Patients embodied and as-a-body within bedside teaching encounters: A video ethnographic study

dc.cclicenceCC-BYen
dc.contributor.authorElsey, Christopheren
dc.contributor.authorChallinor, Alexanderen
dc.contributor.authorMonrouxe, Lynn V.en
dc.date.accessioned2017-08-24T10:10:29Z
dc.date.available2017-08-24T10:10:29Z
dc.date.issued2016-05-31
dc.descriptionOpen Access articleen
dc.description.abstractBedside teaching encounters (BTEs) involve doctor–patient–student interactions, providing opportunities for students to learn with, from and about patients. How the differing concerns of patient care and student education are balanced in situ remains largely unknown and undefined. This video ethnographic study explores patient involvement during a largely student-centric activity: ‘feedback sequences’ where students learn clinical and practical skills. Drawing on a data subset from a multi-site study, we used Conversation Analysis to investigate verbal and non-verbal interactional practices to examine patients’ inclusion and exclusion from teaching activities across 25 BTEs in General Practice and General Surgery and Medicine with 50 participants. Through analysis, we identified two representations of the patient: the patient embodied (where patients are actively involved) and the patient as-a-body (when they are used primarily as a prop for learning). Overall, patients were excluded more during physical examination than talk-based activities. Exclusion occurred through physical positioning of doctor–patient–student, and through doctors and students talking about, rather than to, patients using medical jargon and online commentaries. Patients’ exclusion was visibly noticeable through eye gaze: patients’ middle-distance gaze coincided with medical terminology or complex wording. Inclusory activities maintained the patient embodied during teaching activities through doctors’ skilful embedding of teaching within their care: including vocalising clinical reasoning processes through students, providing patients with a ‘warrant to listen’, allocating turns-at-talk for them and eye-contact. This study uniquely demonstrates the visible nature patient exclusion, providing firm evidence of how this affects patient empowerment and engagement within educational activities for tomorrow’s doctors.en
dc.exception.reasonPaper was accepted and published prior to my employment at DMU so could not be recorded on DORA at the correct time. Open Access articleen
dc.explorer.multimediaNoen
dc.funderCardiff University School of Medicine, Aneurin Bevan Health Board (South East Wales, UK) and the Higher Education Authority (HEA).en
dc.identifier.citationElsey, C., Challinor, A. and Monrouxe, L. V. (2017) Patients embodied and as-a-body within bedside teaching encounters: a video ethnographic study. Advances in Health Sciences Education, 22 (1), pp. 123-146en
dc.identifier.doihttps://doi.org/10.1007/s10459-016-9688-3
dc.identifier.urihttp://hdl.handle.net/2086/14435
dc.language.isoenen
dc.peerreviewedYesen
dc.projectidUnknownen
dc.publisherSpringeren
dc.researchinstituteInstitute for Allied Health Sciences Researchen
dc.subjectDoctoren
dc.subjectMedical studenten
dc.subjectNonverbal communicationen
dc.subjectPatientsen
dc.subjectQualitative researchen
dc.subjectTeaching methodsen
dc.subjectUnited Kingdomen
dc.titlePatients embodied and as-a-body within bedside teaching encounters: A video ethnographic studyen
dc.typeArticleen

Files

Original bundle
Now showing 1 - 2 of 2
Loading...
Thumbnail Image
Name:
Elsey et al 2017 - Patients embodied and as-a-body within bedside teaching encounters.pdf
Size:
820.04 KB
Format:
Adobe Portable Document Format
Description:
Main article
No Thumbnail Available
Name:
Elsey et al 2017 - Patients embodied and as-a-body within bedside teaching encounters - Supplementary materials.docx
Size:
15.79 KB
Format:
Microsoft Word
Description:
Supplementary materials
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
4.2 KB
Format:
Item-specific license agreed upon to submission
Description: