A longitudinal study of third-year medical students’ communication competence, communication anxiety, and attitudes toward patient-centered care

2021 ◽  
Author(s):  
Anna M. Kerr ◽  
Charee M. Thompson
Keyword(s):  
Longitudinal Study ◽  
Medical Students ◽  
Communication Competence ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Communication Anxiety ◽  
Centered Care

The Diabetes Simulation Challenge: Enhancing Patient Perspective-Taking for Medical Students

2022 ◽  
Author(s):  
Emily Shaffer-Hudkins ◽  
Sara Hinojosa Orbeck ◽  
Kathy Bradley-Klug ◽  
Nicole Johnson
Keyword(s):  
Type 1 Diabetes ◽  
Medical Students ◽  
Perspective Taking ◽  
Patient Centered Care ◽  
Chronic Health Condition ◽  
Health Condition ◽  
Patient Centered ◽  
Training Tool ◽  
Centered Care

The Diabetes Simulation Challenge is a unique training tool to foster empathy, a key facet of patient-centered care, for medical students. Thirty-two medical students participated in a 24-hour perspective-taking activity as part of their curriculum, during which they simulated some common experiences of living with a chronic health condition, specifically type 1 diabetes. Students’ written reflections were analyzed using a phenomenological qualitative approach to provide a composite description of the experience. An exhaustive, iterative method of thematic analysis that included manual coding was used to determine whether this activity led to expressions of empathy or thoughts and beliefs consistent with patient-centered health care. Nine unique themes emerged, six of which indicated that students adopted the perspective of an individual with a chronic illness. Most of the students’ reflections illustrated an understanding of the behavioral, social, and emotional challenges related to living with type 1 diabetes, as well as increased empathy toward individuals with the disease. Medical students who aim to provide patient-centered care benefited from this perspective-taking exercise, and training programs should consider using such methods to extend learning beyond traditional didactic education.

scholarly journals Attitudes of medical students in Pakistan toward the doctor-patient relationship

2014 ◽  
Author(s):  
Waqas Ahmad ◽  
Edward Krupat ◽  
Yumna Asmaa ◽  
Noor-E- Fatima ◽  
Rayan Attique ◽  
...  
Keyword(s):  
Medical Students ◽  
Patient Centered Care ◽  
Cross Sectional Study ◽  
Individual Characteristics ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Cross Sectional ◽  
Centered Care ◽  
Academic Year

Background. We initiated this study with the aim to assess the leaning of medical students towards either a doctor-centered or a patient-centered care and explore the effects of personal attributes on it like gender, academic year etc. of the students. Methods. A cross-sectional study was conducted between July-Sep 2013. The study population consisted of 1274 medical students in years 1-5 from two medical colleges. English version of PPOS was used to assess attitudes of medical students towards doctor-patient relationship. The relationship between PPOS scores and individual characteristics like gender, academic year etc. were examined by using Independent t-test and one way ANOVA. Results. A total of 792 students formed the final sample. Characteristics associated with most patient-centered attitudes were being in 4th academic year, married, being a foreigner and belonging to a Private college (p<0.05). Characteristics associated with most doctor-centered attitudes were being in 2nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing, statistically, on the attitudes. Conclusion. Despite ongoing debate and emphasis on a patient-centered curriculum, our study suggests that current curriculum and its teachings are not producing the results they are designed to achieve. Students should be adequately exposed to the patients from the beginning of their medical education in clinical settings which are more sympathetic to a patient-centered care.

scholarly journals A Systematic Review of Educational Interventions and Their Impact on Empathy and Compassion of Undergraduate Medical Students

2021 ◽  
Vol 8 ◽  
Author(s):  
Prianna Menezes ◽  
Salman Y. Guraya ◽  
Shaista Salman Guraya
Keyword(s):  
Systematic Review ◽  
Medical Students ◽  
Well Being ◽  
Educational Interventions ◽  
Patient Centered Care ◽  
Technology Enhanced Learning ◽  
Long Term Effects ◽  
Undergraduate Medical Students ◽  
Patient Centered ◽  
Centered Care

Introduction: A compassionate and patient-centered care leads to improved clinical outcomes. Promoting empathy and compassion of medical students is a forerunner of their well-being, emotional stability, and a patient-centered care. However, there is slender evidence about best educational interventions that can inculcate empathy and compassion skills. Our objective was to conduct a systematic review of research evaluating the associations between spectrum, effectiveness, frequency of teaching modalities and their outcomes on compassion and empathy to highlight best practices.Methods: We searched the Web of Science, PubMed, Scopus, and EBSCO Host on 22nd July 2020. We adapted our search strategy from a previously published systematic review on education for compassion and empathy. Selected studies were required to have used unique educational interventions for promoting empathy and compassion of medical students. The research questions were based on Participants (medical students), Intervention (empathy and/or compassion related teaching), Comparison, and Outcome.Results: We analyzed 24 articles from the initial yield of 2,861. Twenty-two were quantitative studies with a mean of 12.8 on MERSQI. Twelve were randomized controlled trials while 5 measured outcomes with single group pre- and post-tests. There was no association found between duration, frequency and complexity of an educational intervention and its effectiveness. Twenty used multimodality curricula, and of those 18 reported statistically significant positive improvement in empathy, while 3 of 4 single modality were effective. Only three studies looked for long-term effects of educational interventions. Fourteen studies evaluated Kirkpatrick's level one (self-reported knowledge), 2 level three (behavior), and 6 level four (patient outcomes). We identified six major educational constructs of teaching empathy and compassion; communication, mindfulness, early clinical exposure, technology-enhanced learning, comics and arts and culture.Discussion: Our review couldn't identify a standard teaching construct in place and highlighted that different teaching tools carry similar impact in promoting compassion and empathy and a sustainable program rather than a single training activity is essential.

scholarly journals Medical students’ attitudes towards patient-centered care, Fayoum Medical School, Egypt

2021 ◽  
Vol 57 (1) ◽  
pp. 188-193
Author(s):  
Naglaa A. El-Sherbiny ◽  
Eman H. Ibrahim ◽  
Nashwa Sayed
Keyword(s):  
Medical Students ◽  
Medical School ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care ◽  
Students Attitudes

scholarly journals Characteristics of Patient Encounters That Challenge Medical Students’ Provision of Patient-Centered Care

2009 ◽  
Vol 84 (Supplement) ◽  
pp. S74-S78 ◽  
Author(s):  
Douglas J. Bower ◽  
Staci Young ◽  
Gunnar Larson ◽  
Deborah Simpson ◽  
Sajani Tipnis ◽  
...  
Keyword(s):  
Medical Students ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care

scholarly journals Chaplain Rounds: A Chance for Medical Students to Reflect on Spirituality in Patient-Centered Care

2015 ◽  
Vol 39 (3) ◽  
pp. 320-323 ◽  
Author(s):  
Michael Frazier ◽  
Karen Schnell ◽  
Susan Baillie ◽  
Margaret L. Stuber
Keyword(s):  
Medical Students ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Centered Care

scholarly journals Attitudes of medical students in Pakistan toward the doctor-patient relationship

2014 ◽  
Author(s):  
Waqas Ahmad ◽  
Edward Krupat ◽  
Yumna Asmaa ◽  
Noor-E- Fatima ◽  
Rayan Attique ◽  
...  
Keyword(s):  
Medical Students ◽  
Patient Centered Care ◽  
Cross Sectional Study ◽  
Individual Characteristics ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Patient Centered ◽  
Cross Sectional ◽  
Centered Care ◽  
Academic Year

Background. We initiated this study with the aim to assess the leaning of medical students towards either a doctor-centered or a patient-centered care and explore the effects of personal attributes on it like gender, academic year etc. of the students. Methods. A cross-sectional study was conducted between July-Sep 2013. The study population consisted of 1274 medical students in years 1-5 from two medical colleges. English version of PPOS was used to assess attitudes of medical students towards doctor-patient relationship. The relationship between PPOS scores and individual characteristics like gender, academic year etc. were examined by using Independent t-test and one way ANOVA. Results. A total of 792 students formed the final sample. Characteristics associated with most patient-centered attitudes were being in 4th academic year, married, being a foreigner and belonging to a Private college (p<0.05). Characteristics associated with most doctor-centered attitudes were being in 2nd academic year, divorced, having a local origin and belonging to a Govt. college (p<0.05). Gender and having doctor parents had no bearing, statistically, on the attitudes. Conclusion. Despite ongoing debate and emphasis on a patient-centered curriculum, our study suggests that current curriculum and its teachings are not producing the results they are designed to achieve. Students should be adequately exposed to the patients from the beginning of their medical education in clinical settings which are more sympathetic to a patient-centered care.

scholarly journals Attitudes of Medical Students in Thailand toward Patient-Centered Care: A Cross-Sectional Study

2017 ◽  
Vol 35 (3) ◽  
pp. 211
Author(s):  
Tharntip Sangsuwan ◽  
Thanitha Sirirak ◽  
Krishna Suvarnabhumi
Keyword(s):  
Medical Students ◽  
Patient Centered Care ◽  
Cross Sectional Study ◽  
Individual Characteristics ◽  
Sectional Study ◽  
Patient Centered ◽  
Cross Sectional ◽  
Grade Point ◽  
Centered Care ◽  
Academic Year

Objective: To assess the attitudes of medical students toward patient-centered care and explore what the factorsthat influence these attitudes.Material and Method: A cross-sectional study was conducted in January 2015. A study population of 619 medicalstudents in their second to sixth academic year in Faculty of Medicine, Prince of Songkla University were invited toanswer the Patient-Practitioner Orientation Scale (PPOS) which was translated into Thai by back-translation withbilingual test and was used to assess the attitudes toward the doctor-patient relationship. The associations betweenthe PPOS score and the individual characteristics that included gender, academic year, grade point average(GPA), hometown, mean expenditure per month and residence during the study period were examined by using theindependent t-test, one-way ANOVA and multiple linear regression.Results: The total number of respondents was 520 (84.0%). The mean (S.D.) overall PPOS score was 3.8 (0.4).From multiple linear regression analysis, there were three factors that were significantly associated with the PPOSscore: gender, academic year and GPA (p-value<0.050). Hometown, mean expenditure per month and residenceduring the study period were not significantly different.Conclusions: Female medical students, higher academic year and a higher GPA had greater positive attitudes towardpatient-centered care.

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