ERIC Number: EJ861383
Record Type: Journal
Publication Date: 2009-Dec
Abstractor: As Provided
Reference Count: 0
When Patients Decline Medical Student Participation: The Preceptors' Perspective
Tang, Tricia S.; Skye, Eric P.
Advances in Health Sciences Education, v14 n5 p645-653 Dec 2009
Patients' receptivity towards medical student participation has been examined predominantly from the patient and/or the medical student perspective. Few studies have investigated the preceptor's perspective. The study examined preceptors' experience with patients declining medical student participation in clinical care and identified preceptor-related factors associated with this experience. Preceptors (n = 42) were recruited from a Family Medicine educational presentation and completed a survey assessing encounters with patients declining medical student participation, methods for obtaining patient consent, and self-rated clinical education skills. Forty-eight percent and 62% of preceptors have "sometimes" or "often" had patients decline student involvement due to student's status and in the context of a gynecological/urological exam, respectively. Fifty-eight percent "never" or "seldom" obtain patient consent with the student outside the exam room, while 46% "often" or "always" have the student directly inform patients about his/her involvement. Being a faculty preceptor (versus resident preceptor) (r = 0.463, p = 0.026) and feeling uncomfortable talking to patients about students performing the exam (r = -0.482, p = 0.020) were associated with patients declining student participation for a genital exam. Findings indicate that preceptors encounter patients declining medical student involvement in general and sensitive exam scenarios. In addition, patients are more likely to decline student participation when preceptors are faculty members and less comfortable discussing student involvement.
Descriptors: Medical Students, Student Participation, Family Practice (Medicine), Patients, Faculty, Medical Services, Self Determination, Medical Education, Attitude Measures
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Publication Type: Journal Articles; Reports - Research
Education Level: Higher Education
Authoring Institution: N/A