Lucas Beverley, Pearson David
Academic Unit of Primary Care, University of Leeds, UK.
Educ Prim Care. 2012 Jul;23(4):277-85. doi: 10.1080/14739879.2012.11494121.
The importance of patient involvement as a positive contribution to both undergraduate and postgraduate medical education is now widely acknowledged. Patient contact has become an integral component of teaching, learning and assessment strategies. Research has considered the pedagogic advantage; however, a view from the patient on structure, process and outcome of their contribution has gone largely unexplored. The role of real patients in medical education is changing from passive to a more active involvement. Various commentators have called for more research into patients' perceptions of their role and involvement across a spectrum of educational activities and settings. This study offers an in-depth exploration of the patient perspective from primary care; a setting increasingly important for undergraduate medical education. The aim of this study is to explore patients' perceptions of their role in undergraduate medical education within a UK primary care setting.
A case study approach with an emphasis on data from in-depth interviews of 18 volunteer patients conducted within a purposively selected single teaching practice. The study captures patient perceptions of their experience, process and an evaluation of their involvement in medical student education.
Findings highlight four key themes of involvement that reflect the existing literature but provide additional insights. The themes are; reflections on level of involvement and organisational support; benefits to students; perceived benefits to patients themselves; and wider benefits to medical education and educators.
Patient perceptions of their involvement in clinical teaching support their key intended role within the educational process. Patients identified perceptions of benefit for students, educators and themselves. The implications of these findings are explored within the context of educational practice.
患者参与对本科和研究生医学教育具有积极贡献,这一点如今已得到广泛认可。与患者接触已成为教学、学习和评估策略的一个不可或缺的组成部分。研究已经考虑到了其教学优势;然而,患者对其贡献的结构、过程和结果的看法在很大程度上尚未得到探讨。真实患者在医学教育中的角色正从被动参与转变为更积极的参与。不同的评论家呼吁对患者在一系列教育活动和环境中对自身角色和参与的看法进行更多研究。本研究深入探讨了基层医疗中患者的观点,基层医疗对本科医学教育的重要性日益凸显。本研究的目的是在英国基层医疗环境中探索患者对其在本科医学教育中角色的看法。
采用案例研究方法,重点关注在一个经过有目的选择的单一教学实践中对18名志愿患者进行深入访谈所获得的数据。该研究捕捉了患者对其经历、过程的看法以及对他们参与医学生教育的评价。
研究结果突出了参与的四个关键主题,这些主题反映了现有文献,但提供了更多见解。这些主题是:对参与程度和组织支持的反思;对学生的益处;对患者自身的感知益处;以及对医学教育和教育工作者的更广泛益处。
患者对其参与临床教学的看法支持了他们在教育过程中关键的预期角色。患者确定了对学生、教育工作者和他们自己有益的看法。这些研究结果的影响在教育实践的背景下进行了探讨。