Korean J Med Educ.  2009 Jun;21(2):133-142.

Comparison of Patient-centeredness Changes between Medical School Graduates and Medical Students after Psychiatric Clerkship

• Hong BS
• Kim TH
• Seo JS
• Kim TW
• Moon SW

Abstract

PURPOSE: The aim of this study was to compare patient-centeredness changes between medical school graduates and medical students after a psychiatric clinical clerkship.
METHODS
We focused on 40 medical school graduates. We received permission to use data from a 2006 study on patient-centeredness of 94 medical students. The following was repeated before and after clerkship: Minnesota Multiphasic Personality Inventory (MMPI), Meyers-Briggs type indicator (MBTI), Patient-practitioner Orientation Scale (PPOS) and Authoritarian Personality (AP) scale.
RESULTS
In the 2006 study on patient-centeredness of medical students, the AP scores were significantly lower than before clerkship and the PPOS scores were significantly higher than before clerkship. AP score changes were related to MBTI, correlated with MMPI subscales, but inversely correlated with PPOS changes. In this study, the change in PPOS scores was not significant after clerkship in case of medical school graduates. AP score changes inversely correlated with PPOS changes, but neither correlated with MMPI subscales or MBTI.
CONCLUSION
Considering previous findings, medical school graduates tend to be more patient-centered than medical students, but medical students can adopt a more patient-centered attitude than graduates through a psychiatric clinical clerkship.

Keyword

Patient-centered care; Physician-patient relations; Authoritarianism; MMPI; Personality Inventory

MeSH Terms

Authoritarianism
Clinical Clerkship
Humans
MMPI
Orientation
Patient-Centered Care
Personality Inventory
Physician-Patient Relations
Schools, Medical
Students, Medical