Teaching and learning about chronic conditions management for undergraduate medical students: utilizing the patient-as-teacher approach
Abstract
Objectives: This study was undertaken to evaluate the impact on medical student learning of a revised chronic conditions teaching programme based on the chronic care model utilizing patients-as-teachers. Methods: A qualitative questionnaire was completed by students at the start of a primary healthcare rotation to determine existing impressions/understandings about chronic conditions. Following the revised teaching programme, a reflective essay about a home-visit to a person with chronic conditions was completed by students at the end of the rotation. Results: Analysis of the questionnaire at the start of the rotation showed students have some knowledge of the differences between acute and chronic care, have rather negative impressions of what it means to have chronic conditions and know little of overall patient management including the work of an interdisciplinary team. Analysis of the reflective essays completed by students at the end of the rotation showed an increased understanding of chronic conditions, what it means to have a chronic condition and who supports management. Discussion: A structured chronic conditions teaching programme including patient-as-teacher is an effective way of building knowledge and changing students’ impressions of what it means to have a chronic condition.
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Cited rationale was to introduce students to chronic illness care.
“to introduce students to chronic illness care29–31;”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [31]
McKinlay et al described an education programme in which students undertake a home visit to a patient with a chronic condition, where students demonstrated increased understanding of interdisciplinary teams in management of chronic conditions in their reflective assays.
“McKinlay et al described an education programme in which students undertake a home visit to a patient with a chronic condition,31 where students demonstrated increased understanding of interdisciplinary teams in management of chronic conditions in their reflective assays.”
From Role of active patient involvement in undergraduate medical education: a systematic review (2020) · cites this paper as [31]
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- Authors
- McKinlay, E., McBain, L., & Gray, B.
- Affiliations
- University of Otago (NZ)
- Venue
- Chronic Illness
- Publisher
- SAGE Publications
- Published
- 2009-08-10
- Volume
- 5
- Issue
- 3
- Pages
- 209-218
- ISSN
- 1742-3953 (ISSN-L)
- 1745-9206
- OpenAlex
- W2160887233
- Cited by
- 23
- References
- 25
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 3 · 2022: 4 · 2021: 1 · 2020: 1 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 2 · 2012: 2
- FWCI
- 0.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Chronic Illness (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Keywords
- chronic disease, patient as teacher, Chronic Care Model, undergraduate medical education, home visits, interdisciplinary teams, reflective essays, patient education
- MeSH terms
- Chronic Disease, Curriculum, Education, Medical, Undergraduate, House Calls, Humans, Surveys and Questionnaires, Students, Medical, Teaching
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