Digital undergraduate medical education and patient and carer involvement: a rapid systematic review of current practice

Background Involving patients and carers in medical students’ learning aims to centralise the perspective of healthcare users and supports our future medical workforce in the development of key skills. Medical schools are increasingly using digital technology for teaching and it is timely to underst...

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Published in:BMC medical education Vol. 23; no. 1; pp. 335 - 25
Main Authors: Lawes-Wickwar, Sadie, Lovat, Eitan, Alao, Adedoyin, Hamer-Hunt, Julia, Yurtoglu, Nesrin, Jensen, Cherise, Clarke, Nicola, Roberts, Nia, Park, Sophie
Format: Journal Article
Language:English
Published: London BioMed Central 16.05.2023
BioMed Central Ltd
Springer Nature B.V
BMC
Subjects:
Barriers
Blended Learning
Caregivers
Case Studies
Coronaviruses
COVID-19
Creative Teaching
Curricula
Curriculum development
Decision-making
Digital healthcare
Digital technology
Distance Education
Distance learning
Education
Education, Medical, Undergraduate
Educational Practices
Educational Technology
Electronic Learning
Health aspects
Health Personnel - education
Humans
Information Seeking
Labor Force
Learning
Learning Activities
Learning Modules
Medical Education
Medical personnel
Pandemics
Patient and public involvement
Patient-centered care
Patients
Remote learning
Resistance (Psychology)
Search Strategies
Selection Criteria
Services
Software
Students
Students, Medical
Systematic review
Taxonomy
Teaching Methods
Teams
Telemedicine
Theory of Medicine/Bioethics
Training
Video Technology
United Kingdom
Medical education
Patient and public involvement
Remote learning
Digital healthcare
ISSN:1472-6920, 1472-6920
Online Access:Get full text
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Summary:Background Involving patients and carers in medical students’ learning aims to centralise the perspective of healthcare users and supports our future medical workforce in the development of key skills. Medical schools are increasingly using digital technology for teaching and it is timely to understand how to maintain patient and carer involvement in this context. Methods Ovid MEDLINE, Ovid EMBASE and medRxiv were searched in October 2020 and reference lists of key articles were hand searched. Eligible studies reported authentic patient or carer involvement in undergraduate medical education where technology was also used. Study quality was assessed by the Mixed Methods Appraisal Tool (MMAT). Levels of patient or carer involvement were assessed using Towle et al.’s (2010) taxonomy, from Level 1 (lowest level) to Level 6 (highest level). Results Twenty studies were included in this systematic review. In 70% of studies, patients and carers featured in video or web-based case scenarios with no interaction between healthcare users and students. The remaining 30% of studies reported real-time interactions between students and patients via remote clinical encounters. Digital teaching sessions involving patients or carers were perceived to be valuable by students and educators, and increased student engagement, patient-centred attitudes, clinical knowledge, and communication skills. No studies reported the perspective of patients or carers. Discussion Digital technology has not yet driven higher levels of patient and carer involvement in medical training. “Live” interactions between students and patients are becoming more common but challenges need addressing to ensure positive experiences for all involved. Future teaching should enhance the role of patients and carers in medical education and support them to overcome any potential barriers to doing so remotely.
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ISSN:1472-6920
1472-6920
DOI:10.1186/s12909-023-04218-z