Patient-centred consultations: A comparison of student experience and understanding in two clinical environments

Thistlethwaite, J. E. and Jordan, J. J. (1999) Patient-centred consultations: A comparison of student experience and understanding in two clinical environments. Medical Education, 33 9: 678-685. doi:10.1046/j.1365-2923.1999.00427.x


Author Thistlethwaite, J. E.
Jordan, J. J.
Title Patient-centred consultations: A comparison of student experience and understanding in two clinical environments
Journal name Medical Education   Check publisher's open access policy
ISSN 0308-0110
Publication date 1999-09-01
Sub-type Article (original research)
DOI 10.1046/j.1365-2923.1999.00427.x
Volume 33
Issue 9
Start page 678
End page 685
Total pages 8
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell
Language eng
Formatted abstract
Objectives: To explore students’ perspectives on doctor–patient communication.

Design:
We interviewed students in focus groups before and after their placements. In semistructured interviews they were asked about their experiences of learning through clinical contact, with particular emphasis on patient-centred consultations, on the wards and during their community attachment. Students whose clinical skills training remained hospital-based were also interviewed to compare the range of experiences.

Setting:
Leeds University.

Subjects:
Third-year medical students.

Results:
During hospital training students are rarely introduced, either through teaching or observation, to the idea of patient-centred consultations. In contrast both the principles underpinning and/or the practice of such consultations were routinely encountered during the general practice placement. Students considered the community attachment to have helped them appreciate the value of exploring patients’ concerns both in terms of enhancing the patients’ overall healthcare experience and promoting effective clinical management. While they considered the nature and purpose of hospital care to be qualitatively different from that conducted in the community, the relevance of adopting a patient-centred approach on the wards was confirmed.

Conclusions:
Recommendations for clinical training are made. The relevance and best use of community and hospital-based attachments need to be evaluated further.
Keyword Education, medical, undergraduate, family practice
Education
Methods
Medical history-taking
Patient-centred care
Patient satisfaction
Physician-patient relations
Referral and consultation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 22 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 31 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Thu, 21 Jul 2011, 23:42:50 EST by System User on behalf of School of Medicine