Strategies and interventions for the involvement of real patients in medical education: a systematic review
- 1 January 2009
- journal article
- review article
- Published by Wiley in Medical Education
- Vol. 43 (1), 10-20
- https://doi.org/10.1111/j.1365-2923.2008.03244.x
Abstract
There is increasing emphasis on encouraging more active involvement of patients in medical education. This is based on the recognition of patients as 'experts' in their own medical conditions and may help to enhance student experiences of real-world medicine. This systematic review provides a summary of evidence for the role and effectiveness of real patient involvement in medical education. MEDLINE, EMBASE, ERIC, PsychINFO, Sociological Abstracts and CINAHL were searched from the start of the databases to July 2007. Three key journals and reference lists of existing reviews were also searched. Articles published in English and reporting primary empirical research on the involvement of real patients in medical education were included. The synthesis of findings is integrated by narrative structured in such a way to address the research questions. A total of 47 articles were included in the review. The majority of studies reported patients in the role of teachers only; others described patient involvement in assessment or curriculum development or in combined roles. Patient involvement was recommended in order to bring the patient voice into education. There were several examples of how to recruit and train patients to perform an educational role. The effectiveness of patient involvement was measured by evaluation studies and reported improvements in skills. There was limited evidence of the long-term effectiveness of patient involvement and issues of ethics, psychological impact and influence on education policy were poorly explored. Future studies should address these issues and should explore the practicalities of sustaining such educational programmes within medical schools.Keywords
This publication has 40 references indexed in Scilit:
- Testing methodological developments in the conduct of narrative synthesis: a demonstration review of research on the implementation of smoke alarm interventionsEvidence & Policy, 2007
- Benefits of a programme taking advantage of patient-instructors to teach and assess musculoskeletal skills in medical studentsAnnals Of The Rheumatic Diseases, 2006
- The use of patient partners with back pain to teach undergraduate medical studentsRheumatology, 2005
- Teaching communication skills to medical students, a challenge in the curriculum?Patient Education and Counseling, 2005
- How to Optimize Physicians’ Communication Skills in Cancer Care: Results of a Randomized Study Assessing the Usefulness of Posttraining Consolidation WorkshopsJournal of Clinical Oncology, 2003
- The effects of the participation of patients with cancer in teaching communication skills to medical undergraduates: a randomised study with follow-up after 2 yearsEuropean Journal of Cancer, 1999
- Patients as teachers: an integrated approach to teaching medical students about the ambulatory care of HIV infected patientsPatient Education and Counseling, 1996
- The patient as teacherAcademic Medicine, 1985
- Patient instructors as teachers and evaluatorsAcademic Medicine, 1980
- The use of instructor-patients to teach physical examination techniquesAcademic Medicine, 1978