Innovations in Curriculum Designs Do Not Guarantee Students’ Patient-Centered Attitudes Running Title: Curricula and Patient-Centered Attitudes
ABSTRACT Background Medical schools all around the world are engaged in curricular reforms aimed at fostering patient- and learner-centeredness, implementing curricular transformations in order to counterbalance the erosion of humanistic and professional values and the loss of idealism of recent g...
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| Format: | Article |
| Language: | Portuguese |
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Associção Brasileira de Educação Médica
2019-10-01
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| Series: | Revista Brasileira de Educação Médica |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022019000400167&tlng=en |
| _version_ | 1798021370254196736 |
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| author | Claudia Maria Alves da Silva Pereira Filipe Miranda Bernardes Amanda Giroldo Minari Carlos Henrique Martins da Silva Helena Borges Martins da Silva Paro |
| author_facet | Claudia Maria Alves da Silva Pereira Filipe Miranda Bernardes Amanda Giroldo Minari Carlos Henrique Martins da Silva Helena Borges Martins da Silva Paro |
| author_sort | Claudia Maria Alves da Silva Pereira |
| collection | DOAJ |
| description | ABSTRACT Background Medical schools all around the world are engaged in curricular reforms aimed at fostering patient- and learner-centeredness, implementing curricular transformations in order to counterbalance the erosion of humanistic and professional values and the loss of idealism of recent graduate physicians. In Brazil, medical schools are facing the challenge of redesigning medical curricula towards more learner-centered and patient-centered approaches, stimulated by recent national medical education guidelines. However, desirable outcomes towards medical education have not been fully achieved. Aim To access medical students’ attitudes and determine predictors of medical students’ patient-centered attitudes among students from different curricular designs (traditional, innovative and advanced). Methods Medical students from 1st to 6th year from 21 Brazilian medical schools participating in the project for evaluating change and trends proposed by the Brazilian Association of Medical Education, with different stages of curricular designs (traditional, innovative and advanced), answered the Brazilian version of the Patient–Practitioner Orientation Scale (B-PPOS) and a questionnaire with curricular and sociodemographic variables. Results Brazilian medical students care more than they share information, power and responsibility (p < 0.001; d = 0.599). They are more concerned with the psychosocial context than with patient’s perspective (p < 0.001; d = 0.797) and share more power and responsibility than understanding (p < 0.001, d = 0.455). Female gender (B = 0.180), students from public schools (B = 0.132), year of medical training (B = 0.021), preference for future medical practice in public services (B = 0.053) and extracurricular activities (B = 0.068) were predictors of patient-centered attitudes among medical students (p < 0.05). Meanwhile, the father’s educational level and choice to study surgical specialties (p < 0.05) were predictors of less patient-centered attitudes among students. Different curricular designs were not associated with students’ patient-centered attitudes (p > 0.05). Conclusion tant predictors of patient-centered attitudes among medical students. Further research should investigate the direct influence of faculty professionalism development programs on students’ patient centered-attitudes. |
| first_indexed | 2024-04-11T17:12:11Z |
| format | Article |
| id | doaj.art-8ffccaa5f3354616a76eb63f0fa20127 |
| institution | Directory Open Access Journal |
| issn | 1981-5271 |
| language | Portuguese |
| last_indexed | 2024-04-11T17:12:11Z |
| publishDate | 2019-10-01 |
| publisher | Associção Brasileira de Educação Médica |
| record_format | Article |
| series | Revista Brasileira de Educação Médica |
| spelling | doaj.art-8ffccaa5f3354616a76eb63f0fa201272022-12-22T04:12:52ZporAssocição Brasileira de Educação MédicaRevista Brasileira de Educação Médica1981-52712019-10-0143416717510.1590/1981-52712015v43n4rb20180198inglesInnovations in Curriculum Designs Do Not Guarantee Students’ Patient-Centered Attitudes Running Title: Curricula and Patient-Centered AttitudesClaudia Maria Alves da Silva Pereirahttps://orcid.org/0000-0003-1417-2367Filipe Miranda BernardesAmanda Giroldo MinariCarlos Henrique Martins da SilvaHelena Borges Martins da Silva ParoABSTRACT Background Medical schools all around the world are engaged in curricular reforms aimed at fostering patient- and learner-centeredness, implementing curricular transformations in order to counterbalance the erosion of humanistic and professional values and the loss of idealism of recent graduate physicians. In Brazil, medical schools are facing the challenge of redesigning medical curricula towards more learner-centered and patient-centered approaches, stimulated by recent national medical education guidelines. However, desirable outcomes towards medical education have not been fully achieved. Aim To access medical students’ attitudes and determine predictors of medical students’ patient-centered attitudes among students from different curricular designs (traditional, innovative and advanced). Methods Medical students from 1st to 6th year from 21 Brazilian medical schools participating in the project for evaluating change and trends proposed by the Brazilian Association of Medical Education, with different stages of curricular designs (traditional, innovative and advanced), answered the Brazilian version of the Patient–Practitioner Orientation Scale (B-PPOS) and a questionnaire with curricular and sociodemographic variables. Results Brazilian medical students care more than they share information, power and responsibility (p < 0.001; d = 0.599). They are more concerned with the psychosocial context than with patient’s perspective (p < 0.001; d = 0.797) and share more power and responsibility than understanding (p < 0.001, d = 0.455). Female gender (B = 0.180), students from public schools (B = 0.132), year of medical training (B = 0.021), preference for future medical practice in public services (B = 0.053) and extracurricular activities (B = 0.068) were predictors of patient-centered attitudes among medical students (p < 0.05). Meanwhile, the father’s educational level and choice to study surgical specialties (p < 0.05) were predictors of less patient-centered attitudes among students. Different curricular designs were not associated with students’ patient-centered attitudes (p > 0.05). Conclusion tant predictors of patient-centered attitudes among medical students. Further research should investigate the direct influence of faculty professionalism development programs on students’ patient centered-attitudes.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022019000400167&tlng=enPhysician-Patient RelationsCurriculumAttitude |
| spellingShingle | Claudia Maria Alves da Silva Pereira Filipe Miranda Bernardes Amanda Giroldo Minari Carlos Henrique Martins da Silva Helena Borges Martins da Silva Paro Innovations in Curriculum Designs Do Not Guarantee Students’ Patient-Centered Attitudes Running Title: Curricula and Patient-Centered Attitudes Revista Brasileira de Educação Médica Physician-Patient Relations Curriculum Attitude |
| title | Innovations in Curriculum Designs Do Not Guarantee Students’ Patient-Centered Attitudes Running Title: Curricula and Patient-Centered Attitudes |
| title_full | Innovations in Curriculum Designs Do Not Guarantee Students’ Patient-Centered Attitudes Running Title: Curricula and Patient-Centered Attitudes |
| title_fullStr | Innovations in Curriculum Designs Do Not Guarantee Students’ Patient-Centered Attitudes Running Title: Curricula and Patient-Centered Attitudes |
| title_full_unstemmed | Innovations in Curriculum Designs Do Not Guarantee Students’ Patient-Centered Attitudes Running Title: Curricula and Patient-Centered Attitudes |
| title_short | Innovations in Curriculum Designs Do Not Guarantee Students’ Patient-Centered Attitudes Running Title: Curricula and Patient-Centered Attitudes |
| title_sort | innovations in curriculum designs do not guarantee students patient centered attitudes running title curricula and patient centered attitudes |
| topic | Physician-Patient Relations Curriculum Attitude |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022019000400167&tlng=en |
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