4.5 Article

Patient/public perceptions on engagement with a medical school: What needs to happen to support authentic and sustained participation

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MEDICAL TEACHER
卷 -, 期 -, 页码 -

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TAYLOR & FRANCIS LTD
DOI: 10.1080/0142159X.2023.2289843

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Community engagement; patient and public involvement

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Patient/public involvement in health professional education is increasing, but there is a lack of supportive institutional infrastructure. This qualitative study conducted focus groups with patients and community organizations to learn how medical schools can engage in an authentic and sustainable way. The findings suggest that individual instructors can enhance patient engagement through recruitment, support, and recognition practices, while institutional commitment is needed to sustain and widen participation through funding, policies, and infrastructure.
PurposePatient/public involvement in health professional education is increasing but remains episodic, narrowly focused, reliant on individual enthusiasts, and lacks supportive institutional infrastructure. There is little evidence-informed practical guidance on how to take a more strategic and formal approach. We undertook a qualitative study to learn from patients and the public how medical schools could engage in an authentic and sustainable way.MethodsIn 2022 we conducted eight focus groups with patients and members of community organizations. Participants were asked about experiences and perceptions of what needs to happen to enable and support them to participate in medical education, barriers to authentic engagement, and how they might be overcome. Recordings were transcribed and data coded inductively. A summary report was circulated to participants for validation of findings.ResultsThe focus groups were attended by 38 participants representing a wide variety of perspectives. Participants provided practical suggestions that we categorized into six major themes: inviting participation; preparing for participation; supporting participation; increasing and supporting diversity; recognizing participation; institutional buy-in and support.ConclusionsIndividual instructors can enhance authentic patient engagement through recruitment, support and recognition practices. Institutional commitment is required to sustain and widen participation through funding, policies and infrastructure.

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