Goerl Kyle, Ofei-Dodoo Samuel
University of Kansas School of Medicine-Wichita, Department of Family and Community Medicine.
Kans J Med. 2018 Nov 29;11(4):102-105. eCollection 2018 Nov.
Experience in treating patients under supervision of faculty is an important factor in medical education at all levels. However, unpleasant patient experiences with a medical learner during clinical consultation can damage the relationship between the medical learner, physician supervisor, and patient. A goal of this study was to examine patient experiences and preferences regarding medical learners during clinical consultation at a family medicine residency clinic. Another goal was to determine factors relating to patients' experiences and preferences regarding medical learners.
This cross-sectional study relied on patients completing a survey designed from extant questionnaires to measure patients' experiences and preferences relating to interactions with medical learners at a family medicine clinic. Data were collected from 216 patients between December 2016 and August 2017. We correlated patients' feelings, overall experiences with medical learners and the importance of medical education.
There was a 93% participation rate. The patients rated their overall experiences with medical learners as 3.8 on a 5-point scale, suggesting positive experiences. Eighty-eight percent prefer not more than three medical learners to be involved in their care during clinical consultation. Patients' overall experiences with medical learners participating in medical care correlated with their preferences regarding medical learners' involvement in their treatment (r[209] = .524; p = 0.01). Patients' perception of medical learners participating in medical care correlated with the importance of medical education (r[209] = .878; p = 0.01).
The results showed that most patients have positive experiences with medical learners and are generally in favor of medical education.
在教员监督下治疗患者的经验是各级医学教育中的一个重要因素。然而，患者在临床会诊期间与医学学习者不愉快的经历可能会损害医学学习者、医师监督者和患者之间的关系。本研究的一个目标是调查在家庭医学住院诊所进行临床会诊期间患者对医学学习者的经历和偏好。另一个目标是确定与患者对医学学习者的经历和偏好相关的因素。
这项横断面研究依靠患者完成一份根据现有问卷设计的调查，以测量患者在家庭医学诊所与医学学习者互动的经历和偏好。2016年12月至2017年8月期间从216名患者中收集数据。我们将患者的感受、与医学学习者的总体经历以及医学教育的重要性进行了关联分析。
参与率为93%。患者在5分制量表上对与医学学习者的总体经历评分为3.8分，表明经历是积极的。88%的患者希望在临床会诊期间参与其护理的医学学习者不超过三名。患者与参与医疗护理的医学学习者的总体经历与其对医学学习者参与其治疗的偏好相关（r[209] = 0.524；p = 0.01）。患者对参与医疗护理的医学学习者的认知与医学教育的重要性相关（r[209] = 0.878；p = 0.01）。
结果表明，大多数患者与医学学习者有积极的经历，并且普遍支持医学教育。
