Receptiveness to students’ presence at gynecological consultations: patients’ motives and appraisal of learners’ interpersonal communication skills

Abstract: Objective: To assess the expectation that the appraisal of students’ interpersonal communication skills in prior appointments affects women’s motives for consenting to or dissenting from the presence of a student and thereby their ultimate receptiveness regarding the learner’s involvement...

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Main Authors: Dejano Tavares Sobral, Miriam da Silva Wanderley
Format: Article
Language:Portuguese
Published: Associção Brasileira de Educação Médica 2021-01-01
Series:Revista Brasileira de Educação Médica
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022021000100213&tlng=en
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author Dejano Tavares Sobral
Miriam da Silva Wanderley
author_facet Dejano Tavares Sobral
Miriam da Silva Wanderley
author_sort Dejano Tavares Sobral
collection DOAJ
description Abstract: Objective: To assess the expectation that the appraisal of students’ interpersonal communication skills in prior appointments affects women’s motives for consenting to or dissenting from the presence of a student and thereby their ultimate receptiveness regarding the learner’s involvement when participating in gynecological consultations. Methods: Face-to-face interviews were used to compile questionnaire data from 469 outpatients at the Brasília University Hospital. We used t-tests to evaluate the differences between the scores of the two motive-related scales of patients with prior experience of student involvement and those of patients without it, as well as contingency analyses to assess the association between the groups of women and an index of their receptiveness to students’ participation in the consultation. Moreover, we performed correlation analyses to verify the interrelationships between the scales and the levels of association of these measures with the index of receptiveness as an outcome. Results: Compared with inexperienced patients, experienced patients exhibited significantly broader receptiveness to students’ participation in consultations (chi-squared = 20.49, df = 3, P < .001; Cramer’s V = 209, P < .001). Broader receptiveness was positively correlated (rho = .314, P < .001) with their motivation to consent to and negatively (rho = -.454, P < .001) correlated with their motivation to dissent from students’ presence at coming consultations. The motivation to consent was significantly higher (P < .001) in experienced women (M = 4.58, SD = .55, n = 408) than in inexperienced ones (M = 4.31, SD = .68, n = 61). The opposite result was true for the motivation to dissent (M = 2.35, SD = .94 vs. M = 2.70, SD = 1.02; P = .007). Notably, for those 408 women, their appraisals of students’ interpersonal communication skills (in a prior consultation) positively correlated (rho = .236, P < .001) with their motivation to consent to and negatively with their motivation to dissent from students’ presence (rho = -.208, P < .001). Conclusion: The findings have implications for both the patients’ role in the gynecological education of medical students and the learners’ qualification in the clinical interview and, therefore, for the benefit of women’s healthcare.
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spelling doaj.art-ab46af6067a04046b22a6e9281f7235f2022-12-21T19:45:04ZporAssocição Brasileira de Educação MédicaRevista Brasileira de Educação Médica1981-52712021-01-0145110.1590/1981-5271v45.1-20190345.ingReceptiveness to students’ presence at gynecological consultations: patients’ motives and appraisal of learners’ interpersonal communication skillsDejano Tavares Sobralhttps://orcid.org/0000-0002-0300-8556Miriam da Silva Wanderleyhttps://orcid.org/0000-0001-9992-4454Abstract: Objective: To assess the expectation that the appraisal of students’ interpersonal communication skills in prior appointments affects women’s motives for consenting to or dissenting from the presence of a student and thereby their ultimate receptiveness regarding the learner’s involvement when participating in gynecological consultations. Methods: Face-to-face interviews were used to compile questionnaire data from 469 outpatients at the Brasília University Hospital. We used t-tests to evaluate the differences between the scores of the two motive-related scales of patients with prior experience of student involvement and those of patients without it, as well as contingency analyses to assess the association between the groups of women and an index of their receptiveness to students’ participation in the consultation. Moreover, we performed correlation analyses to verify the interrelationships between the scales and the levels of association of these measures with the index of receptiveness as an outcome. Results: Compared with inexperienced patients, experienced patients exhibited significantly broader receptiveness to students’ participation in consultations (chi-squared = 20.49, df = 3, P < .001; Cramer’s V = 209, P < .001). Broader receptiveness was positively correlated (rho = .314, P < .001) with their motivation to consent to and negatively (rho = -.454, P < .001) correlated with their motivation to dissent from students’ presence at coming consultations. The motivation to consent was significantly higher (P < .001) in experienced women (M = 4.58, SD = .55, n = 408) than in inexperienced ones (M = 4.31, SD = .68, n = 61). The opposite result was true for the motivation to dissent (M = 2.35, SD = .94 vs. M = 2.70, SD = 1.02; P = .007). Notably, for those 408 women, their appraisals of students’ interpersonal communication skills (in a prior consultation) positively correlated (rho = .236, P < .001) with their motivation to consent to and negatively with their motivation to dissent from students’ presence (rho = -.208, P < .001). Conclusion: The findings have implications for both the patients’ role in the gynecological education of medical students and the learners’ qualification in the clinical interview and, therefore, for the benefit of women’s healthcare.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022021000100213&tlng=enMedical StudentsCommunicationOutpatientsGynecologyUniversity HospitalsSurveys and Questionnaires.
spellingShingle Dejano Tavares Sobral
Miriam da Silva Wanderley
Receptiveness to students’ presence at gynecological consultations: patients’ motives and appraisal of learners’ interpersonal communication skills
Revista Brasileira de Educação Médica
Medical Students
Communication
Outpatients
Gynecology
University Hospitals
Surveys and Questionnaires.
title Receptiveness to students’ presence at gynecological consultations: patients’ motives and appraisal of learners’ interpersonal communication skills
title_full Receptiveness to students’ presence at gynecological consultations: patients’ motives and appraisal of learners’ interpersonal communication skills
title_fullStr Receptiveness to students’ presence at gynecological consultations: patients’ motives and appraisal of learners’ interpersonal communication skills
title_full_unstemmed Receptiveness to students’ presence at gynecological consultations: patients’ motives and appraisal of learners’ interpersonal communication skills
title_short Receptiveness to students’ presence at gynecological consultations: patients’ motives and appraisal of learners’ interpersonal communication skills
title_sort receptiveness to students presence at gynecological consultations patients motives and appraisal of learners interpersonal communication skills
topic Medical Students
Communication
Outpatients
Gynecology
University Hospitals
Surveys and Questionnaires.
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022021000100213&tlng=en
work_keys_str_mv AT dejanotavaressobral receptivenesstostudentspresenceatgynecologicalconsultationspatientsmotivesandappraisaloflearnersinterpersonalcommunicationskills
AT miriamdasilvawanderley receptivenesstostudentspresenceatgynecologicalconsultationspatientsmotivesandappraisaloflearnersinterpersonalcommunicationskills