Junior medical students' notions of a 'good doctor' and related expectations: a mixed methods study.

Objective To explore junior medical students' notions of a 'good doctor', given their ideas about: success in Year 1, house jobs, and their attraction to medicine. Methods Study participants were junior medical students (1999 and 2001 entry cohorts studied thrice and twice, respectively) and prospec...

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Publicado en:Medical Education Vol. 41; no. 5; pp. 476 - 487
Autores principales: Maudsley G, Williams EM, Taylor DC
Formato: research Journal Article
Publicado: Wiley-Blackwell May2007
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        10.1111/j.1365-2929.2007.02729.x
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        atl: Junior medical students' notions of a 'good doctor' and related expectations: a mixed methods study.
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          Maudsley G
          Williams EM
          Taylor DC
      sug:
        subj:
          Attitude of Health Personnel
          Clinical Competence Standards
          Students, Medical Psychosocial Factors
          Career Planning and Development
          England
          Motivation
          Prospective Studies
          Questionnaires
          Human
      ab: Objective To explore junior medical students' notions of a 'good doctor', given their ideas about: success in Year 1, house jobs, and their attraction to medicine. Methods Study participants were junior medical students (1999 and 2001 entry cohorts studied thrice and twice, respectively) and prospective students of the University of Liverpool's 5-year, problem-based, community-orientated curriculum. Data collection and analysis used a 'mixed methods' approach, cross-sectional design, and brief questionnaire surveys. In an index survey, open questions (analysed inductively) explored house jobs and Year 1 success. They also generated 'good doctor' themes, which a second survey confirmed and 3 surveys ranked. A sixth survey explored motivation for choosing medicine (open question). Good doctor rankings were analysed by postcode for prospective medical students classified as school-leaver residents of England and Wales. Results Response rates were: 91.4% (973) of the 2001-02 admission candidates, on interview days; 68.0% (155), 61.2% (137) and 77.9% (159) of the 1999 cohort (at entry, end-Year 1 and mid-Year 3, respectively), and 71.0% (201) and 71.0% (198) of the 2001 cohort (at entry and end-Year 1, respectively). From 9 themes generally compatible with self-reported motivations and expectations, junior and prospective medical students consistently valued a good doctor as a 'compassionate, patient-centred carer' and a 'listening, informative communicator' over an 'exemplary, responsible professional'. Prospective students from less affluent English and Welsh postcodes valued 'efficient, organised self-manager' very slightly more highly (r(s) = - 0.140, P = 0.003). Conclusions This research provided empirical evidence to support ongoing commentary about patients mostly seeking qualities related to communication, caring, and competence in doctors. Weak evidence that socio-economic status might affect notions of a good doctor is worth pursuing.
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    language: English
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