Students’ Learning Experiences from Didactic Teaching Sessions Including Patient Case Examples as Either Text or Video: A Qualitative Study

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  • Kamilla Pedersen
  • Martin Møller Holdgaard, MidtSim, Medical Simulation and Skills Training, Region Midtjylland
  • ,
  • Charlotte Paltved
  • Ole Mors
  • Charlotte Ringsted
  • ,
  • Anne Mette Morcke, Copenhagen Academy for Medical Education and Simulation, Copenhagen University Hospital, Rigshospitalet - Denmark., Danmark
Objectives The aim of this study was to explore medical stu- dents’ learning experiences from the didactic teaching formats using either text-based patient cases or video-based patient cases with similar content. The authors explored how the two different patient case formats influenced students’ perceptions ofpsychiatric patients and students’ reflections on meeting and communicating with psychiatric patients. Methods The authors conducted group interviews with 30 medical students who volunteered to participate in interviews and applied inductive thematic content analysis to the tran- scribed interviews. Results Students taught with text-based patient cases empha- sized excitement and drama towards the personal clinical nar- ratives presented by the teachers during the course, but never referred to the patient cases. Authority and boundary setting were regarded as important in managing patients. Students taught with video-based patient cases, in contrast, often referred to the patient cases when highlighting new insights, including the importance of patient perspectives when communicating with patients. Conclusion The format of patient cases included in teaching may have a substantial impact on students’ patient-centered- ness. Video-based patient cases are probably more effectivethan text-based patient cases in fostering patient-centered per- spectives in medical students. Teachers sharing stories from their own clinical experiences stimulates both engagement and excitement, but may also provoke unintended stigma and influence an authoritative approach in medical students towards managing patients in clinical psychiatry.
TidsskriftAcademic Psychiatry
Sider (fra-til)622-629
StatusUdgivet - okt. 2018

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