Il rapporto medico-paziente nella pratica e nella ricerca clinica: cosa ne pensano gli studenti di medicina?

Translated title of the contribution: Physician-patient rapport in practice and clinical research: what do medical students think?

F. Perrone, C. Gallo

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: To investigate attitudes of medical students from the first, fourth and sixth year towards information of patients in clinical research and practice settings. DESIGN AND SETTING: A multiple-choice questionnaire was administered. Responses were registered on anonymous response-forms. The study was conducted at the two Schools of Medicine of Naples, in southern Italy. RESULTS: 773 students answered the questionnaire. Students believe that the quality of patient care is better within than outside a clinical trial, but anxiety and fear are the most frequent reactions to the idea of being offered the opportunity of participating, as patients, in a clinical trial. The patients' right to be informed of their participation in a clinical experiment is omitted by 30 to 50% of students. The majority of students believe that doctor's uncertainty should not be disclosed. About one-third believe that possible benefits of treatment should not be presented to patients and about one-fifth believe that information on possible drawbacks of treatment should be omitted. Many students believe that information on alternative types of treatment should be denied to patients entering a trial. Fourth year students consistently reported the highest percentage of negative responses. In clinical practice, as compared with clinical research, there is a higher tendency of students to give information to patients. The doctor's role is predominant when students indicate who should decide how much information to give to a patient entering into a clinical trial. CONCLUSIONS: Medical education should focus more closely on uncertainty and error analysis; principles of medical research and ethics should be covered throughout academic medical training.

Original languageItalian
Pages (from-to)189-193
Number of pages5
JournalEpidemiologia e prevenzione
Volume21
Issue number3
Publication statusPublished - 1997

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