ArticleBMJ (Clinical research ed.)2005
Impact on patients of expanded, general practice based, student teaching: observational and qualitative study.
Article in BMJ (Clinical research ed.), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00627822 (Patient and Companion Perspectives on Medical Education in a Non-Teaching Private Hospital), which is not on this map. Cited by 19 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Patient and Companion Perspectives on Medical Education in a Non-Teaching Private Hospital
Who cites it
19 citing papers in PubMed.
- An Interprofessional Training Ward in Pediatric Cardiology: Ensuring Patient Safety and Results from the Evaluation of Patient and Parent Satisfaction.Children (Basel, Switzerland) · 2025Article
- Patient participation in medical student teaching: a survey of hospital patients.BMC medical education · 2020Article
- Article
- Emotional Intelligence: An Old Issue and a New Look in Clinical Teaching.Advanced biomedical research · 2018Review
- Patient participation in general practice based undergraduate teaching: a focus group study of patient perspectives.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Undergraduate medical students' empathy: current perspectives.Advances in medical education and practice · 2016Review
- Clinical teaching with emotional intelligence: A teaching toolbox.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2016Review
- Challenges of the ward round teaching based on the experiences of medical clinical teachers.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2015Article
- Medical Students' and Physicians' Attitudes toward Patients' Consent to Participate in Clinical Training.Journal of advances in medical education & professionalism · 2015Article
- Could clinical experience during clerkship enhance students' clinical performance?BMC medical education · 2014Article
- Patients' attitude towards medical students involvement in their health care at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2010.Ethiopian journal of health sciences · 2013Article
- The effect of ward round teaching on patients: The health team and the patients' perspectives.Journal of education and health promotion · 2013Article
- Patients' attitudes towards medical students in a teaching family practice: a sri lankan experience.Journal of family medicine and primary care · 2012Article
- Is the Irish bedside best?Irish journal of medical science · 2010Article
- Why tomorrow's doctors need primary care today.Journal of the Royal Society of Medicine · 2010Article
- Medical learning in a private hospital: patients' and companions' perspectives.Sao Paulo medical journal = Revista paulista de medicina · 2009Article
- Patients' perceptions and experiences of family medicine residents in the office.Canadian family physician Medecin de famille canadien · 2008Article
- Teaching students in general practice can affect patients' blood pressure.BMJ (Clinical research ed.) · 2005Article
- Benefits and Barriers to Teaching Medical Students in an Ob-Gyn Clinic.Health services research and managerial epidemiologyArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare patients' enablement and satisfaction after teaching and non-teaching consultations. To explore patients' views about the possible impact that increased community based teaching of student doctors in their practice may have on the delivery of service and their attitudes towards direct involvement with students.
designObservational study using validated survey instruments (patient enablement index--PEI, and consultation satisfaction questionnaire--CSQ) administered after teaching consultations and non-teaching consultations. Ten focus groups (two from each practice), comprising five with patients participating in prearranged teaching sessions and five with patients not participating in these.
settingFive general practices in west Suffolk and southern Norfolk, England, that teach student doctors on the Cambridge graduate medical course.
participants240 patients attending teaching consultations (response rate 82%, 196 patients) and 409 patients attending non-teaching consultations (response rate 72%, 294 patients) received survey instruments. Ten focus groups with a total of 34 patients participating in prearranged teaching sessions and 20 patients not participating in these.
main outcome measuresScores on the patient enablement index and consultation satisfaction questionnaire, analysed at the level of all patients, allowing for age, sex, general practitioner, and practice, and at the level of the individual general practitioner teacher. Qualitative analysis of focus group data.
resultsPatients' enablement or satisfaction was not reduced after teaching consultations compared with non-teaching consultations (mean difference in scores on the patient enablement index and consultation satisfaction questionnaire with adjustment for confounders 2.24% and 1.70%, respectively). This held true for analysis by all patients and by general practitioner teacher. Qualitative data showed that patients generally supported the teaching of student doctors in their practice. However, this support was conditional on receiving sufficient information about reasons for doctors' absence, the characteristics of students, and the nature of teaching planned. Many patients viewed their general practice as different from hospital and expected greater control over students' presence during their consultations.
conclusionsPatients' enablement and satisfaction are not impaired by students' participation in consultations. Patients generally support the teaching of student doctors in their general practice but expect to be provided with sufficient information and to have a choice about participation, so they can give informed consent. Recognising this when organising general practice based teaching is important.
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