School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy; Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Patient Educ Couns. 2024 Jan;118:108003. doi: 10.1016/j.pec.2023.108003. Epub 2023 Oct 5.
This study explored the trajectories of patient-centered orientation in a sample of Italian medical students throughout medical school.
Four consecutive student cohorts were longitudinally assessed at the second (T0) and fifth year (T1) of medical school. Students completed a questionnaire including demographics and the Italian validated version of the Patient-Practitioner Orientation Scale.
352 students completed both administrations. Students became more patient-centered in terms of Sharing along the course of their clinical curriculum, whereas there were no significant changes in Caring. Groups with distinct developmental trajectory patterns of both Caring and Sharing were identified. Students high in patient-centeredness at T0 reported significantly lower scores at T1 while students with lower scores at T0 significantly increased from the first to the last measurement. Female students significantly outscored their male colleagues on Caring and Sharing in both administrations.
Findings call for innovative education strategies to sustain patient-centeredness attitudes in medical students entering hospital-based clinical medicine. Further research is needed to identify characteristics of the medical curriculum that are primarily involved in fostering students' patient-centeredness.
Including the assessment and monitoring of patient-centeredness throughout the medical school can inform tailored education aiming to foster this dimension.
本研究旨在探讨意大利医学生在整个医学院期间以患者为中心的方向轨迹。
连续四批学生在医学院的第二年（T0）和第五年（T1）进行了纵向评估。学生完成了一份问卷，包括人口统计学信息和患者-医生取向量表的意大利验证版。
352 名学生完成了两次测试。学生在临床课程中变得更加以患者为中心，在关怀方面没有显著变化。确定了关怀和分享的发展轨迹模式不同的群体。在 T0 时以患者为中心程度较高的学生在 T1 时报告的分数明显较低，而在 T0 时分数较低的学生从第一次测量到最后一次测量显著增加。在两次测试中，女学生在关怀和分享方面的得分均显著高于男学生。
研究结果呼吁采取创新教育策略，以维持即将进入以医院为基础的临床医学的医学生的以患者为中心的态度。需要进一步研究确定主要涉及培养学生以患者为中心的医学课程的特点。
在整个医学院期间包括对以患者为中心的评估和监测，可以为有针对性的教育提供信息，旨在培养这一方面。
