Document Detail


Junior medical students' notions of a 'good doctor' and related expectations: a mixed methods study.
MedLine Citation:
PMID:  17470077     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Gillian Maudsley; Evelyn M I Williams; David C M Taylor
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical education     Volume:  41     ISSN:  0308-0110     ISO Abbreviation:  Med Educ     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-01     Completed Date:  2007-07-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7605655     Medline TA:  Med Educ     Country:  England    
Other Details:
Languages:  eng     Pagination:  476-86     Citation Subset:  IM    
Affiliation:
Division of Public Health, The University of Liverpool, Liverpool, UK. phenq@liverpool.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Attitude of Health Personnel*
Career Choice
Clinical Competence / standards*
Cohort Studies
England
Humans
Motivation
Questionnaires
Students, Medical / psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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