, Volume 25, Issue 8, pp 786-791
Date: 30 Mar 2010

A Qualitative Study of the Meaning of Physical Examination Teaching for Patients

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Abstract

BACKGROUND

Physical examination teaching using actual patients is an important part of medical training. The patient experience undergoing this type of teaching is not well-understood.

OBJECTIVE

To understand the meaning of physical examination teaching for patients.

DESIGN

Phenomenological qualitative study using semi-structured interviews.

PARTICIPANTS

Patients who underwent a physical examination-based teaching session at an urban Veterans Affairs Medical Center.

APPROACH

A purposive sampling strategy was used to include a diversity of patient teaching experiences. Multiple interviewers triangulated data collection. Interviews continued until new themes were no longer heard (total of 12 interviews). Interviews were recorded and transcribed verbatim. Coding was performed by two investigators and peer-checked. Themes were identified and meanings extracted from themes.

KEY RESULTS

Seven themes emerged from the data: positive impression of students; participation considered part of the program; expect students to do their job: hands-on learning; interaction with students is positive; some aspects of encounter unexpected; range of benefits to participation; improve convenience and interaction. Physical examination teaching had four possible meanings for patients: Tolerance, Helping, Social, and Learning. We found it possible for a patient to move from one meaning to another, based on the teaching session experience.

CONCLUSIONS

Physical examination teaching can benefit patients. Patients have the potential to gain more value from the experience based on the group interaction.