Journal of Pharmaceutical and Biomedical Sciences

Interaction with Patients in Understanding Medical Students’ Role as Health Care Providers

Samiran Mukherjee, Rajat Thawani, Priyamvada Roy, Amitesh Aggarwal, Shukla Das, Ashish Goel

Abstract


Introduction Patient satisfaction after interacting with medical students has not been studied in India yet. Hence this cross-sectional study was planned to gauge patients’ comfort level on interaction with medical students and observe students’ adherence to the principles of informed consent.

Methods A pilot-tested questionnaire focusing on introduction, consent, and patients’ perception of hospital stay and comfort, was used to interview 200 patients for 4 months. Number of medical students who took a valid consent and introduced themselves as medical students was compared to the seniority of the students. Patients’ responses were analyzed using SSPS version 17.0.

Results Most students did not introduce themselves to patients and did not take consent before history-taking and examination. However, patients seemed to display significant levels of satisfaction and preferred teaching hospital over non-teaching hospital. Involvement of relatives was seen in very few cases. Questions about patient comfort reflected an overall degree of contentment on communication with medical students. Significant association was observed between students’ seniority and duration of interaction, and between students who took consent for taking history and those who took consent for conducting examination.

Conclusions To the best of our knowledge, this is the first study in India where authors have studied crucial matter of student-patient relationship. Notwithstanding lack of consent and introduction as a medical student, most patients were content with student’s interaction, which may be due to sense of empowerment that patients felt on being part of students’ education, besides being given opportunity to gain better understanding of their health status.


Keywords


informed consent, medical students, patients’ rights, patient satisfaction, teaching hospital

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References


Weatheral DJ. Science in the undergraduate curriculum during the 20th century. Med Educ. 2006;40:195–201.

Fulton JF. History of medical education. BMJ. 1953;2:457–61.

Haidet P, Dains JE, Paterniti DA, Hechtel L, Chang T, Tseng E, et al. Medical student attitudes toward the doctor-patient relationship. Med Educ. 2002;36:568–74.

Yousuf RM, Fauzi AR, How SH, Akter SF, Shah A. Hospitalised patients’ awareness of their rights: a cross-sectional survey from a tertiary care hospital on the east coast of Peninsular Malaysia. Singapore Med J. 2009;50(5):494–9.

Lauckner H, Doucet S, Wells S. Patients as educators: the challenges and benefits of sharing experiences with students. Med Educ. 2012;46:992–1000.

Sayed-Hassan RM, Bashour HN, Koudsi AY. Patient attitudes towards medical students at Damascus university teaching hospitals. BMC Med Educ. 2012;12:13.

Al-Abri R, Al-Balushi A. Patient satisfaction survey as a tool towards quality improvement. Oman Med J. 2014;29:3–7.

Iftikhar A, Allah N, Shadiullah K, Habibullah K, Muhammad AR, Muhammad HK. Predictors of patient satisfaction. Gomal Journal of Medical Sciences. 2011;9:183–8.

Jenkinson C, Coulter A, Bruster S, Richards N, Chandola T. Patients’ experience and satisfaction with health care: results of a questionnaire study of specific aspects of care. Qual Saf Health Care 2003;11:335–9.

Nandimath OV. Consent and medical treatment: the legal paradigm in India. Indian J Urol. 2009;25:343–7.

Baker R. Development of a questionnaire to assess patients’ satisfaction with consultations in general practice. Br J Gen Pract. 1990;40:487–90.

Bollam MJ, McCarthy M, Modell M. Patients’ assessment of out of hours care in general practice. BMJ. 1988;296: 829–32.

Kaim-Caudle PR, Marsh GN. Practice-satisfaction survey in general practice. BMJ. 1975;1:262–4.

Sullivan GM, Artino AR. Analyzing and interpreting data from Likert-type scales. J Grad Med Educ. 2013;5(4):541–2.

Rees CE, Monrouxe LV. Medical students learning intimate examinations without valid consent: a multicentre study. Med Educ. 2011;45:261–72.

Ba?agaoglu I, Sar? N. Patient attitude about ethical issues confronted during the clinical education of medical students. Ishim. net. Retrieved March 21, 2015, from http://www.ishim.net/ ishimj/jishim4_7_8/Vol4No7/ibrahim_sari.doc

Carmody D, Tregonning A, Nathan E, Newnham JP. Patient perceptions of medical students’ involvement in their obstetrics and gynaecology health care. Aust N Z J Obstet Gynaecol.

;51:553–8.

Silver-Isenstadt A, Ubel PA. Erosion in medical students’ attitudes about telling patients they are students. J Gen Intern Med. 1999;14:481–7.

Kimberly E, Shapiro J, Roberson D, Chamberlain S. Pelvic examinations by medical students. J Obstet Gynaecol Can. 2010;32:872–4.

Wainberg S, Wrigley H, Fair J, Ross S. Teaching pelvic examinations under anaesthesia: what do women think? J Obstet Gynaecol Can. 2010;32:49–53.

Marracino RK, Orr RD. Entitling the student doctor: defining the student’s role in patient care. J Gen Intern Med. 1998;13:266–70.

Rathor MY, Rani MFA, Shah AM, Akter SF. Informed consent: a socio-legal study. Medical Journal of Malaysia. 2011;66:423–8.

Humayun A, Fatima N, Naqqash S, Hussain S, Rasheed A, Imtiaz H, et al. Patients’ perception and actual practice of informed consent, privacy and confidentiality in general medical outpatient departments of two tertiary care hospitals of Lahore. BMC Med Ethics. 2008;9:14.

Akkad A, Jackson C, Kenyon S, Dixon-Woods M, Taub N, Habiba M. Patients’ perceptions of written consent: questionnaire study. BMJ. 2006;333:528.

Cover your assets. In: Stanzak RK, editor. Bottom-line medicine: a layman’s guide to evidence-based medicine. New York: Algora publishing; 2006. p 241.

Scheffer C, Tauschel D, Neumann M, Lutz G, Valk-Draad M, Edelhäuser F. Active student participation may enhance patient centeredness: patients’ assessments of the Clinical Education Ward for Integrative Medicine. Evidence Based Complementary and Alternative Medicine. 2013;2013:743832.

Rao KHS. Informed consent: an ethical obligation or legal compulsion? J Cutan Aesthet Surg. 2008;1:33–5.

Marwan Y, Al-Saddique M, Hassan A, Karim J, Al-Saleh M. Are medical students accepted by patients in teaching hospitals? Med Educ. 2012;17:17172.

Cleary PD, Meterko M, Wright SM, Zaslavsky AM. Are comparisons of patient experiences across hospitals fair? A study in Veterans Health Administration Hospitals. Medical Care. 2014;52:619–25.

Iwashyna TJ, Curlin FA, Christakis NA. Racial, ethnic and affluence differences in elderly patients’ use of teaching hospitals. J Gen Intern Med. 2002;17:696–703.

Esguerra R, Toro J, Ospina JM, Porras A, Diaz C, Reyes S. The transition to a teaching hospital: patient satisfaction before and after the introduction of medical students. Med Teach. 2014; 36:710–4.

Maa A, McCullough LB. Medical education in the public versus the private setting: a qualitative study of medical students’ attitudes. Med Teach. 2006;28:351–5.

Manson NC, O’Neill O. Rethinking Informed Consent in Bioethics. JAMA. 2007;298:2799–800.

Gongal R, Bhattarai P. Informed consent: is it really understood? Kathmandu Univ Med J. 2005;3:271–3.

Brezis M, Israel S, Weinstein-Birenshtock A, Pogoda P, Sharon A, Tauber R. Quality of informed consent for invasive procedures. Int J Qual Health Care. 2008;20:352–7.


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