Patients’ Perspectives towards Bedside Teaching of Medical Students: an Analytical Cross Sectional Study in Tertiary Care Hospitals

Authors

  • Samreen Misbah
  • Maryam Shakeel
  • Aleena Mazhar
  • Hamza Jamshaid
  • Asad Tariq
  • Sagheer Ahmad

DOI:

https://doi.org/10.51985/JBUMDC2023264

Keywords:

Cross-Sectional Studies, hospitals, humans, medical, students, surveys and questionnaires

Abstract

Objective: To determine patients’ perspectives about medical students’ involvement in bedside teachings and its effect on the quality of consultation.

 

Study Design and setting: An analytical cross-sectional study conducted in Combined Military and Pak Emirates Military Hospital Rawalpindi from 1-September-2019, to 1-April-2020.

 

Methodology: Data were collected by convenience sampling using self-structured questionnaire. With a response rate of 91%, sample of 294 from medicine and surgery departments were included who had or not consultations in presence of students, excluding patients with decreased mental functioning. Kruskal-wallis and Mann-Whitney-U tests were applied to compare mean scores considering statistically significant difference at <0.05.

 

Results: Among participants (mean age 30.8 ± 8.51) almost 138(47%) patients thought benefitted interaction with students, 191(65%) expressed disagreement to discomfort during history, which decreased towards discussing sensitive information and examination in absence of senior. Among seven domains of questionnaire, positive attitude towards students and preference of local language received the highest mean score, discomfort during the examination and students’ acceptability received the lowest. A significant difference was found among participants with higher education regarding permission for students’ presence (p-value 0.009).

 

Conclusion: Majority of participants considered students’ interaction beneficial, but shared discomfort feeling during examination. Students’ involvement was considered imperative for their training, thinking that they are serving the community. Participants with high education reflected upon permission prior to encounter and those with less education shared that all discussion in their presence must be in understandable language

References

Ahmed AM. Bedside teaching at the Cinderella status: Options

for promotion. Saudi Med J [Internet]. 2010;31(7):739–46.

Available from: https://pubmed.ncbi.nlm.nih.gov/20635005/

John S. ABC of learning and teaching in medicine Learning

and teaching in the clinical environment. BMJ [Internet].

;326(7389):591–4. Available from: https://www.ncbi.nlm.

nih.gov/pmc/articles/PMC1125480/pdf/591.pdf

Cheema B, Li M, Ho D, Amari E, Buckley H, Canfield C, et

al. Patient-present teaching in the clinic: Effect on agency

and professional behaviour. Med Educ [Internet].

;56(3):270–9. Available from: http://dx.doi.org/10.1111

/medu.14623

Marwan Y, Al-Saddique M, Hassan A, Karim J, Al-Saleh M.

Are medical students accepted by patients in teaching hospitals?

Med Educ Online [Internet]. 2012;17(1):1–13. Available from:

https://doi.org/10.3402/meo.v17i0.17172

Salah A Ben, El Mhamdi S, Bouanene I, Sriha A, Soltani M.

Patients’ attitude towards bedside teaching in Tunisia. Int J

Med Educ [Internet]. 2015;6:201–7. Available from: https://doi

.org/10.5116%2Fijme.5669.ea24

Carty M, Riordan NO, Ivers M, Higgins MF. Patient

perspectives of bedside teaching in an obstetrics , Gynaecology

and neonatology hospital. BMC Med Educ [Internet].

;20(111):1–9. Available from: https://bmcmededuc.

biomedcentral.com/articles/10.1186/s12909-020-02016-5

Shetty PA, Magazine R, Chogtu B. Patient outlook on bedside

teaching in a medical school. J Taibah Univ Med Sci [Internet].

;16(1):50–6. Available from: http://dx.doi.org/10.1016/

j.jtumed.2020.10.002

Rockey NG, Ramos GP, Romanski S, Bierle D, Bartlett M,

Halland M. Patient participation in medical student teaching:

A survey of hospital patients. BMC Med Educ [Internet].

;20(1):1–9. Available from: https://doi.org/10.1186/

s12909-020-02052-1

Ramanayake RPJC, Sumathipala WLAH, Rajakaruna IMSM,

Ariyapala DPN. Patients' Attitudes Towards Medical Students

in a Teaching Family Practice: A Sri Lankan Experience. J

Fam Med Prim Care [Internet]. 2012;1(2):122. Available

from: http://dx.doi.org/10.4103/2249-4863.104982

Abu Jubain M, Alobaidi H, Bholah S, Kanani F, Koghar R,

Sitch A, et al. Willingness and attitudes of the general public

towards the involvement of medical students in their healthcare.

Can Med Educ J [Internet]. 2012;3(2):e118–26. Available

from: https://journalhosting.ucalgary.ca/index .php/cmej/

article/view/36576

Al Ghobain M, Alghamdi A, Arab A, Alaem N, Aldress T,

Ruhyiem M. Patients’ perceptions towards the participation

of medical students in their care. Sultan Qaboos Univ Med

J [Internet]. 2016;16(2):e224–9. Available from: doi: 10.18295

/squmj.2016.16.02.014

Iqbal MZ, Bukhamsin EY, Alghareeb FY, Almarri NM,

Aldajani LM, Busaleh HA. Participation of medical students

in patient care: How do patients perceive it? J Fam Med Prim

Care [Internet]. 2020;2020(9):3644–51. Available from:

https://pubmed.ncbi.nlm.nih.gov/33102344/

Mwaka AD, Taremwa S, Adoch W, Achan J, Ainembabazi P,

Walego G, et al. Patients’ attitudes towards involvement of

medical students in their care at university teaching hospitals

of three public universities in Uganda: a cross sectional study.

BMC Med Educ [Internet]. 2022;22(1):1–16. Available from:

https://doi.org/10.1186/s12909-022-03576-4

Vaughn JL, Rickborn LR, Davis JA. Patients’ Attitudes Toward

Medical Student Participation Across Specialties: A Systematic

Review. Teach Learn Med [Internet]. 2015;27(3):245–53.

Available from: https://pubmed.ncbi.nlm.nih.gov/26158326/

Khan IA l. Bedside teaching-making it an effective instructional

tool. J Ayub Med Coll Abbottabad [Internet]. 2014;26(3):286–9.

Available from: https://www.ayubmed.edu.pk/JAMC/26-

/Ishtiaq.pdf

Hamza A, Warczok C, Meyberg-Solomayer G, Takacs Z,

Juhasz-Boess I, Solomayer EF, et al. Teaching undergraduate

students gynecological and obstetrical examination skills: the

patient’s opinion. Arch Gynecol Obstet [Internet].

;302(2):431–8. Available from: https://doi.org/10.1007/

s00404-020-05615-1

Choudhury TR, Moosa AA, Cushing A, Bestwick J. Patients’

attitudes towards the presence of medical students during

consultations. Med Teach [Internet]. 2006;28(7):e198–203.

Available from: https://doi.org/10.1080/01421590600834336

Santos IG, Santos CC, Duarte I. Medical Education: Patients’

Perspectives on Clinical Training and Informed Consent. Int

J Environ Res Public Health [Internet]. 2022;19(13):1–10.

Available from: https://doi.org/10.3390/ijerph19137611

Sarwar S, Aleem A, Nadeem MA. Bed side teaching: Student’s

perception and its correlation with academic performance.

Pakistan J Med Sci [Internet]. 2020;36(6):1–6. Available

from: https://doi.org/10.12669%2Fpjms.36.6.2120

Onotai LO, Asuquo EO, Amadi E, Amadi-Oparelli A, Ali

DU. Patients’ perception and attitude towards medical students’

involvement in patients care at a Nigerian University Teaching

Hospital. Educ Res [Internet]. 2012;3(9):732–43. Available

from: http://www.interesjournals.org/er/september-2012-vol-

-issue-9/patients-perception-and-attitude-towards-medicalstudents-involvement-in-patients-care-at-a-nigerian-universityteaching-hospital

Monrouxe L V., Rees CE, Bradley P. The construction of

patients’ involvement in hospital bedside teaching encounters.

Qual Health Res [Internet]. 2009;19(7):918–30. Available

from: https://pubmed.ncbi.nlm.nih.gov/19556399/

Almushait YB, Alabdaljabar MS, Alkhani K, Abdalla HM,

Alhayaza R, Temsah MH, et al. Challenges Facing

Undergraduate Medical Education in Ambulatory Care Clinics

at Tertiary Care Hospitals. Healthc [Internet]. 2022;10(3):1–16.

Available from: https://doi.org/10.3390/healthcare10030496

Blaschke AL, Rubisch HPK, Schindler AK, Berberat PO,

Gartmeier M. How is modern bedside teaching structured?

A video analysis of learning content, social and spatial

structures. BMC Med Educ [Internet]. 2022;22(1):1–13.

Available from: https://doi.org/10.1186/s12909-022-03855-

Adam HL, Giroux C, Eady K, Moreau KA. A qualitative

study of patients’ and caregivers’ perspectives on educating

healthcare providers Une. Can Med Educ J [Internet].

;2(1):16–22. Available from: https://journalhosting.

ucalgary.ca/index.php/cmej/article/view/36556

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Published

2024-01-29

How to Cite

Misbah, S. ., Shakeel, M. ., Mazhar, A. ., Jamshaid, H. ., Tariq, A. ., & Ahmad, S. . (2024). Patients’ Perspectives towards Bedside Teaching of Medical Students: an Analytical Cross Sectional Study in Tertiary Care Hospitals. Journal of Bahria University Medical and Dental College, 14(01), 72–77. https://doi.org/10.51985/JBUMDC2023264

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Section

Medical Education - Original Article