Women's perception and attitude to medical students' participation in obstetrics and gynecology care

Saudi Med J. 2018 Sep;39(9):902-909. doi: 10.15537/smj.2018.9.22668.

Abstract

Objectives: To determine the attitudes of obstetric and gynecological patients towards medical students' participation in clinical care.

Methods: Patients in an obstetric and gynecological practice in Kingdom of Saudi Arabia, completed a structured self-administered online questionnaire to assess demographic, reproductive and lifestyle variables that affected their attitude towards the acceptance of medical students' participation in outpatient clinical care.

Results: Out of the 595 women surveyed, 64.7% received perinatal care, while 35.3% received gynecologic care. Women mostly held positive attitudes towards medical students' participation. Women expressed more comfort with medical students' involvement during limited clinical care roles such as obtaining patient's history and physical examinations without a pelvic examination. Women reported higher comfort levels in the presence of female medical students, especially during pelvic examinations. The presence of male medical students caused a significant reduction in patient's comfort.

Conclusion: Our results suggest that women seeking obstetrics and gynecology medical services are accepting students' involvement during the healthcare encounter. Most patients are more comfortable if direct contact with students is minimized and students' participation in medical care is restricted to more limited roles. In addition, the student's gender is a significant determinant of patient's acceptance and comfort during the clinical encounter.

MeSH terms

  • Adult
  • Attitude*
  • Clinical Clerkship / methods
  • Cross-Sectional Studies
  • Female
  • Gynecology / education*
  • Humans
  • Male
  • Obstetrics / education*
  • Outpatients / psychology*
  • Patient Acceptance of Health Care*
  • Patient Satisfaction
  • Perception*
  • Physical Examination
  • Pregnancy
  • Saudi Arabia
  • Students, Medical*
  • Surveys and Questionnaires
  • Women / psychology*