Evidence map›Paper›PMID 33691688›Full record

ArticleBMC medical education2021

Patient perceptions of students in a longitudinal integrated clerkship in Taiwan: a qualitative study.

Yaw-Wen Chang, David A Hirsh, Wen-Hui Fang, Honghe Li, Wen-Chii Tzeng, Senyeong Kao

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Yaw-Wen ChangDepartment of Family and Community Medicine, Tri-Service General Hospital, National Defense Medical Center, No.325, Sec. 2, Chenggong Rd., Neihu Dist., Taipei City, 11490, Taiwan, Republic of China.ORCID https://orcid.org/0000-0002-8436-0518
David A HirshHarvard Medical School Academy, Tosteson Medical Education Center, Room 384, 260 Longwood Ave, Boston, MA, 02115, USA.ORCID https://orcid.org/0000-0002-0304-4047
Wen-Hui FangDepartment of Family and Community Medicine, Tri-Service General Hospital, National Defense Medical Center, No.325, Sec. 2, Chenggong Rd., Neihu Dist., Taipei City, 11490, Taiwan, Republic of China.ORCID https://orcid.org/0000-0002-0574-5736
Honghe LiInstitute of International Healthcare Professionals Education and Research, China Medical University, No.77, Puhe Rd., Shenyang North New Area, Shenyang, Liaoning, P.R. China.ORCID https://orcid.org/0000-0002-3333-6147
Wen-Chii TzengSchool of Nursing, National Defense Medical Center, No.161, Sec. 6, Minquan E. Rd., Neihu Dist., Taipei City, 11490, Taiwan, Republic of China.ORCID https://orcid.org/0000-0002-4205-896X
Senyeong KaoGraduate Institute of Life Science, National Defense Medical Center, No.161, Sec. 6, Minquan E. Rd., Neihu Dist., Taipei City, 11490, Taiwan, Republic of China. kao@mail.ndmctsgh.edu.tw.ORCID https://orcid.org/0000-0002-0209-240X
National Defense Medical Center · TWTri-Service General Hospital · TWCambridge Health Alliance · USChina Medical University · CN

Funding

Ministry of Science and Technology, Taiwan MOST105-2511-S-016-002
6 · The paper itself

Abstract

backgroundLongitudinal integrated clerkships (LICs) are a model of clinical education growing rapidly in Western contexts. LICs use educational continuity to benefits students' clinical learning and professional identity formation. Patient-centered care is a core component of medical professionalism in the West. To support patient-centered care, education leaders in Taiwan restructured clinical education and implemented the first longitudinal integrated clerkship in East Asia. We aimed to investigate patients' perceptions of longitudinal relationships with the LIC students within Taiwan's Confucian cultural and social context.

methodsWe invited patients or their family members who were cared for longitudinally by a LIC student to participate in the study. Participating patients or their family members undertook semi-structured interviews. We analyzed data qualitatively using a general inductive approach to identify themes in the patients' descriptions of their experiences interacting with the LIC students.

resultsTwenty-five patients and family members participated in interviews: 16 patients and 9 family members. Qualitative analysis of interview transcripts identified three themes from patients' experience receiving care from their LIC students: care facilitation, companionship, and empathy. To provide care facilitation, LIC students served as a bridge between the physicians and patients. Students served patients by reminding, consulting, tracking disease progression, and researching solutions for problems. To provide companionship, students accompanied patients interpersonally like a friend or confidant who listens and provides a presence for patients. To provide empathy, patients reported that students showed sincere concern for patients' experience, feelings, and mood.

conclusionIn our study, Taiwanese patients' perspectives of LIC students suggested the value of care facilitation, companionship, and empathy. We discuss these themes within the context of Confucian culture and the Taiwanese context of care.

Indexed as

Clinical ClerkshipEducation, Medical, UndergraduateStudents, MedicalHumansPerceptionQualitative ResearchTaiwanContinuityEast AsiaEmpathyLongitudinal integrated clerkshipMedical studentPatient centeredPatient perceptionProfessionalismQualitative studyRelationshipUndergraduate medical education

Identifiers

PMID33691688
PMCPMC7944602
OpenAlexW3119192865

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.