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Exploring patient experiences in the student outpatient clinic - A contribution to learning
Institution:1. Centre for Educational Development, Aarhus University, Health, Aarhus, Denmark;2. Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Aarhus, Denmark;3. Department of Clinical Medicine, Aarhus University, Aarhus, Denmark;1. Social and Administrative Sciences in Pharmacy Division, University of Wisconsin, Madison School of Pharmacy, Madison, WI 53705, USA;2. American Family Children’s Hospital, Madison, WI 53705, USA;3. University of Wisconsin, Madison School of Pharmacy, Madison, WI 53705, USA;1. Department of Medicine, Stanford Healthcare, Stanford, CA, USA;2. Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA;3. Division of Adolescent/Young Adult Medicine, Boston Children’s Hospital, Boston, MA, USA;4. Department of Cardiology, Boston Children’s Hospital, Boston, MA, USA;1. Department of Family Medicine, College of Medicine, Charles R. Drew University of Medicine and Science (CDU), Los Angeles, CA, USA;2. Department of Family Medicine, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA;3. Department of Public Health, CDU, Los Angeles, CA, USA;4. Physician Assistant Program, CDU, Los Angeles, CA, USA;5. School of Nursing, CDU, Los Angeles, CA, USA;1. National Clinical Research Center for Metabolic Diseases, Key Laboratory of Diabetes Immunology (Central South University), Ministry of Education, and Department of Metabolism and Endocrinology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China;2. Department of Nutrition, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China;3. Department of Epidemiology and Health Statistics, Xiangya school of Public health, Central South University, Changsha, Hunan, China;4. Clinical Nursing Teaching and Research Section, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China;5. Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China
Abstract:ObjectiveTo understand how patients experience participation in student encounters.MethodsQualitative semi-structured telephone interviews with ten cardiac surgery patients who had attended voluntary postoperative consultations in a student outpatient clinic. The interview guide included questions about reasons for and experiences of being part of a teaching situation. Interviews were analysed through inductive thematic analysis where pieces of text in each interview were assigned different codes and condensed into themes.ResultsThe patients expressed a duality in their reasons for participating in student consultations: (1) a personal need for assurance (safety) and (2) a wish to help students (altruism). Students were perceived as professional and sometimes insecure. Being part of an educational situation was meaningful to the patients because they did not feel objectified. Knowing that there was a backup supervisor made the patients feel safe even though the supervisor was not present during all parts of the consultation.ConclusionsPatients experienced safety, understood their role in all parts of the consultation, and shared a wish to help students learn.Practice implicationsA sequential consultation model alternating between student- and supervisor-driven supervision can balance student autonomy and patient safety. This knowledge could guide future patient-centred medical education in student clinics.
Keywords:Patient experiences  Cardiac patients  Qualitative interviews  Student outpatient clinic  Undergraduate medical education  Clinical placements  Patient-centred communication
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