Cargando…
Ethical dilemma of identity disclosure faced by medical students in clinical clerkships: A nationwide multicenter study in China
OBJECTIVE: Medical students in China are currently facing a dilemma of whether to clarify their identity as students to patients. Further investigation is needed to support policy-making. The aim was to identify factors influencing medical students’ decision on whether or not to clarify their identi...
Autores principales: | , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040732/ https://www.ncbi.nlm.nih.gov/pubmed/29995928 http://dx.doi.org/10.1371/journal.pone.0200335 |
_version_ | 1783338882567241728 |
---|---|
author | Zhao, Yi Cao, Yihan Che, Lu Fu, Qining Song, Shuang Zhao, Bingbin Zhang, Shuo Zhang, Weiwen Li, Xiang Choi, Stephanie Zhao, Jun Zhang, Hanwen Li, Yunzhu Xu, Haopeng Pan, Hui |
author_facet | Zhao, Yi Cao, Yihan Che, Lu Fu, Qining Song, Shuang Zhao, Bingbin Zhang, Shuo Zhang, Weiwen Li, Xiang Choi, Stephanie Zhao, Jun Zhang, Hanwen Li, Yunzhu Xu, Haopeng Pan, Hui |
author_sort | Zhao, Yi |
collection | PubMed |
description | OBJECTIVE: Medical students in China are currently facing a dilemma of whether to clarify their identity as students to patients. Further investigation is needed to support policy-making. The aim was to identify factors influencing medical students’ decision on whether or not to clarify their identity to patients and to examine the effects of their decision. METHODS: The study was a cross-sectional nationwide multicenter survey consisting of 947 medical students. A self-designed questionnaire was composed of 19 structured questions investigating the present situation and participants’ perception of the ethical dilemma surrounding medical student identity. The questionnaires were distributed randomly in teaching hospitals affiliated with 13 medical schools across China from June 2015 to January 2016. RESULTS: A total of 947 valid questionnaires were retrieved with a valid response rate of 83.7%. Most medical students (71.4%) tended to be ambiguous about their student identity in front of patients. The frequency of encountering distrust and patients’ or patient relatives’ refusal to allow students to perform procedures was significantly lower for students who explicitly stated their identity than for those who were ambiguous about their identity (p<0.001). Less experience in clinical rotations (<0.5 y/0.5–1 y, OR 2.7, 95% CI 1.7–4.3; <0.5 y/>1 y, OR 3.6, 95% CI 2.0–6.5), preceptors’ straightforward introduction of the students (OR 8.7, 95% CI 5.4–13.8) and students’ acknowledgment of patients’ right to know (OR 2.3, 95% CI 1.2–4.5) were related to students’ clear self-introduction to patients. CONCLUSION: It is beneficial for medical students to clearly explain their identity to patients in order to decrease patient distrust and prevent the refusal to have certain appropriate procedures performed. Several methods, including emphasizing the role of mentors, developing curriculum for medical students, and creating clear regulations and guidelines for revealing the identity of medical students on the healthcare team can help address and ideally resolve this ethical dilemma of identity disclosure. |
format | Online Article Text |
id | pubmed-6040732 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-60407322018-07-19 Ethical dilemma of identity disclosure faced by medical students in clinical clerkships: A nationwide multicenter study in China Zhao, Yi Cao, Yihan Che, Lu Fu, Qining Song, Shuang Zhao, Bingbin Zhang, Shuo Zhang, Weiwen Li, Xiang Choi, Stephanie Zhao, Jun Zhang, Hanwen Li, Yunzhu Xu, Haopeng Pan, Hui PLoS One Research Article OBJECTIVE: Medical students in China are currently facing a dilemma of whether to clarify their identity as students to patients. Further investigation is needed to support policy-making. The aim was to identify factors influencing medical students’ decision on whether or not to clarify their identity to patients and to examine the effects of their decision. METHODS: The study was a cross-sectional nationwide multicenter survey consisting of 947 medical students. A self-designed questionnaire was composed of 19 structured questions investigating the present situation and participants’ perception of the ethical dilemma surrounding medical student identity. The questionnaires were distributed randomly in teaching hospitals affiliated with 13 medical schools across China from June 2015 to January 2016. RESULTS: A total of 947 valid questionnaires were retrieved with a valid response rate of 83.7%. Most medical students (71.4%) tended to be ambiguous about their student identity in front of patients. The frequency of encountering distrust and patients’ or patient relatives’ refusal to allow students to perform procedures was significantly lower for students who explicitly stated their identity than for those who were ambiguous about their identity (p<0.001). Less experience in clinical rotations (<0.5 y/0.5–1 y, OR 2.7, 95% CI 1.7–4.3; <0.5 y/>1 y, OR 3.6, 95% CI 2.0–6.5), preceptors’ straightforward introduction of the students (OR 8.7, 95% CI 5.4–13.8) and students’ acknowledgment of patients’ right to know (OR 2.3, 95% CI 1.2–4.5) were related to students’ clear self-introduction to patients. CONCLUSION: It is beneficial for medical students to clearly explain their identity to patients in order to decrease patient distrust and prevent the refusal to have certain appropriate procedures performed. Several methods, including emphasizing the role of mentors, developing curriculum for medical students, and creating clear regulations and guidelines for revealing the identity of medical students on the healthcare team can help address and ideally resolve this ethical dilemma of identity disclosure. Public Library of Science 2018-07-11 /pmc/articles/PMC6040732/ /pubmed/29995928 http://dx.doi.org/10.1371/journal.pone.0200335 Text en © 2018 Zhao et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Zhao, Yi Cao, Yihan Che, Lu Fu, Qining Song, Shuang Zhao, Bingbin Zhang, Shuo Zhang, Weiwen Li, Xiang Choi, Stephanie Zhao, Jun Zhang, Hanwen Li, Yunzhu Xu, Haopeng Pan, Hui Ethical dilemma of identity disclosure faced by medical students in clinical clerkships: A nationwide multicenter study in China |
title | Ethical dilemma of identity disclosure faced by medical students in clinical clerkships: A nationwide multicenter study in China |
title_full | Ethical dilemma of identity disclosure faced by medical students in clinical clerkships: A nationwide multicenter study in China |
title_fullStr | Ethical dilemma of identity disclosure faced by medical students in clinical clerkships: A nationwide multicenter study in China |
title_full_unstemmed | Ethical dilemma of identity disclosure faced by medical students in clinical clerkships: A nationwide multicenter study in China |
title_short | Ethical dilemma of identity disclosure faced by medical students in clinical clerkships: A nationwide multicenter study in China |
title_sort | ethical dilemma of identity disclosure faced by medical students in clinical clerkships: a nationwide multicenter study in china |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040732/ https://www.ncbi.nlm.nih.gov/pubmed/29995928 http://dx.doi.org/10.1371/journal.pone.0200335 |
work_keys_str_mv | AT zhaoyi ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT caoyihan ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT chelu ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT fuqining ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT songshuang ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT zhaobingbin ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT zhangshuo ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT zhangweiwen ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT lixiang ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT choistephanie ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT zhaojun ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT zhanghanwen ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT liyunzhu ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT xuhaopeng ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina AT panhui ethicaldilemmaofidentitydisclosurefacedbymedicalstudentsinclinicalclerkshipsanationwidemulticenterstudyinchina |