in their medical care. The higher refusal rate with regard to students performing a physical examination and diagnostic procedures is alarming and demands alternative clinical teaching solutions, such as simulation-based training.

Factors associated with patient-satisfaction in student-led physiotherapy clinics: A qualitative study

BACKGROUND AND PURPOSE

Student-led physiotherapy clinics are a valuable means for providing clinical education opportunities for student learning and providing cost-effective services to the public. Understanding patient satisfaction within the student-led physiotherapy clinic setting is important to inform organizational, educational, and clinical processes that aim to balance both student learning experiences and quality patient care.

DESIGN

A cross-sectional qualitative design using semi-structured interviews.

RESULTS

A total of 20 patients from three different university student-led physiotherapy clinics were interviewed. Five major themes were associated with patient satisfaction, style of supervision, student-supervisor relationship, quality of physiotherapy care, student qualities and cost, and location of the service.

CONCLUSION

The results emphasize the importance placed by patients on effective communication, as well as the relationship between the supervisor and student overseeing their care. The findings highlight the influence of both the student and supervisor on patient satisfaction and provide insight into the style of student supervision from the perspective of the patient.