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Jill E Thistlethwaite

Publications and source records attributed to Jill E Thistlethwaite.

10 recordsLinked to original sources

Behaviour of medical students in seeking mental and physical health care: exploration and comparison with psychology students.

CONTEXT: Doctors are often reluctant to seek health care through the usual channels and tend to self-diagnose and prescribe. Medical students learn attitudes and values from clinician role models and may also adopt behaviour patterns that lead them to seek help for physical and mental health problems from informal sources. OBJECTIVES: This study aimed to explore the behaviour of students in seeking health care for physical and mental health problems, comparing medical with psychology students, and to understand what barriers to conventional routes of seeking health care may affect this. METHODS: We administered a questionnaire asking for demographic details and responses to 2 vignettes in which a student from the respondent's discipline was experiencing firstly symptoms of a mental health problem and secondly symptoms of a physical health problem. Data were analysed with spss and univariate anovas to examine differences between respondents. RESULTS: A total of 172 students at the psychology and medical schools at James Cook University in Australia participated. We identified a number of barriers affecting student behaviour in seeking help, which included worries about knowing the doctor they could consult at the university health centre or having future dealings with him or her, and cost of treatment. There were differences between the 2 groups of students. DISCUSSION: There are several barriers for both psychology and medical students to accessing appropriate professional mental health care. Medical students also experience barriers to attaining appropriate physical health care when needed. Psychology and medical students were more likely to seek advice informally from friends and/or family with regard to mental health care.

Adult↗

Early student-patient interactions: the views of patients regarding their experiences.

This study was designed to investigate the experience and attitudes of patients to being interviewed by first-year medical students. A questionnaire was sent to 120 patients who have been interviewed during the last four years. Patients were asked what they felt about the process, what they understood was the purpose of the interview and if they felt they had benefited in any way from the interview. There was a 76% response rate. The majority of respondents (82%) felt they had benefited from the process, describing the experience as useful and interesting. Benefits included the opportunity to talk to someone about their problems, a feeling of use and improving the skills of future generations of doctors. It is concluded that patients enjoy being involved in the early education of medical students. As patients prefer students to be well prepared it is important that the students are adequately briefed before the exercise.

Australia↗

Developing an OSCE station to assess the ability of medical students to share information and decisions with patients: issues relating to interrater reliability and the use of simulated patients.

CONTEXT: Patient partnership is being promoted as an aid to compliance with treatment and to improve outcomes for patients. An integral part of this partnership is information-sharing between doctor and patient and negotiation of management decisions, together with an ability by the doctor to analyse critically treatment options. These skills are being taught to some extent in communication skills for medical students and assessments are being devised to test them. OBJECTIVES: To develop an OSCE station to assess medical students' skills in the application of evidence and the negotiation of treatment options with a simulated patient. To evaluate the station by tests of reliability and comparison of the marking of observing examiners and simulated patients. DESIGN: An OSCE station was devised using a case scenario in which there were varying opinions as to the treatment options. The marking schedule was designed to assess the students' ability to assess evidence and discuss this with patients. SETTING: University of Leeds. SUBJECTS: Undergraduate medical students. RESULTS: A total of 194 students undertook the station. Inter-rater reliability amongst examiners was poor for individual student marks but there was better agreement as to whether a student passed or failed. There was poor agreement between the observing examiners and the simulated patients for individual marks. The examiners thought this was a useful attempt to assess students' ability to give information but agreed that further work was needed on the marking schedule. CONCLUSIONS: More work is needed to refine the station to increase its reliability. However, the station is useful in highlighting to students the importance of sharing information and decision-making on treatment options with patients.

Journal Article↗