Help, I'm losing patient-centredness! Experiences of medical students and their teachers

Medical Education
Katrien BombekePaul Van Royen

Abstract

Despite all educational efforts, the literature shows an ongoing decline in patient-centredness during medical education. This study explores the experiences of medical students and their teachers and supervisors in relation to patient-centredness in order to gain a better understanding of the factors that determine its development. We conducted 11 focus groups on the subject of learning and teaching about patient-centredness. We then carried out a constant comparative analysis of prior theory and the qualitative data collected in the focus groups using the 'sensitising concepts' provided by the Attitude-Social Influence-Self-Efficacy (ASE) model. Although students express positive attitudes towards patient-centredness and acquire patient-centred skills during medical education, this study indicates that these are not sufficient to attain the level of competent behaviour needed in today's challenging hospital environment. Clinical clerkships do provide students with ample opportunity to encounter patients and practise patient-centred skills. However, when students lack self-efficacy, when they face barriers (time pressure, tiredness) or when they are surrounded by non-patient-centred role models and are overwhelmed by powerful ...Continue Reading

References

Jan 1, 1989·Medical Education·T M WolfH M Randall
Nov 1, 1974·Journal of Medical Education·A G Rezler
Sep 1, 1984·Medical Education·A G Rezler, J T Ten Haken
Jul 1, 1984·Medical Education·R M HardenW R Dunn
Dec 1, 1981·Journal of Medical Education·R A Diseker, R Michielutte
May 15, 1998·Academic Medicine : Journal of the Association of American Medical Colleges·F W Hafferty
Jun 3, 1999·Academic Medicine : Journal of the Association of American Medical Colleges·D H NovackR H Paulsen
Sep 9, 1999·JAMA : the Journal of the American Medical Association·R M Epstein
Jan 22, 2000·BMJ : British Medical Journal·C PopeN Mays
Feb 29, 2000·Academic Medicine : Journal of the Association of American Medical Colleges·W T Branch
Aug 30, 2000·Medical Education·M Albanese
Sep 27, 2000·Social Science & Medicine·N Mead, P Bower
Feb 27, 2001·BMJ : British Medical Journal·M Stewart
Mar 10, 2001·Evaluation & the Health Professions·C H Griffith, J F Wilson
Jun 6, 2002·Medical Education·Paul HaidetJohn C Rogers
Sep 11, 2002·Patient Education and Counseling·Nicola Mead, Peter Bower
Nov 27, 2002·Quality & Safety in Health Care·C PopeR Baker
Apr 3, 2003·European Journal of Endocrinology·Paul M Stewart
May 14, 2003·BMJ : British Medical Journal·Jan IllingRichard Prescott
Nov 25, 2003·Patient Education and Counseling·Susan MichieJohn Weinman
Nov 25, 2003·Evaluation & the Health Professions·Charles H Griffith, John F Wilson
Apr 27, 2004·Medical Education·Wayne WoloschukWalley Temple
Aug 26, 2004·Medical Education·John Spencer
Aug 26, 2004·Medical Education·Mohammadreza HojatMike Magee
Jul 12, 2005·Social Science & Medicine·Ronald M EpsteinPaul R Duberstein
Sep 29, 2005·Annals of Family Medicine·Ronald M EpsteinKevin Fiscella
Feb 14, 2006·Critical Reviews in Immunology·Anton W Langerak, Jacques J M van Dongen
Jul 1, 2006·Journal of General Internal Medicine·Rachel B LevineScott M Wright
Jul 25, 2006·Patient Education and Counseling·Hanneke de Haes
Jul 28, 2006·Medical Education·Scott M WrightDavid E Kern
Feb 3, 2007·Medical Education·Zoi TsimtsiouDimitris Hatzichristou
Feb 3, 2007·Medical Education·Karen M Hook, Carol A Pfeiffer
Aug 26, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Edward KrupatRichard Schwartzstein
Sep 24, 2009·JAMA : the Journal of the American Medical Association·Michael S KrasnerTimothy E Quill

❮ Previous
Next ❯

Citations

Jan 15, 2013·Perspectives on Medical Education·Tim Dornan
Apr 27, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Henry N YoungElizabeth D Cox
Jun 29, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Samantha A Batt-RawdenTabor E Flickinger
Jun 30, 2012·BMC Medical Education·Lionel Patrick Green-ThompsonTlangelani Maswanganyi
Apr 11, 2013·Evidence-based Complementary and Alternative Medicine : ECAM·Christian SchefferFriedrich Edelhäuser
Apr 18, 2013·Advances in Health Sciences Education : Theory and Practice·Ann-Helen Henriksen, Charlotte Ringsted
Aug 21, 2013·Advances in Health Sciences Education : Theory and Practice·Esther HelmichRaymond Koopmans
Aug 27, 2014·Medical Teacher·Kimberly G HoffmanWei-Hsin Lu
Dec 1, 2015·Medical Teacher·Justin C De BiasioRainier P Soriano
May 10, 2013·Psychological Reports·Manuel Gonçalves-PereiraJosé Miguel Caldas-de-Almeida
Nov 29, 2014·BMC Medical Education·Jordan S PotashVivian T W Chau
Dec 7, 2010·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Johannes Hauswaldt
Jan 14, 2012·Medical Education·Esther Helmich, Tim Dornan
Mar 14, 2013·The Clinical Teacher·Martina KellyTony Foley
Oct 17, 2014·Advances in Health Sciences Education : Theory and Practice·Cheryl L HolmesGlenn Regehr
Jan 1, 2013·Patient Education and Counseling·Evelyn van Weel-BaumgartenJonathan Silverman
Dec 18, 2016·Perspectives on Medical Education·Mark V WilcoxLaura A Hanyok
Mar 11, 2016·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·F RindlisbacherC A Ramseier
Nov 16, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Kathleen RiceFiona Webster
Jan 20, 2018·Medical Teacher·Christian SchefferGabriele Lutz
Jan 21, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·Johanna Shapiro
Jan 1, 2019·Teaching and Learning in Medicine·Andrew PerrellaSarah Wright
May 31, 2018·Teaching and Learning in Medicine·Bruce L HenschenKenzie A Cameron
Oct 28, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·Era BuckKaren Szauter
Jul 13, 2016·Medical Education·Joy M de Vries-ErichEsther Helmich
May 9, 2014·Medical Education·Katrien BombekePaul Van Royen
Aug 27, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Hemal K KanzariaChristopher R Carpenter
Aug 24, 2017·The British Journal of Dermatology·P Abbott
May 22, 2020·Advances in Health Sciences Education : Theory and Practice·Arja SuikkalaHelena Leino-Kilpi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.