Background. In Italy, since two years, the educational program for medical students has included an apprenticeship in surgery sessions. It is unkown if the presence of a student could influence the consultation. Objectives. The aim of this study was to analyse deeply, how GP’s patients feel and what they think of medical students in the practice and to use patients points of view to build up a questionnaire in order to carry out a survey on this topic. Methods. Two focus groups were carried out with 22 patients aged 36-85 years, chosen from five practices. The focus groups were audiotaped and then transcripted The transcripts were examined by the investigators to identify the main themes and the data categorized independently by two authors who subsequently agreed an overall classification. Results. The main themes were: surprise, role definition, awareness of teaching function, embarassement, inconvenience more from the emotional than from the clinical aspect, attachment to the role, courage of asking him/her to go out, trust, denial and some suggestions. Conclusions. Patients accepted students. They were conscious to be a teaching instrument and understood the teaching relationship between the physician and the student. General practitioners must know that health care continuity is broken when patients have something confidential to tell them. GPs should improve the organization of tutorships.
Bonazzi, M., Bosisio, M., Caimi, V., Fossati, B., Parisi, G., Riva, M. (2004). The presence of medical students in surgery sessions: the patient opinion. In Improving Health Globally and the Need for Primary Care Research: Report of the Wonca Kingston Conference.
The presence of medical students in surgery sessions: the patient opinion
BONAZZI, MARIA CHIARA;
2004
Abstract
Background. In Italy, since two years, the educational program for medical students has included an apprenticeship in surgery sessions. It is unkown if the presence of a student could influence the consultation. Objectives. The aim of this study was to analyse deeply, how GP’s patients feel and what they think of medical students in the practice and to use patients points of view to build up a questionnaire in order to carry out a survey on this topic. Methods. Two focus groups were carried out with 22 patients aged 36-85 years, chosen from five practices. The focus groups were audiotaped and then transcripted The transcripts were examined by the investigators to identify the main themes and the data categorized independently by two authors who subsequently agreed an overall classification. Results. The main themes were: surprise, role definition, awareness of teaching function, embarassement, inconvenience more from the emotional than from the clinical aspect, attachment to the role, courage of asking him/her to go out, trust, denial and some suggestions. Conclusions. Patients accepted students. They were conscious to be a teaching instrument and understood the teaching relationship between the physician and the student. General practitioners must know that health care continuity is broken when patients have something confidential to tell them. GPs should improve the organization of tutorships.
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