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Patient’s Attitude and Perception Toward Medical StudentsNadin A. Alghanaim , N. Anfinan, K. Sait, A. Boker, A Hussain, A. Almrstani

King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Introduction Results Cont.

Conclusions

References

Women in Obstetrics and Gynecology service generally accepted medical students and they believed that their presence during consultation is important for their training.

We found that involvement of medical students in the emergency cases and L & D were an influential negative factor for many women. Student’s gender is the main reason for accepting or refusing them during physical examination.

The members of the Obstetrics and Gynecology need to be sensitive to subtle forms of gender bias and ensure equal training for medical students.

This study shows our need to have an alternative way in teaching Obstetrics and Gynecology in our community especially to male medical students.

1.Spencer J, Blackmore D, Heard S, et al. Med Educ. 2000;34:851–57.

2. Berry RE Jr, O’dell K, Meyer BA, et al. Med Educ 2003;37:1109–14.

3. Tawfiqur Rahman Choudhury , Ali A. Moosa, Annie Cushing, et al. Medical Teacher, Vol. 28, No. 7, 2006, pp. e198–e203 .4. Anne M. Fortier, Philip M. Hahn, Jill Trueman, et al. J Obstet Gynecol Can 2006;28(6):526-530.

Contact with patients remains a vital component in the education of medical students. Medical educators have been encouraged to implement experiences involving patient contact early in medical school curriculum to enhance student’s understanding of health care delivery from both patients and community perspective.

High levels of acceptance of involvement for medical students in Obstetric and Gynecology clinics have been reported.

To identify patient’s attitude towards the role of medical students; their preferences regarding the involvement of medical students and the level of comfort with the presence of medical students during common clinical situations in Obstetrics and Gynecology.

A cross-sectional descriptive study using an interview with a structured questionnaire was conducted from September to December 2010. All participants were randomly selected who visited the outpatient department or admitted as in-patient or emergency department for obstetric or gynecology indications.

We divided the study population into two groups, Group I were elective patients as in out- patient clinic or in-patient ward. And Group II were emergency patients as in ER department or in L & D.

The questionnaire was prepared in English with short, clear, and open-ended questions.

Items designed to collect basic demographic profiles, prior experiences with medical students, attitude toward medical students and important factors in determining whether to accept or refuse medical students participation under their care.

The sample size was calculated to involve a minimum of 10 participants per question. The data were entered and analyzed using (SPSS) version 17.

Reasons for refusing medical students during examination (Table 5)

Some of the participants answered more than one question.

A total of 327 out of 400 approached patients agreed to participate in the survey with the response rate of 81% .272 (83%) of the participants were in Group I , 55 (17%) were in Group II.

The analysis of general characteristics of the participants showed that the mean age of this sample was approximately 32.6 (17-83). Two hundreds ninety three (86%) were married. Ninety (27.4%) of participants completed their high school and 63 (19%) had post graduate degree (Table 1).

One hundred seventy nine participants had positive experienced found female medical students presence during consultation. Those participants 160 (58.8%), 19 (34.5%) were presented in-Group I and Group II respectively with ( P value 0.0025 ). Only 132 (40%) participant had positive experienced found male medical students presence during consultation those participant 115 (42%), 17(30.9%) were presented in-Group I and Group II respectively with ( P value 0.095 ) (Table 2). Two hundred four of participants (75%) , 31(56%) in Group I and would Group II accept only <5 medical students presence during consultation. While ( 36/372 ) (11%) would not prefer to have medical students ( P value 0.02 ) (Table 3).

Forty eight (17.6), 15 (27%) in Group I and Group II felt unnecessary or extremely unnecessary to have female medical students presence with ( P value 0.03 ).On the other hand, 88(32.3%) ,22(40%) in Group I and Group II don’t mind to have male students presence during consultation with no significant differentiation between two groups for the feeling of unnecessary about their presence ( P value 0.194082 ) (Table 4).

Most of participants 158 (48%) felt that the gender of the medical students is the main reason in their decision for accepting or refusing medical student (Table 5 ).

Multivariate analysis was done showed that patient’s age, educational level, nationality and consultant gender were not found as independent factors that will affect the patient’s attitude and perception towards medical students.

Demographic data of the participants (Table 1)

Participants with positive experience in the past towards the presence of medical students ( Table 2)

*P value =0.0025 ** P value = 0.095

Number of medical students the patients would feel comfortable with their presence during consultation.( Table 3 )

(36/372) (11 %) of participants would not prefer to have medical students P value= 0.02

Participant’s perception towards the presence of Female and Male medical students during consultation according to site of interview (Table 4)

*P Value of female students= 0.03**P Value of male students=0.194082Some of the participants didn’t answer all the questions

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Objective

Methods

Results

Age (years) (mean-range ) 32.6 ( 17-83)

Duration in Saudi Arabia <10 years >10 years

60 (18.3%)267 (81.7%)

marital status Married Unmarried

293 (91.6%) 34 (8.4%)

Education level Illiterate Primary school Secondary school College Postgraduate

27 (8.6%)56 (17%)91 (28%)

90 (27.4%)63 (19%)

Ob-Gyne Consultant gender Male Female

156 (47.5%)171 (52.5%)

Number of patients had female medical students presence

during consultation

Number of patients had male medical students presence

during consultation

Group I 160 (58%) 115(42.2%)**

Group II 19 (34.5%) * 17 (30.9%)

Zero <=5 >5

Group I 24 (8.8%) 204 (75.%) 36(13.2%)

Group II 12(21.8%) 31(56.3%) 6(11%)

Extremely unnecessary

Female Male

Don’t mind

Female Male

Eager/very eager

Female Male

Group I

(272)

48 *

(17.6%)

125**

(45.9%)

128*

(47%)

88**

(32.%)

87

(31.9%)

49

(18%)

Group II

(55)

15*

(27.2%)

22**

(40%)

28*

(50.9%)

22**

(40%)

6

(10.9%)

5

(9%)

Reasons Number of patients (%)

Outlook 28 (8.5%)

Manner 95(28.9%)

Gender 158(48%)

Outfit 55(16.7%)

Nationality 37(11.2%)

Urgency 44(13.4%)

Results Cont.