A Qualitative Study of Preclinical Medical Students Randomized to Patient-Partnered vs Traditional Clinical Experiences
Purpose: Longitudinal patient-partnered experiences may promote medical student empathy, but evaluation of such programs is limited. The aim of this study was to compare areas of learning among first-year medical students randomized to a patient-centered track (PCT) or traditional track (TT) longitu...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Advocate Aurora Health
2022-10-01
|
| Series: | Journal of Patient-Centered Research and Reviews |
| Subjects: | |
| Online Access: | https://institutionalrepository.aah.org/cgi/viewcontent.cgi?article=1930&context=jpcrr |
| _version_ | 1797758471633895424 |
|---|---|
| author | Joyce W. Tang Tia Kostas Anshu Verma Valerie G. Press Josef Kushner Nicole Gier Lauren O. Wiklund Vineet M. Arora Jeanne Farnan David O. Meltzer |
| author_facet | Joyce W. Tang Tia Kostas Anshu Verma Valerie G. Press Josef Kushner Nicole Gier Lauren O. Wiklund Vineet M. Arora Jeanne Farnan David O. Meltzer |
| author_sort | Joyce W. Tang |
| collection | DOAJ |
| description | Purpose: Longitudinal patient-partnered experiences may promote medical student empathy, but evaluation of such programs is limited. The aim of this study was to compare areas of learning among first-year medical students randomized to a patient-centered track (PCT) or traditional track (TT) longitudinal clinical experience.
Methods: PCT students (n = 24) were paired with 2 patients and a physician to participate in their patients’ care across multiple settings. TT students (n = 56) were paired with a physician preceptor and participated in caring for a variety of patients in a single setting. This qualitative study used a phenomenological approach to template analysis, examining and comparing student reflective essays for areas of learning.
Results: Three domains of learning emerged: 1) Focus of learning (biomedical, patient-centered); 2) Roles and relationships (clinical skills, relationship-building, teaching from preceptor and patients); and 3) Context of care (health systems science, interprofessional care). PCT students described patient-centered learning, relationship-building, and patients’ role as teachers. In contrast, TT students emphasized biomedical learning, clinical skills development, and teaching from physician preceptors.
Conclusions: Longitudinal patient-partnered clinical experiences provide rich opportunities for preclinical students to cultivate empathy and develop patient-centered values. |
| first_indexed | 2024-03-12T18:30:27Z |
| format | Article |
| id | doaj.art-e256c823151e4c568e77a50a679372cd |
| institution | Directory Open Access Journal |
| issn | 2330-0698 |
| language | English |
| last_indexed | 2024-03-12T18:30:27Z |
| publishDate | 2022-10-01 |
| publisher | Advocate Aurora Health |
| record_format | Article |
| series | Journal of Patient-Centered Research and Reviews |
| spelling | doaj.art-e256c823151e4c568e77a50a679372cd2023-08-02T08:19:55ZengAdvocate Aurora HealthJournal of Patient-Centered Research and Reviews2330-06982022-10-0194290297doi:10.17294/2330-0698.1930A Qualitative Study of Preclinical Medical Students Randomized to Patient-Partnered vs Traditional Clinical ExperiencesJoyce W. Tang0https://orcid.org/0000-0003-4792-924XTia Kostas1https://orcid.org/0000-0003-2658-4713Anshu Verma2Valerie G. Press3https://orcid.org/0000-0001-9961-4878Josef Kushner4Nicole Gier5Lauren O. Wiklund6Vineet M. Arora7https://orcid.org/0000-0002-4745-7599Jeanne Farnan8https://orcid.org/0000-0002-1138-9416David O. Meltzer9University of Chicago, Chicago, ILUniversity of Chicago, Chicago, ILCare More Health, Richmond, VAUniversity of Chicago, Chicago, ILLenox Hill Hospital, New York, NYUniversity of Chicago, Chicago, ILMichigan State University, East Lansing, MIUniversity of Chicago, Chicago, ILUniversity of Chicago, Chicago, ILUniversity of Chicago, Chicago, ILPurpose: Longitudinal patient-partnered experiences may promote medical student empathy, but evaluation of such programs is limited. The aim of this study was to compare areas of learning among first-year medical students randomized to a patient-centered track (PCT) or traditional track (TT) longitudinal clinical experience. Methods: PCT students (n = 24) were paired with 2 patients and a physician to participate in their patients’ care across multiple settings. TT students (n = 56) were paired with a physician preceptor and participated in caring for a variety of patients in a single setting. This qualitative study used a phenomenological approach to template analysis, examining and comparing student reflective essays for areas of learning. Results: Three domains of learning emerged: 1) Focus of learning (biomedical, patient-centered); 2) Roles and relationships (clinical skills, relationship-building, teaching from preceptor and patients); and 3) Context of care (health systems science, interprofessional care). PCT students described patient-centered learning, relationship-building, and patients’ role as teachers. In contrast, TT students emphasized biomedical learning, clinical skills development, and teaching from physician preceptors. Conclusions: Longitudinal patient-partnered clinical experiences provide rich opportunities for preclinical students to cultivate empathy and develop patient-centered values.https://institutionalrepository.aah.org/cgi/viewcontent.cgi?article=1930&context=jpcrrpatient-centered learninglongitudinal clinical experienceempathymedical educationtraining |
| spellingShingle | Joyce W. Tang Tia Kostas Anshu Verma Valerie G. Press Josef Kushner Nicole Gier Lauren O. Wiklund Vineet M. Arora Jeanne Farnan David O. Meltzer A Qualitative Study of Preclinical Medical Students Randomized to Patient-Partnered vs Traditional Clinical Experiences Journal of Patient-Centered Research and Reviews patient-centered learning longitudinal clinical experience empathy medical education training |
| title | A Qualitative Study of Preclinical Medical Students Randomized to Patient-Partnered vs Traditional Clinical Experiences |
| title_full | A Qualitative Study of Preclinical Medical Students Randomized to Patient-Partnered vs Traditional Clinical Experiences |
| title_fullStr | A Qualitative Study of Preclinical Medical Students Randomized to Patient-Partnered vs Traditional Clinical Experiences |
| title_full_unstemmed | A Qualitative Study of Preclinical Medical Students Randomized to Patient-Partnered vs Traditional Clinical Experiences |
| title_short | A Qualitative Study of Preclinical Medical Students Randomized to Patient-Partnered vs Traditional Clinical Experiences |
| title_sort | qualitative study of preclinical medical students randomized to patient partnered vs traditional clinical experiences |
| topic | patient-centered learning longitudinal clinical experience empathy medical education training |
| url | https://institutionalrepository.aah.org/cgi/viewcontent.cgi?article=1930&context=jpcrr |
| work_keys_str_mv | AT joycewtang aqualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT tiakostas aqualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT anshuverma aqualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT valeriegpress aqualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT josefkushner aqualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT nicolegier aqualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT laurenowiklund aqualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT vineetmarora aqualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT jeannefarnan aqualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT davidomeltzer aqualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT joycewtang qualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT tiakostas qualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT anshuverma qualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT valeriegpress qualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT josefkushner qualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT nicolegier qualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT laurenowiklund qualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT vineetmarora qualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT jeannefarnan qualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences AT davidomeltzer qualitativestudyofpreclinicalmedicalstudentsrandomizedtopatientpartneredvstraditionalclinicalexperiences |