TITLE

Effect of patient socioeconomic status on perceptions of first- and second-year medical students

AUTHOR(S)
Woo, James K. H.; Ghorayeb, Sahar H.; Cheong K. Lee; Sangha, Harpreet; Richter, Suzanne
PUB. DATE
June 2004
SOURCE
CMAJ: Canadian Medical Association Journal;6/22/2004, Vol. 170 Issue 13, p1915
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Physician decision-making and perceptions of patients are affected by a patient's socioeconomic status (SES). We sought to determine if the perceptions of first- and second-year medical students are similarly affected. We also wanted to determine whether a student's own SES affects his or her perceptions of patients from a low or high SES background. Methods: Two similar videos of a physician-patient interview were created. One video featured a patient of apparently high SES and the other featured a patient of apparently low SES. Differences in SES were portrayed by means of clothing, accessories and dialogue. First- and second-year medical students at the University of Western Ontario were recruited to view 1 of the videos and to answer a questionnaire using a 5-point Likert scale. Results: Responses were obtained from 205 (89%) of the 231 medical students invited to participate. Respondents' perceptions of the low SES and high SES patients were significantly different in the following respects. The low SES patient was perceived to be less compliant in taking medications and less likely to return for follow-up visits; was perceived to have a lower level of social support, poorer overall health and a worse prognosis; and was perceived to be more adversely affected in his occupational duties by illness ( p< 0.05). Furthermore, second-year students who watched the video with the low SES patient were less inclined to want that patient in their practice than second-year students who watched the video with the high SES patient ( p=0.032). One hundred and six students (52%) were categorized as having high SES and 37 (18%) as having low SES (the remaining students were categorized as having mid-level SES). Among students who watched the video with the low SES patient, the level of agreement with the statement "This person is the kind of patient I would like to have in my practice" was greater among low SES students than among high SES students...
ACCESSION #
13391071

 

Related Articles

  • Medical Students Aware of Daily Challenges of Physician Work Life.  // American Family Physician;5/1/2012, Vol. 85 Issue 9, p855 

    The article deals with a study which examines the medical students' perception of the work life of physicians, particularly those in primary care and suggests that students who had completed a family medicine clerkship have less tendency to consider time pressures as the reason for the failure...

  • My only patient in general practice. Barrett, James // BMJ: British Medical Journal (International Edition);07/12/97, Vol. 315 Issue 7100, p97 

    Recalls the experience of the author with a patient as a medical student under general practice. Physiologic state of patient; Favorable patient response upon administration of Naloxone injection.

  • Not Done Yet: Searching for the Limits of Patient Ownership As a Medical Student. Szuflita, Nicholas S. // Military Medicine;May2015, Vol. 180 Issue 5, p490 

    A personal narrative is presented which explores the author's recollection of losing his first patient as a medical student.

  • Medicine and the Media.  // British Medical Journal (Clinical Research Edition);6/1/1985, Vol. 290 Issue 6482, p1658 

    Examines the significance of communication between doctor and patient with severe illness. Skills of physician in delivering bad information to patient; Importance of counselling for the ill and dying patient on medical schools; Provision of educational aid for medical student.

  • Patients’ Perceptions on Their Involvement in Medical Education: A Qualitative Pilot Study. Iqbal, Saima Perwaiz // Journal of Academic Ethics;Dec2013, Vol. 11 Issue 4, p257 

    Patients’ perception with regards to their use in medical teaching is an under-researched area in Pakistan. The objective of this qualitative, pilot study was to determine the perspectives of hospital admitted patients on their being used in the medical education of students in a private...

  • Loss of examination status. Shalet, Stephen M // BMJ: British Medical Journal (International Edition);11/25/2000, Vol. 321 Issue 7272, p1344 

    Presents an account of a medical patient who experienced happiness due to the attention he received from medical students. The different maladies with which the patient was afflicted; Interactions of patients with medical students and teachers; Belief of the author that the patient died due to...

  • The unwritten curriculum. Lauer, Charles S. // Modern Healthcare;3/10/2008, Vol. 38 Issue 10, p50 

    The author reflects on the tendency by medical students in the U.S. to imitate the cynicism exhibited by older doctors and teachers. He cites the observation by Michael Wilkes, a professor of medicine at the University of California at Davis, that young medical students become increasingly...

  • It's good to talk. Hoy, Lynsey // BMJ: British Medical Journal (International Edition);1/5/2002, Vol. 324 Issue 7328, p57 

    Discusses a psychotherapy participation program for medical students which enabled a student to improve her communication skills with patients. Aim of the program to teach students how to communicate more effectively with patients; Mention of a patient who was experiencing anxiety; View that...

  • The Patient's Real Doctor. Levin, Sheldon M. // Texas Heart Institute Journal;2012, Vol. 39 Issue 6, p782 

    A personal narrative is presented which explores the author's experience as a student doctor of forging a meaningful relationship with a patient.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics