Medical students' perceptions of their learning about the doctor-patient relationship: a qualitative study

Medical students' perceptions of their learning about the doctor-patient relationship: a qualitative study

Autor Nogueira-Martins, MCF Google Scholar
Nogueira-Martins, L. A. Google Scholar
Turato, E. R. Google Scholar
Instituição State Dept Hlth São Paulo
Universidade Federal de São Paulo (UNIFESP)
Universidade Estadual de Campinas (UNICAMP)
Resumo OBJECTIVE To describe and discuss Year 5 medical students' perceptions of their own learning about the doctor-patient relationship.METHODS We carried out a qualitative study of semi-structured interviews with 16 Year 5 medical students using 3-way analysis at the School of Medicine, Federal University of São Paulo, São Paulo, Brazil.RESULTS for experiences at the pre-clinical stage, the subcategories were: positive aspects of the medical psychology course; great distance between theory and reality, and strong desire for clinical practice. for experiences at the clinical stage, the subcategories were: demand for opportunities to discuss the doctor-patient relationship; teachers as either role models or anti-models; clinical situations favourable for developing empathic relationships, and clinical situations unfavourable for developing empathic relationships. for views about future experiences, the subcategories were: apprehension about ethical behaviour; anxiety about handling patients' psychosocial characteristics, and fear of professional ethics cases or legal action.DISCUSSION To compensate for the lack of practical activities during the pre-clinical stage, students search for extracurricular activities that often overload them. Because teachers function as professional role models, their attitudes towards patients have great importance. Students fear not being able to maintain their empathic capacity in the future because of work-related issues. Knowledge of the psychological aspects of the doctor-patient relationship helps students to comprehend their experiences. Gradual contact between student and medical practice from the beginning of the course is advised. It should be followed by interdisciplinary discussions that deal with the technical aspects of cases and the doctor-patient relationship.
Palavra-chave humans
physician patient relations
attitude of health personnel
students, medical, psychology, perception
learning
curriculum
Idioma Inglês
Data de publicação 2006-04-01
Publicado em Medical Education. Oxford: Blackwell Publishing, v. 40, n. 4, p. 322-328, 2006.
ISSN 0308-0110 (Sherpa/Romeo, fator de impacto)
Publicador Blackwell Publishing
Extensão 322-328
Fonte http://dx.doi.org/10.1111/j.1365-2929.2006.02411.x
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000236385100008
Endereço permanente http://repositorio.unifesp.br/handle/11600/28835

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