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Swedish medical students' views of the changing professional role of medical doctors and the organisation of health care
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. (Health Services Research)
2004 (English)In: Advances in Health Sciences Education, ISSN 1382-4996, E-ISSN 1573-1677, Vol. 9, no 1, 5-14 p.Article in journal (Refereed) Published
Abstract [en]

Medical students will influence future health care considerably. Their professional orientation while at medical school will be related to their future professional development. Therefore, it is important to study this group's view of the role of medical doctors, especially because Swedish health care is currently undergoing major changes and financial cut backs. Here, the theoretical framework was contemporary theories of competence development, which has shown that people's understanding of their work influences their actions. The aim of this study was to describe medical students' views of their future professional role in health care. In total, 57 fourth-year medical students at a Swedish university were asked to write a short essay about how they conceptualised their professional role in future health care. Fifty-three students (93%) replied. The essays were analysed qualitatively in three steps and four themes were subsequently identified: the professional role in change, organisation of health care, working conditions and the possibilities of having a balanced life. Some factors mentioned that would strongly influence the professional role were being team leader, increased specialisation, supporting the patient and computer science and technology. The students expressed ambiguous feelings about power and leadership. The results indicate that the students share a rather dark view of both the medical profession and health care, which seems to be related to stress and financial cutbacks. Mentoring, time for reflection and changes in the curricula might be needed.

Place, publisher, year, edition, pages
2004. Vol. 9, no 1, 5-14 p.
Keyword [en]
future care, medical students, organisation of health care, professional role, qualitative analysis
National Category
Medical and Health Sciences
Research subject
Health Care Research
Identifiers
URN: urn:nbn:se:uu:diva-65235DOI: 10.1023/B:AHSE.0000012207.88241.8bISI: 000188119000002OAI: oai:DiVA.org:uu-65235DiVA: diva2:93146
Available from: 2008-10-17 Created: 2008-10-17 Last updated: 2017-11-30Bibliographically approved
In thesis
1. Gaining Professional Competence for Patient Encounters by Means of a New Understanding
Open this publication in new window or tab >>Gaining Professional Competence for Patient Encounters by Means of a New Understanding
2002 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Swedish health care is currently facing problems, such as lack of financial resources, staff shortage and dissatisfaction among patients and professionals. Patients’ dissatisfaction was the point of departure for the present study, and one approach dealing with this problem was investigated. It was hypothesised that a patient-centred perspective could offer a possible solution. The aim of the study was to explore health care professionals’ and medical students’ understanding of their professional role and the patient encounter. A further goal was to determine whether these understandings could be developed by educational interventions. Students and professionals have been either interviewed or responded to a survey about their professional role and the patient encounter. Qualitative analysis was used. One group- and one individualised intervention were carried out. The participants’ understandings of their professional role were taken as the starting point for learning. The results showed that a minority of medical students and professionals in diabetes care had incorporated a patient-centred perspective. Nurses in telephone advisory services recognised the patients’ needs, but experienced conflicting demands of being both carer and gatekeeper. A non-optimal match between patients’ needs and what professionals understand as their role could cause some of the problems. Competence development could be achieved by taking the participants understanding of the professionals’ role and of the patient encounter as a starting point for reflection. The results have implications for changes in organisation and education in health care, to optimise outcomes of care. Time for reflection, mentoring and professional development is needed.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2002. 91 p.
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1145
Keyword
Medical sciences, competence development, diabetes care, educational interventions, medical students, patient encounters, phenomenography, phenomenology, professional role, telephone advisory services, MEDICIN OCH VÅRD
National Category
Medical and Health Sciences
Research subject
Health Care Research
Identifiers
urn:nbn:se:uu:diva-1975 (URN)91-554-5297-3 (ISBN)
Public defence
2002-05-14, Rudbecksalen, Uppsala, 13:15
Opponent
Available from: 2002-04-22 Created: 2002-04-22 Last updated: 2010-06-16Bibliographically approved

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Holmström, IngerSanner, MargaretaRosenqvist, Urban

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