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Medical students assess patient credibility using competence, trustworthiness, and goodwill. The clinical context can lower credibility due to competing therapeutic goals, impacting feedback engagement.

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Area of Science:

  • Medical Education
  • Healthcare Communication
  • Qualitative Research

Background:

  • Patient feedback is increasingly vital in medical education.
  • Student engagement with feedback hinges on perceived provider credibility.
  • Limited understanding exists on how medical students evaluate patient credibility.

Purpose of the Study:

  • To explore the process by which medical students make credibility judgments about patients as feedback providers.

Main Methods:

  • Qualitative study employing interviews with medical students post-feedback from patients.
  • Credibility conceptualized via competence, trustworthiness, and goodwill.
  • Analysis through template and causal network methods in clinical and non-clinical settings.

Main Results:

  • Student credibility judgments integrated competence, trustworthiness, and goodwill dimensions.
  • An educational alliance was perceived, potentially enhancing credibility.
  • Therapeutic goals in the clinical context sometimes conflicted with educational goals, reducing credibility.

Conclusions:

  • Medical students weigh multiple, often conflicting, factors in patient credibility assessments.
  • Contextual goals and roles significantly influence credibility judgments.
  • Further research should investigate discussing goals and roles to foster open feedback.