Is three a crowd? Impact of the presence of a medical student in the general practice consultation

Partanen, Riitta, Ranmuthugala, Geetha, Kondalsamy-Chennakesavan, Srinivas and van Driel, Mieke (2016) Is three a crowd? Impact of the presence of a medical student in the general practice consultation. Medical Education, 50 2: 225-235. doi:10.1111/medu.12935


Author Partanen, Riitta
Ranmuthugala, Geetha
Kondalsamy-Chennakesavan, Srinivas
van Driel, Mieke
Title Is three a crowd? Impact of the presence of a medical student in the general practice consultation
Journal name Medical Education   Check publisher's open access policy
ISSN 1365-2923
0308-0110
Publication date 2016-02
Year available 2016
Sub-type Article (original research)
DOI 10.1111/medu.12935
Open Access Status Not Open Access
Volume 50
Issue 2
Start page 225
End page 235
Total pages 11
Place of publication Chichester, West Sussex United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2017
Language eng
Formatted abstract
Objectives
To determine the impact of the presence of a medical student on the satisfaction and process of the general practice consultation from the perspective of the general practitioner (GP), patient and student.

Methods
An observational study was conducted in regional general practices accepting third-year medical students. General practitioners, patients and medical students were asked to complete a questionnaire after each consultation. The main outcome measures were: patient satisfaction; GPs' perceived ability to deliver care; medical students' satisfaction with their learning experience; length of consultation; and patient waiting times.

Results
Of the 26 GP practices approached, 11 participated in the study (42.3%). Patients returned 477 questionnaires: 252 consultations with and 225 without a student present. Thirteen GPs completed 473 questionnaires: 248 consultations with and 225 without a student. Twelve students attended 255 consultations. Most patients (83.5%) were comfortable with the presence of a student. There were no significant differences between consultations with and without a student regarding the time the patients spent in the waiting room (p = 0.6), the patients' perspectives of how the GPs dealt with their presenting problems (100% versus 99.2%; p = 0.6) and overall satisfaction with the consultation (99.2% versus 99.1%; p = 0.5). Despite these reassuring findings, a significantly higher proportion of patients in consultations without students raised sensitive or personal issues (26.3% versus 12.6%; p < 0.001). There were no statistically significant differences in the lengths of consultations with and without students (81% versus 77% for 6–20 minutes consultation; p = 0.1) or in the GPs' perceptions of how they effectively managed the presenting problem (95.1% versus 96.0%; p = 0.4). Students found that the majority (83.9%) of the 255 consultations were satisfactory for learning.

Conclusions
The presence of a medical student during the GP consultation was satisfactory for all participant groups. These findings support the ongoing and increased placement of medical students in regional general practice. Medical educators and GPs must recognise that patients may not raise personal issues with a student present.
Keyword Medical student education
General Practice
Rural clinical schools
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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Created: Fri, 19 Feb 2016, 13:53:16 EST by Kaye Cumming on behalf of School of Medicine