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Patient-centred education: How do learners' perceptions change as they experience clinical training?
Shannon Fong1, Amy Tan2, Joanna Czupryn3
1University of Alberta, Edmonton, Canada. swfong@ualberta.ca.
Summary
Patient educators enhance patient-centred care training. Early exposure
Area of Science:
- Medical Education
- Patient-Centred Care
- Clinical Training
Background:
- Patient educators are a strategy to foster patient-centred care.
- Previous work showed early patient educator exposure shaped pre-clerkship learners' understanding.
- This study examines the persistence of these perceptions and longer-term impacts during clinical training.
Purpose of the Study:
- To evaluate the persistence of initial perceptions of patient educators.
- To explore reflections on the long-term impacts of early patient educator exposure.
- To determine the continued relevance of pre-clerkship themes for clinical trainees.
Main Methods:
- Follow-up study involving group interviews with learners who had pre-clerkship patient educator experience.
- Thematic analysis of transcribed audio recordings using a hybrid inductive and deductive approach.
- Constant comparison method to construct a thematic framework.
Main Results:
- Three new themes emerged: value of early clinical experience, change in learners' perspectives, and valuing non-Medical Expert CanMEDS roles.
- Pre-clerkship themes that remained relevant included patients' perspectives humanizing disease, navigating healthcare systems, learner perceptions of the strategy, and perceived inaccuracies.
- Learner insights evolved with shifts in emphasis and new perspectives during clerkship.
Conclusions:
- Many themes from pre-clerkship patient educator experiences remain relevant for clinical trainees.
- Early patient educator exposure continues to evolve, offering valuable insights as learners progress.
- Patient educators are a valuable strategy for developing patient-centredness in undergraduate medical education.
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