What educators and students really think about using patients as teachers in medical education: a qualitative study
Open accessAbstract
Objectives Patients play an integral part in medical education, either as passive, clinical exemplars or as more active facilitators in the development of skills. In theory, the patient‐teacher may enhance the student learning experience by creating an environment similar to that of the medical workplace and encouraging the process of becoming a professional. Although many medical schools have integrated patient‐teachers within their curricula, there is little evidence of how those involved in providing or receiving medical education view patient‐teachers’ contributions to their education. This study investigates the views and experiences of medical tutors and students of involving patients in undergraduate curricula. Methods We conducted a cross‐sectional survey employing qualitative research methods. Semi‐structured focus group interviews were used to elicit participants’ views and experiences of patient involvement in medical education. The transcripts were content‐analysed using a coding framework. Results A total of 46 participants consisting of medical educators and medical students took part in nine focus groups. Four themes emerged: the role of the patient in learning and teaching; the impact of the patient‐teacher; the impact of being the storyteller, and mechanisms to explain the patient‐teacher role in medical training. Conclusions There is support for patient involvement in teaching. The logistics involved in supporting programmes of patient involvement and the need to link the teaching to overall course objectives should be addressed.
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Medical educators interviewed by Jha et al believed there was a role for patients in assessing whether students made them feel at ease and whether students asked the right questions.
“Medical educators interviewed by Jha et al believed there was a role for patients in assessing whether students made them feel at ease and whether students asked the right questions.66”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [66]
Some faculty members expressed their experiences of working with patient assessors and course developers as tokenistic.
“Some faculty members expressed their experiences of working with patient assessors and course developers as tokenistic.66”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [66]
Faculty in the study by Jha et al were not clear on how to involve patients more fully in assessments or course development, nor were they convinced of the appropriateness of doing so.
“Faculty in the study by Jha et al were not clear on how to involve patients more fully in assessments or course development, nor were they convinced of the appropriateness of doing so.”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [66]
Jha et al pointed out that active patient involvement by itself demonstrates an equal partnership.
“Jha et al pointed out that active patient involvement by itself demonstrates an equal partnership66”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [66]
Some faculty educators were concerned that patient stories might be so traumatic that students would require support or debriefings to deal with the resulting emotions.
“Some faculty educators were concerned that patient stories might be so traumatic that students would require support or debriefings to deal with the resulting emotions.66 71”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [66]
Jha et al described the patient as providing an illustration of the theory in practice, thus enhancing students' understanding and recall.
“Jha et al described the patient as providing an illustration of the theory in practice, thus enhancing students’ understanding and recall.66”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [66]
Staff members expressed the concern that the impact of the patient experience might be reduced if the same patient was involved in the same programme too often.
“In a different study, staff members expressed the concern that the impact of the patient experience might be reduced if the same patient was involved in the same programme too often.66”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [66]
Medical educators commented that if patient educators were paid and seen as an employee of the medical school, they might take on the role more seriously and become more reliable, as well as being seen as a respected part of the educational team.
“Medical educators commented that if patient educators were paid and seen as an employee of the medical school, they might take on the role more seriously and become more reliable, as well as being seen as a respected part of the educational team.66”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [66]
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Sorted by citations
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
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- Authors
- Jha, V., Quinton, N. D., Bekker, H. L., & Roberts, T. E.
- Affiliations
- University of Leeds (GB)
- Corresponding author
- Jha, Vikram
- Venue
- Medical Education
- Publisher
- Wiley
- Published
- 2009-04-20
- Volume
- 43
- Issue
- 5
- Pages
- 449-456
- ISSN
- 0308-0110 (ISSN-L)
- 1365-2923
- OpenAlex
- W2082070811
- Cited by
- 66
- References
- 11
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 3 · 2023: 8 · 2022: 4 · 2021: 5 · 2020: 5 · 2019: 6 · 2018: 7 · 2017: 2 · 2016: 6 · 2015: 2 · 2014: 3 · 2013: 3 · 2012: 1
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Medical 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 › Medicine › Physiology › Simulation-Based Education in Healthcare
- Keywords
- patient involvement in medical education, medical students' perceptions, undergraduate medical curriculum, storytelling in teaching, professional development, experiential learning
- MeSH terms
- Education, Medical, Undergraduate, United Kingdom, Humans, Patient Participation, Physician-Patient Relations, Teaching, Focus Groups
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