Christian Scheffer1,2, Maria Paula Valk-Draad1, Diethard Tauschel1,3, Arndt Büssing4,5, Knut Humbroich6, Alfred Längler7,8, Tycho Zuzak7, Wolf Köster2, Friedrich Edelhäuser1,9, Gabriele Lutz1,10. 1. a Integrated Curriculum for Anthroposophic Medicine, Institute for Integrative Medicine, Faculty of Health , Witten Herdecke University , Witten , Germany. 2. b Department for Internal Medicine , Gemeinschaftskrankenhaus Herdecke , Witten , Germany. 3. c Department for Clinical Education, Faculty of Health , Witten Herdecke University , Witten , Germany. 4. d Institute for Integrative Medicine, Faculty of Health , Witten Herdecke University , Witten , Germany. 5. e Professorship for Quality of Life, Spirituality and Coping , Witten Herdecke University , Witten , Germany. 6. f Department for Neurology , Gemeinschaftskrankenhaus Herdecke , Witten , Germany. 7. g Department for Pediatrics , Gemeinschaftskrankenhaus Herdecke , Witten , Germany. 8. h Professorship for Integrative Pediatrics , Witten Herdecke University , Witten , Germany. 9. i Department for Early Rehabilitation , Gemeinschaftskrankenhaus Herdecke , Witten , Germany. 10. j Department for Psychosomatic Medicine , Gemeinschaftskrankenhaus Herdecke , Witten , Germany.
Abstract
BACKGROUND: There have been calls to enhance clinical education by strengthening supported active participation (SAP) of medical students in patient care. This study examines perceived quality of care when final-year medical students are integrated in hospital ward teams with an autonomous relationship toward their patients. METHODS: We established three clinical education wards (CEWs) where final-year medical students were acting as "physician under supervision". A questionnaire-based mixed-method study of discharged patients was completed in 2009-15 using the Picker Inpatient Questionnaire complemented by specific questions on the impact of SAP. Results were compared with matched pairs of the same clinical specialty from the same hospital (CG1) and from nationwide hospitals (CG2). Patients free-text feedback about their hospital stay was qualitatively evaluated. RESULTS: Of 1136 patients surveyed, 528 (46.2%) returned the questionnaire. The CEWs were highly recommended, with good overall quality of care and patient-physician/student-interaction, all being significantly (p < 0.001) higher for the CEW group while experienced medical treatment success was similar. Patient-centeredness of students was appreciated by patients as a support to a deeper understanding of their condition and treatment. CONCLUSION: Our study indicates that SAP of final-year medical students is appreciated by patients with high overall quality of care and patient-centeredness.
BACKGROUND: There have been calls to enhance clinical education by strengthening supported active participation (SAP) of medical students in patient care. This study examines perceived quality of care when final-year medical students are integrated in hospital ward teams with an autonomous relationship toward their patients. METHODS: We established three clinical education wards (CEWs) where final-year medical students were acting as "physician under supervision". A questionnaire-based mixed-method study of discharged patients was completed in 2009-15 using the Picker Inpatient Questionnaire complemented by specific questions on the impact of SAP. Results were compared with matched pairs of the same clinical specialty from the same hospital (CG1) and from nationwide hospitals (CG2). Patients free-text feedback about their hospital stay was qualitatively evaluated. RESULTS: Of 1136 patients surveyed, 528 (46.2%) returned the questionnaire. The CEWs were highly recommended, with good overall quality of care and patient-physician/student-interaction, all being significantly (p < 0.001) higher for the CEW group while experienced medical treatment success was similar. Patient-centeredness of students was appreciated by patients as a support to a deeper understanding of their condition and treatment. CONCLUSION: Our study indicates that SAP of final-year medical students is appreciated by patients with high overall quality of care and patient-centeredness.
Authors: Laura Nichols; Dubert Guerrero; Devendranath Mannuru; Marc D Basson; Abe E Sahmoun; Dinesh Bande Journal: BMC Med Educ Date: 2022-07-28 Impact factor: 3.263
Authors: G S Kienle; E Ben-Arye; B Berger; C Cuadrado Nahum; T Falkenberg; G Kapócs; H Kiene; D Martin; U Wolf; H Szöke Journal: Evid Based Complement Alternat Med Date: 2019-11-12 Impact factor: 2.629
Authors: Arndt Büssing; Alexander Lindeberg; Beate Stock-Schröer; David Martin; Christian Scheffer; Hagen S Bachmann Journal: Front Psychiatry Date: 2022-01-04 Impact factor: 4.157