Moreira Carolina Frade, Costa-Santos Cristina, Moreira Bárbara Frade, Nunes Rui, Duarte Ivone
Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal.
Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS)-Technology and Services Research-CINTESIS @ RISE, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal.
Healthcare (Basel). 2024 Sep 11;12(18):1818. doi: 10.3390/healthcare12181818.
The student-patient relationship represents the cornerstone of medical education, shaping future doctors' knowledge, skills and attitudes. While most patients allow student involvement in their care, some may express discomfort. Thus, obtaining explicit consent is essential to respect patients' right of autonomy. This study mainly aims to assess the practical application of informed consent by medical students and teachers regarding students' presence and participation in patients' care. An observational cross-sectional study was performed, and an online questionnaire was given to students and teachers at a single medical school, via institutional email. The study included 289 participants, namely 232 students and 57 teachers. While 81% of teachers reported always asking the patient's consent for students' presence, only 28% of students claimed this to be the case. Despite challenges like overcrowding and limited time, involving students in healthcare benefits both students and patients. Moreover, medical ethics education is crucial to foster compassionate care and promote ethical reasoning. The disparities found between teachers' practices and students' perspectives highlight the need to intervene and provide them with an adequate education on ethical values in clinical practice. Strategic interventions at institutional levels are required for a simultaneous high quality of patient care and clinical training.
学生与患者的关系是医学教育的基石,塑造着未来医生的知识、技能和态度。虽然大多数患者允许学生参与其护理,但有些患者可能会表示不适。因此,获得明确同意对于尊重患者的自主权至关重要。本研究主要旨在评估医学生和教师在学生参与患者护理方面知情同意的实际应用情况。开展了一项观察性横断面研究,通过机构邮箱向一所医学院的学生和教师发放了在线问卷。该研究包括289名参与者,即232名学生和57名教师。虽然81%的教师报告总是会征求患者对学生参与的同意,但只有28%的学生称情况如此。尽管存在诸如人满为患和时间有限等挑战,但让学生参与医疗保健对学生和患者都有益处。此外,医学伦理教育对于培养富有同情心的护理和促进伦理推理至关重要。教师的做法与学生的看法之间存在的差异凸显了进行干预并为他们提供关于临床实践中伦理价值观的充分教育的必要性。为了同时实现高质量的患者护理和临床培训,需要在机构层面进行战略干预。