Medical students' learning from patient-led teaching: experiential versus biomedical knowledge
Abstract
The aim of this study was to explore how medical students perceive the experience of learning from patient instructors (patients with rheumatism who teach health professionals and students) in the context of coupled faculty-led and patient-led teaching session. This was an explorative study with a qualitative approach based on focus group interviews. Analysis was based on a prior developed model of the characteristics of learning from patient instructors. The authors used this model as sensitizing concepts for the analysis of data while at the same time being open to new insights by constant comparison of old and new findings. Results showed a negotiation both between and within the students of the importance of patients' experiential knowledge versus scientific biomedical knowledge. On one hand students appreciated the experiential learning environment offered in the PI-led sessions representing a patient-centred approach, and acknowledged the importance of the PIs' individual perspectives and experiential knowledge. On the other hand, representing the scientific biomedical perspective and traditional step-by step teaching, students expressed unfamiliarity with the unstructured experiential learning and scepticism regarding the credibility of the patients' knowledge. This study contributes to the understanding of the complexity of involving patients as teachers in healthcare education and initiates a discussion on how to complement faculty-led teaching with patient-led teaching involving varying degrees of patient autonomy in the planning and delivering of the teaching.
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Students in the study by Henriksen and Ringsted expressed scepticism about patients' knowledge.
“Students in the study by Henriksen and Ringsted67 expressed scepticism about patients’ knowledge67”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [67]
Students in the study by Henriksen and Ringsted expressed concerns about unstructured experiential learning in a context where patients had autonomy in both planning and delivering the teaching encounter.
“expressed concerns about unstructured experiential learning in a context where patients had autonomy in both planning and delivering the teaching encounter.67”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [67]
Cites
Grounded Theory and Sensitizing Concepts
Bowen, G. A. (2006) · International Journal of Qualitative Methods · doi:10.1177/160940690600500304 · Cited by 1,937 · see citing works
Best care at lower cost: the path to continuously learning health care in America
Smith, M. A., Saunders, R., Stuckhardt, L., & McGinnis, J. M. (2014) · Choice Reviews Online · doi:10.5860/choice.51-3277 · Cited by 1,356 · see citing works
(1955) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1955.tb38334.x · Cited by 891 · see citing works
Dunn, M. B., & Jones, C. (2010) · Administrative Science Quarterly · doi:10.2189/asqu.2010.55.1.114 · Cited by 855 · see citing works
Research paradigms in medical education research
Bunniss, S., & Kelly, D. R. (2010) · Medical Education · doi:10.1111/j.1365-2923.2009.03611.x · Cited by 535 · see citing works
Active patient involvement in the education of health professionals
Towle, A., Bainbridge, L., Godolphin, W., Katz, A., Kline, C., Lown, B., Madularu, I., Solomon, P., & Thistlethwaite, J. (2010) · Medical Education · doi:10.1111/j.1365-2923.2009.03530.x · Cited by 498 · see citing works
Haidet, P., & Stein, H. F. (2006) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2006.00304.x · Cited by 355 · see citing works
Medical student attitudes toward the doctor–patient relationship
Haidet, P., Dains, J. E., Paterniti, D. A., et al. (2002) · Medical Education · doi:10.1046/j.1365-2923.2002.01233.x · Cited by 312 · see citing works
Patient‐oriented learning: a review of the role of the patient in the education of medical students
Spencer, J., Blackmore, D. E., Heard, S., McCrorie, P., McHaffie, D., Scherpbier, A. J. J. A., Gupta, T. S., Singh, K., & Southgate, L. J. (2000) · Medical Education · doi:10.1046/j.1365-2923.2000.00779.x · Cited by 294 · see citing works
Developing the role of patients as teachers: literature review
Wykurz, G., & Kelly, D. (2002) · BMJ · doi:10.1136/bmj.325.7368.818 · Cited by 289 · see citing works
Students Learning from Patients: Let’s Get Real in Medical Education
Bleakley, A., & Bligh, J. G. (2006) · Advances in Health Sciences Education · doi:10.1007/s10459-006-9028-0 · Cited by 268 · see citing works
Jha, V., Quinton, N. D., Bekker, H. L., & Roberts, T. E. (2009) · Medical Education · doi:10.1111/j.1365-2923.2008.03244.x · Cited by 242 · see citing works
Behaviorism, Constructivism, and Socratic Pedagogy
Boghossian, P. (2006) · Educational Philosophy and Theory · doi:10.1111/j.1469-5812.2006.00226.x · Cited by 209 · see citing works
Medical students' attitudes toward patient‐centred care: a longitudinal survey
Tsimtsiou, Z., Kerasidou, O., Efstathiou, N., Papaharitou, S., Konstantinos Hatzimouratidis, A., & Hatzichristou, D. G. (2007) · Medical Education · doi:10.1111/j.1365-2929.2006.02668.x · Cited by 167 · see citing works
Morgan, A., & Jones, D. E. (2008) · Medical Teacher · doi:10.1080/01421590802526946 · Cited by 165 · see citing works
Help, I’m losing patient‐centredness! Experiences of medical students and their teachers
Bombeke, K., Symons, L., Debaene, L., Winter, B. Y. D., Schol, S., & Royen, P. V. (2010) · Medical Education · doi:10.1111/j.1365-2923.2010.03627.x · Cited by 158 · see citing works
Pedagogy, power and service user involvement
Felton, A., & Stickley, T. (2004) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2004.00693.x · Cited by 147 · see citing works
When only the real thing will do: junior medical students' learning from real patients
Bell, K., Boshuizen, H. P. A., Scherpbier, A. J. J. A., & Dornan, T. (2009) · Medical Education · doi:10.1111/j.1365-2923.2009.03508.x · Cited by 132 · see citing works
Bokken, L., Rethans, J.-J., Jöbsis, Q., Duvivier, R., Scherpbier, A., & van der Vleuten, C. (2010) · Academic Medicine · doi:10.1097/acm.0b013e3181c48130 · Cited by 102 · see citing works
Rees, C. E., Knight, L. V., & Wilkinson, C. E. (2007) · Advances in Health Sciences Education · doi:10.1007/s10459-006-9007-5 · Cited by 99 · see citing works
A tailored intervention to promote breast cancer screening among South Asian immigrant women
Ahmad, F., Cameron, J. I., & Stewart, D. E. (2004) · Social Science & Medicine · doi:10.1016/j.socscimed.2004.05.018 · Cited by 89 · see citing works
Rees, C. E., Monrouxe, L. V., & Wilkinson, C. E. (2007) · Social Science & Medicine · doi:10.1016/j.socscimed.2007.03.044 · Cited by 85 · see citing works
The Prevalence and Practice of Academies of Medical Educators: A Survey of U.S. Medical Schools
Searle, N. S., Thompson, B. M., Friedland, J. A., Lomax, J. W., Drutz, J. E., Coburn, M. C., & Nelson, E. A. (2009) · Academic Medicine · doi:10.1097/acm.0b013e3181c4846b · Cited by 71 · see citing works
Towle, A., & Godolphin, W. J. (2011) · Teaching in Higher Education · doi:10.1080/13562517.2011.570442 · Cited by 52 · see citing works
Partizipative Entscheidungsfindung in der Gesundheitsversorgung
Donner‐Banzhoff, N., Keller, H., & Krones, T. (2008) · Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen · doi:10.1016/j.zefq.2008.08.017 · Cited by 52 · see citing works
Learning from patients: students’ perceptions of patient‐instructors
Henriksen, A.-H., & Ringsted, C. V. (2011) · Medical Education · doi:10.1111/j.1365-2923.2011.04041.x · Cited by 48 · see citing works
Self-citationEngaging patients in healthcare
Coulter, A. (2011) · Cited by 31 · see citing works
An expert patient-led approach to learning and teaching: the case of physiotherapy
Ottewill, R., Demain, S. H., Ellis‐Hill, C., Greenyer, C. H., & Kileff, J. (2006) · Medical Teacher · doi:10.1080/01421590600726698 · Cited by 23 · see citing works
Oswald, A. E., Wiseman, J., Bell, M. J., & Snell, L. (2011) · Medical Teacher · doi:10.3109/0142159x.2011.557412 · Cited by 23 · see citing works
Keefe (1996) · doi:10.1002/1529-0131(199608)9:4
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O’Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000388 · Cited by 12,211 · see citing works
Role of active patient involvement in undergraduate medical education: a systematic review
Dijk, S. W., Duijzer, E. J., & Wienold, M. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-037217 · Cited by 208 · see citing works
Gordon, M., Gupta, S., Thornton, D., Reid, M., Mallen, E., & Melling, A. (2020) · Medical Teacher · doi:10.1080/0142159x.2019.1652731 · Cited by 165 · see citing works
- Authors
- Henriksen, A.-H., & Ringsted, C.
- Affiliations
- University of Copenhagen (DK)
- Corresponding author
- Henriksen, Ann-Helen
- ORCID
- Ringsted, Charlotte
- Venue
- Advances in Health Sciences Education
- Published
- 2013-04-17
- Volume
- 19
- Issue
- 1
- Pages
- 7-17
- ISSN
- 1382-4996 (ISSN-L)
- 1573-1677
- OpenAlex
- W2115873051
- Cited by
- 38
- References
- 30
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 4 · 2023: 6 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 3 · 2013: 1
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Advances in Health Sciences Education (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Keywords
- medical students, experiential knowledge, biomedical knowledge, rheumatism, patient-centred education, medical education
- MeSH terms
- Attitude, Clinical Competence, Education, Medical, Undergraduate, Female, Humans, Male, Professional-Patient Relations, Students, Medical, Focus Groups, Problem-Based Learning, Qualitative Research
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