Why do patients volunteer to take part in medical student final examinations, what is their experience like and how can their experience be improved?

Abstract

Medical education relies on volunteer patients to allow students to demonstrate competency in examinations however literature regarding volunteers’ involvement in final exams is lacking. This research investigated motivations of volunteers, explored their experiences, sought to understand which factors facilitated a good experience, and led to changes where needed to ensure continued engagement. Research participants were patient volunteers at final examinations in one Hospital. Methods included questionnaires a year apart and semi-structured focus groups in stage 1. Questionnaire response were 67% stage 1, 63% in stage 2, and 20% of participants attended focus groups. Questionnaire responses were generally positive with several improvements suggested e.g., adding extra information to leaflets and ensuring the volunteers role was made more explicit and focus groups added the volunteer’s perspective. Improvements were addressed before the questionnaire was administered in stage 2. Thematic content analysis of focus group data demonstrated inconsistency in examiners behaviour and perceived variation in instructions, which were addressed in examiner briefing the following year. Results in stage two suggested improvements had been successful. Volunteers were motivated to take part in exams to ensure the patient’s perspective is given; give back to the NHS and help future doctors. Practice points are suggested for consideration.