Hogan Nicola, Li Henry, Pezaro Carmel, Roberts Noel, Schmidt Erica, Martin Jenepher
Monash School of Medicine, Monash University.
Medical Student Programs, Eastern Health Clinical School, Monash University and Deakin University.
Adv Med Educ Pract. 2017 Feb 21;8:171-178. doi: 10.2147/AMEP.S119611. eCollection 2017.
The Patient Teaching Associate (PTA) program at Eastern Health Clinical School uses volunteer patients with chronic illnesses in consultation-based medical student education. The PTA program aims to develop students' patient-centeredness and associated skills. Our study aims, 1) to identify key desirable characteristics of written patient feedback to doctors and/or students that focuses on patient-centeredness in consultations, and 2) to critically evaluate existing instruments to identify any suitable instrument for use for medical student teaching.
We reviewed our experience with the PTA program and explored the literature on patient-centeredness and patient feedback to identify desirable characteristics of written feedback for our program. A systematic search was conducted to identify existing patient feedback instruments. These were then evaluated in light of criteria based on desirable characteristics.
Eight instruments met the inclusion criteria. While all were designed for patient use, none were ideal for the PTA program. The Doctors' Interpersonal Skills Questionnaire (DISQ), while not used with medical students, is the closest fit to criteria.
The lack of instruments specifically designed for written patient feedback to medical students highlights a gap in the current literature.
The DISQ provides a good basis for developing a new feedback instrument focused on patient-centeredness in medical students.
东部健康临床学院的患者教学助理（PTA）项目在以咨询为基础的医学生教育中使用患有慢性病的志愿者患者。PTA项目旨在培养学生以患者为中心的意识及相关技能。我们的研究旨在：1）确定以会诊中的患者为中心为重点的、写给医生和/或学生的书面患者反馈的关键理想特征；2）严格评估现有工具，以确定任何适用于医学生教学的工具。
我们回顾了PTA项目的经验，并查阅了有关以患者为中心及患者反馈的文献，以确定我们项目书面反馈的理想特征。进行了系统检索以识别现有的患者反馈工具。然后根据基于理想特征的标准对这些工具进行评估。
八项工具符合纳入标准。虽然所有工具都是为患者使用而设计的，但没有一项对PTA项目来说是理想的。医生人际技能问卷（DISQ）虽然未用于医学生，但最符合标准。
缺乏专门为医学生书面患者反馈设计的工具凸显了当前文献中的一个空白。
DISQ为开发一种专注于医学生以患者为中心的新反馈工具提供了良好基础。
