Contents - Middle East Journal of Family Medicine

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MEDICINE AND SOCIETYexamined by the students is 82.0%. 92.1% of the patientsfound students’ examination useful for themselves and84.1% of the patients found the examination dependable.This shows that our students have been successful inpatient communication.At the same time, 98.2% of the patients agreed withthe concept of patient examination by the students, is anecessity during medical education, 88.8% of the patientsagreed with the idea that this kind of education is veryuseful for the students. 76.6% of the patients were notdisturbed by being examined by the students, 78.4% ofthe patients believe that this was not a waste of time; only20.9% of patients could not explain their illnesses. Thisshows that patients are very pleased with the participationof the students in these visits (3). Also, it shows that thepatients are ready for this kind of service to help students’education.When we compare the demographic data of our patientsand patients’ attitudes, we can conclude that patientattitudes about this kind of education as a necessity inmedical education and the increase in opportunity fordoing the examinations as helpful, is directly proportionalwith age. Women, compared to men, believe more in thenecessity of practical education, in medical education.Married patients, compared to single patients, alsobelieve in it more. When we consider the education levels,the examination’s usefulness seems to increase withdecrease in education level. However, the percentage ofdifficulty in explaining their illnesses and the thought ofexamination being useless, increased. Our patients withless education may not be able to express their thoughtsabout this subject totally.In our study, attitudes of lecturers toward the participationof students in visits were not considered. This couldhave changed the interaction between the patients andthe students, because in our clinic, lecturers evaluate thestudents.In the light of data provided by this study, we can say thatcommunication between the patients and the studentsis satisfactory (5,8,10). The patients felt positive aboutparticipation of the students in their examinations.Satisfaction of the elderly, married, women, and patientswith less education toward students’ services is veryhigh.In the Family Medicine rotation, which is the last part,shaping medical students’ education, working at theoutpatient clinics is invaluable. Patients whose positiveattitudes toward students are going to make this educationbest are very important teachers in this period. This studysupports that patients should be more active in medicalstudents’ education.Table 1. Demographic characteristics of the casesAge60GenderMaleFemaleMarital StatusNot marriedMarriedWife/Husband diedDivorcedEducationPrimary schoolSecondary schoolHigh schoolUniversity55114146112134130726628593030.1%62.3%7.6%33.5%66.5%19.7%75.1%4.0%1.2%36.1%15.3%32.2%16.4%40MEJFM - Volume 5 Issue 1 - January 2007
MEDICINE AND SOCIETYTable 2. Opinions of the patients about the participation of the senior medical students in their medical examinationsWork questions I totally agree I agree Undecided I disagree Absolutely disagreePatient examination is a necessity inmedical educationExaminations by students were helpfulfor meI felt confident about the examinations ofthe studentsBeing received by the students made meuncomfortableExaminations of the students weretotally uselessBeing examined by the students mademe uncomfortableExamining patients is useful for theeducation of the studentsParticipations of the students in theexaminations were a waste of timeI couldn’t explain my complaintsbecause of the participation of thestudents in my examination139 (75.5%) 42 (22.7%) 4 (1.7%) - -75 (42.4%) 88 (49.7%) 10 (5.6%) 3 (1.7%) 1 (0.6%)72 (41.2%) 75 (42.9%) 16 (9.1%) 9 (5.1%) 3 (1.7%)8 (4.7%) 15 (8.8%) 17 (9.9%) 85 (49.7%) 46(26.9%)4 (2.3%) 11 (6.3%) 8 (4.6%) 83 (47.4%) 69(39.4%)11 (6.4%) 12 (7.0%) 8 (4.7%) 74 (43.0%) 67(39.0%)111 (61.6%) 49 (27.2%) 1 (0.6%) 10 (5.6%) 9 (5.0%)7 (4.1%) 17 (9.9%) 13 (7.6%) 68 (39.8%) 66(38.6%)22 (13.2%) 13 (7.7%) 11 (6.5%) 62 (36.9%) 60(35.7%)REFERENCES1. Simons RJ, Imboden E, Martel JK. Patients’ attitudes toward medicalstudent participation in a general internal medicine clinic. J Genl InternMed 1995; 10:251-254.2. York NL, Darosa DA, Markwell SJ, et al. Patients’ attitudes toward theInvolvement of Medical Students in Their Care. Am J Surg 1995; 169:421-423.3. Townsend B, Marks JG, Mauger DT, et al. Patients’ attitudes towardmedical student participation in a dermatology clinic. J Am Acad Dermatol2003; 49:709-711.4. Jones S, Oswald N, Date J, et al. Attitudes of patients to medical studentparticipation: general practice consultations on the Cambridge Community-Based Clinical Course. Med Educ 1996; 30:14-17.5. Cooke F, Galasko G, Ramrakha V, et al. Medical students in generalpractice: how do patients feel? Br J Gen Pract 1996; 46:361-362.6. Fuglsang H, Olesgaard P, Pedersen NF, et al. Patients’ attitudes towardsand satisfaction with interns general practice; practicing interns and patientsatisfaction. Ugeskr Laeger 1996; 158:5768-5772.7. Rogers HD, Carline JD, Paauw DS. Examination room presentations ingeneral internal medicine clinic: patients’ and students’ perceptions. AcadMed 2003; 78:945-949.8. Devera-Sales A, Paden C, Vinson DC. What do family medicine patientsthink about medical students’ participation in their health care? Acad Med1999; 74:550-552.9. Gress TW, Flynn JA, Rubin HR, et al. Effect of students involvement onpatient perceptions of ambulatory care visits: a randomized controlledtrial. J Gen Intern Med 2002; 17:487-488.10. Kljakovic M, Parkin C. The presence of medical students in practiceconsultations; Rates of patient consent. Aust Fam Physician 2002; 31:487-489.11. O’flynn N, Spencer J,Jones R. Does teaching during a general practiceconsultation affect patient care? Br J Gen Pract 1999; 49:7-9.12. Prislin, Morrison E, Giglio M, et al. Patients’ perceptions of medicalstudents in a longitudinal family medicine clerkship. Fam Med 2001;33:187-191.13. Monnickendam SM, Vinker S, Zalewski S, et al. Patients’ attitudes towardsthe presence of medical students in family practice. IMAJ 2001; 3:903-906.MEJFM - Volume 5 Issue 1 - January 2007 41
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Page 32 and 33: REVIEW ARTICLESwith 406 amino acid
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Page 36 and 37: CASE REPORTHuman chorionic gonadotr
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Page 42 and 43: MEDICINE AND SOCIETYFactors affecti
Page 44 and 45: MEDICINE AND SOCIETYprematurity was
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Contents - Middle East Journal of Family Medicine

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