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- Title
The Construction of Patients' Involvement in Hospital Bedside Teaching Encounters.
- Authors
Monrouxe, Lynn V.; Rees, Charlotte E.; Bradley, Paul
- Abstract
Active and sensitively managed patient involvement in medical education is vital in the drive toward the development of tomorrow's doctors' patient-centered professionalism. Bedside teaching encounters (BTE) involve clinicians, medical students, and patients, and comprise a formative and focused activity through which students learn both the "whats" and "hows" of physicianship. We present four case studies from our analysis of six BTEs, drawing on Goffman's dramaturgy theory and broader interactional research. We demonstrate the multiple roles participants play within BTEs, including actor, director, audience, nonperson, and prop. Although patients sometimes participated as team members, even taking the role of director, they were commonly positioned in less active roles: as audience, nonperson, and prop. In this article we discuss critically this commonality across the BTEs: the patient role as passive object at the point at which the serious act of teaching physical examination begins, even when patients actively reject this passive role.
- Subjects
STUDY &; teaching of medicine; CASE studies; PHYSICIAN-patient relations; MEDICAL education; PATIENT-professional relations; TRAINING of health care teams
- Publication
Qualitative Health Research, 2009, Vol 19, Issue 7, p918
- ISSN
1049-7323
- Publication type
Article
- DOI
10.1177/1049732309338583