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Patients as Feedback Providers: Exploring Medical Students’ Credibility Judgments

INTRODUCTION: Patient feedback is becoming ever more important in medical education. Whether students engage with feedback is partly determined by how credible they think the feedback provider is. Despite its importance for feedback engagement, little is known about how medical students judge the cr...

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Autores principales: Eijkelboom, M. C. L., de Kleijn, R. A. M., van Diemen, W. J. M., Maljaars, C. D. N., van der Schaaf, M. F., Frenkel, J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10103723/
https://www.ncbi.nlm.nih.gov/pubmed/37064270
http://dx.doi.org/10.5334/pme.842
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author Eijkelboom, M. C. L.
de Kleijn, R. A. M.
van Diemen, W. J. M.
Maljaars, C. D. N.
van der Schaaf, M. F.
Frenkel, J.
author_facet Eijkelboom, M. C. L.
de Kleijn, R. A. M.
van Diemen, W. J. M.
Maljaars, C. D. N.
van der Schaaf, M. F.
Frenkel, J.
author_sort Eijkelboom, M. C. L.
collection PubMed
description INTRODUCTION: Patient feedback is becoming ever more important in medical education. Whether students engage with feedback is partly determined by how credible they think the feedback provider is. Despite its importance for feedback engagement, little is known about how medical students judge the credibility of patients. The purpose of this study was therefore to explore how medical students make credibility judgments regarding patients as feedback providers. METHODS: This qualitative study builds upon McCroskey’s conceptualization of credibility as a three-dimensional construct comprising: competence, trustworthiness, and goodwill. Since credibility judgments are shaped by the context, we studied students’ credibility judgments in both a clinical and non-clinical context. Medical students were interviewed after receiving feedback from patients. Interviews were analyzed through template and causal network analysis. RESULTS: Students based their credibility judgments of patients on multiple interacting arguments comprising all three dimensions of credibility. In estimating a patient’s credibility, students reasoned about aspects of the patient’s competence, trustworthiness, and goodwill. In both contexts students perceived elements of an educational alliance between themselves and patients, which could increase credibility. Yet, in the clinical context students reasoned that therapeutic goals of the relationship with patients might impede educational goals of the feedback interaction, which lowered credibility. DISCUSSION: Students’ credibility judgments of patients were a weighing of multiple sometimes conflicting factors, within the context of relationships and their associated goals. Future research should explore how goals and roles can be discussed between students and patients to set the stage for open feedback conversations.
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spelling pubmed-101037232023-04-15 Patients as Feedback Providers: Exploring Medical Students’ Credibility Judgments Eijkelboom, M. C. L. de Kleijn, R. A. M. van Diemen, W. J. M. Maljaars, C. D. N. van der Schaaf, M. F. Frenkel, J. Perspect Med Educ Original Research INTRODUCTION: Patient feedback is becoming ever more important in medical education. Whether students engage with feedback is partly determined by how credible they think the feedback provider is. Despite its importance for feedback engagement, little is known about how medical students judge the credibility of patients. The purpose of this study was therefore to explore how medical students make credibility judgments regarding patients as feedback providers. METHODS: This qualitative study builds upon McCroskey’s conceptualization of credibility as a three-dimensional construct comprising: competence, trustworthiness, and goodwill. Since credibility judgments are shaped by the context, we studied students’ credibility judgments in both a clinical and non-clinical context. Medical students were interviewed after receiving feedback from patients. Interviews were analyzed through template and causal network analysis. RESULTS: Students based their credibility judgments of patients on multiple interacting arguments comprising all three dimensions of credibility. In estimating a patient’s credibility, students reasoned about aspects of the patient’s competence, trustworthiness, and goodwill. In both contexts students perceived elements of an educational alliance between themselves and patients, which could increase credibility. Yet, in the clinical context students reasoned that therapeutic goals of the relationship with patients might impede educational goals of the feedback interaction, which lowered credibility. DISCUSSION: Students’ credibility judgments of patients were a weighing of multiple sometimes conflicting factors, within the context of relationships and their associated goals. Future research should explore how goals and roles can be discussed between students and patients to set the stage for open feedback conversations. Ubiquity Press 2023-04-12 /pmc/articles/PMC10103723/ /pubmed/37064270 http://dx.doi.org/10.5334/pme.842 Text en Copyright: © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Research
Eijkelboom, M. C. L.
de Kleijn, R. A. M.
van Diemen, W. J. M.
Maljaars, C. D. N.
van der Schaaf, M. F.
Frenkel, J.
Patients as Feedback Providers: Exploring Medical Students’ Credibility Judgments
title Patients as Feedback Providers: Exploring Medical Students’ Credibility Judgments
title_full Patients as Feedback Providers: Exploring Medical Students’ Credibility Judgments
title_fullStr Patients as Feedback Providers: Exploring Medical Students’ Credibility Judgments
title_full_unstemmed Patients as Feedback Providers: Exploring Medical Students’ Credibility Judgments
title_short Patients as Feedback Providers: Exploring Medical Students’ Credibility Judgments
title_sort patients as feedback providers: exploring medical students’ credibility judgments
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10103723/
https://www.ncbi.nlm.nih.gov/pubmed/37064270
http://dx.doi.org/10.5334/pme.842
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