Introducing medical students into the emergency department: The impact upon patient satisfaction

Christopher Kiefer, Joseph Turner, Shelley M. Layman, Stephen M. Davis, Bart R. Besinger, Aloysius Humbert

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: Performance on patient satisfaction surveys is becoming increasingly important for practicing emergency physicians and the introduction of learners into a new clinical environment may impact such scores. This study aimed to quantify the impact of introducing fourth-year medical students on patient satisfaction in two university-affiliated community emergency departments (EDs). Methods: Two community-based EDs in the Indiana University Health (IUH) system began hosting medical students in March 2011 and October 2013, respectively. We analyzed responses from patient satisfaction surveys at each site for seven months before and after the introduction of students. Two components of the survey, "Would you recommend this ED to your friends and family?" and "How would you rate this facility overall?" were selected for analysis, as they represent the primary questions reviewed by the Center for Medicare Services (CMS) as part of value-based purchasing. We evaluated the percentage of positive responses for adult, pediatric, and all patients combined. Results: Analysis did not reveal a statistically significant difference in the percentage of positive response for the "would you recommend" question at both clinical sites with regards to the adult and pediatric subgroups, as well as the all-patient group. At one of the sites, there was significant improvement in the percentage of positive response to the "overall rating" question following the introduction of medical students when all patients were analyzed (60.3% to 68.2%, p=0.038). However, there was no statistically significant difference in the "overall rating" when the pediatric or adult subgroups were analyzed at this site and no significant difference was observed in any group at the second site. Conclusion: The introduction of medical students in two community-based EDs is not associated with a statistically significant difference in overall patient satisfaction, but was associated with a significant positive effect on the overall rating of the ED at one of the two clinical sites studied. Further study is needed to evaluate the effect of medical student learners upon patient satisfaction in settings outside of a single health system.

Original languageEnglish (US)
Pages (from-to)894-898
Number of pages5
JournalWestern Journal of Emergency Medicine
Volume16
Issue number6
DOIs
StatePublished - Nov 1 2015

Fingerprint

Patient Satisfaction
Medical Students
Hospital Emergency Service
Pediatrics
Value-Based Purchasing
Health
Medicare
Emergencies
Students
Physicians
Surveys and Questionnaires

Keywords

  • Emergency Medicine
  • Patient satisfaction
  • Students

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Introducing medical students into the emergency department : The impact upon patient satisfaction. / Kiefer, Christopher; Turner, Joseph; Layman, Shelley M.; Davis, Stephen M.; Besinger, Bart R.; Humbert, Aloysius.

In: Western Journal of Emergency Medicine, Vol. 16, No. 6, 01.11.2015, p. 894-898.

Research output: Contribution to journalArticle

Kiefer, Christopher ; Turner, Joseph ; Layman, Shelley M. ; Davis, Stephen M. ; Besinger, Bart R. ; Humbert, Aloysius. / Introducing medical students into the emergency department : The impact upon patient satisfaction. In: Western Journal of Emergency Medicine. 2015 ; Vol. 16, No. 6. pp. 894-898.
@article{ba58d7a0a43e4da2bd09d2849107422a,
title = "Introducing medical students into the emergency department: The impact upon patient satisfaction",
abstract = "Introduction: Performance on patient satisfaction surveys is becoming increasingly important for practicing emergency physicians and the introduction of learners into a new clinical environment may impact such scores. This study aimed to quantify the impact of introducing fourth-year medical students on patient satisfaction in two university-affiliated community emergency departments (EDs). Methods: Two community-based EDs in the Indiana University Health (IUH) system began hosting medical students in March 2011 and October 2013, respectively. We analyzed responses from patient satisfaction surveys at each site for seven months before and after the introduction of students. Two components of the survey, {"}Would you recommend this ED to your friends and family?{"} and {"}How would you rate this facility overall?{"} were selected for analysis, as they represent the primary questions reviewed by the Center for Medicare Services (CMS) as part of value-based purchasing. We evaluated the percentage of positive responses for adult, pediatric, and all patients combined. Results: Analysis did not reveal a statistically significant difference in the percentage of positive response for the {"}would you recommend{"} question at both clinical sites with regards to the adult and pediatric subgroups, as well as the all-patient group. At one of the sites, there was significant improvement in the percentage of positive response to the {"}overall rating{"} question following the introduction of medical students when all patients were analyzed (60.3{\%} to 68.2{\%}, p=0.038). However, there was no statistically significant difference in the {"}overall rating{"} when the pediatric or adult subgroups were analyzed at this site and no significant difference was observed in any group at the second site. Conclusion: The introduction of medical students in two community-based EDs is not associated with a statistically significant difference in overall patient satisfaction, but was associated with a significant positive effect on the overall rating of the ED at one of the two clinical sites studied. Further study is needed to evaluate the effect of medical student learners upon patient satisfaction in settings outside of a single health system.",
keywords = "Emergency Medicine, Patient satisfaction, Students",
author = "Christopher Kiefer and Joseph Turner and Layman, {Shelley M.} and Davis, {Stephen M.} and Besinger, {Bart R.} and Aloysius Humbert",
year = "2015",
month = "11",
day = "1",
doi = "10.5811/westjem.2015.9.27255",
language = "English (US)",
volume = "16",
pages = "894--898",
journal = "Western Journal of Emergency Medicine",
issn = "1936-900X",
publisher = "University of California",
number = "6",

}

TY - JOUR

T1 - Introducing medical students into the emergency department

T2 - The impact upon patient satisfaction

AU - Kiefer, Christopher

AU - Turner, Joseph

AU - Layman, Shelley M.

AU - Davis, Stephen M.

AU - Besinger, Bart R.

AU - Humbert, Aloysius

PY - 2015/11/1

Y1 - 2015/11/1

N2 - Introduction: Performance on patient satisfaction surveys is becoming increasingly important for practicing emergency physicians and the introduction of learners into a new clinical environment may impact such scores. This study aimed to quantify the impact of introducing fourth-year medical students on patient satisfaction in two university-affiliated community emergency departments (EDs). Methods: Two community-based EDs in the Indiana University Health (IUH) system began hosting medical students in March 2011 and October 2013, respectively. We analyzed responses from patient satisfaction surveys at each site for seven months before and after the introduction of students. Two components of the survey, "Would you recommend this ED to your friends and family?" and "How would you rate this facility overall?" were selected for analysis, as they represent the primary questions reviewed by the Center for Medicare Services (CMS) as part of value-based purchasing. We evaluated the percentage of positive responses for adult, pediatric, and all patients combined. Results: Analysis did not reveal a statistically significant difference in the percentage of positive response for the "would you recommend" question at both clinical sites with regards to the adult and pediatric subgroups, as well as the all-patient group. At one of the sites, there was significant improvement in the percentage of positive response to the "overall rating" question following the introduction of medical students when all patients were analyzed (60.3% to 68.2%, p=0.038). However, there was no statistically significant difference in the "overall rating" when the pediatric or adult subgroups were analyzed at this site and no significant difference was observed in any group at the second site. Conclusion: The introduction of medical students in two community-based EDs is not associated with a statistically significant difference in overall patient satisfaction, but was associated with a significant positive effect on the overall rating of the ED at one of the two clinical sites studied. Further study is needed to evaluate the effect of medical student learners upon patient satisfaction in settings outside of a single health system.

AB - Introduction: Performance on patient satisfaction surveys is becoming increasingly important for practicing emergency physicians and the introduction of learners into a new clinical environment may impact such scores. This study aimed to quantify the impact of introducing fourth-year medical students on patient satisfaction in two university-affiliated community emergency departments (EDs). Methods: Two community-based EDs in the Indiana University Health (IUH) system began hosting medical students in March 2011 and October 2013, respectively. We analyzed responses from patient satisfaction surveys at each site for seven months before and after the introduction of students. Two components of the survey, "Would you recommend this ED to your friends and family?" and "How would you rate this facility overall?" were selected for analysis, as they represent the primary questions reviewed by the Center for Medicare Services (CMS) as part of value-based purchasing. We evaluated the percentage of positive responses for adult, pediatric, and all patients combined. Results: Analysis did not reveal a statistically significant difference in the percentage of positive response for the "would you recommend" question at both clinical sites with regards to the adult and pediatric subgroups, as well as the all-patient group. At one of the sites, there was significant improvement in the percentage of positive response to the "overall rating" question following the introduction of medical students when all patients were analyzed (60.3% to 68.2%, p=0.038). However, there was no statistically significant difference in the "overall rating" when the pediatric or adult subgroups were analyzed at this site and no significant difference was observed in any group at the second site. Conclusion: The introduction of medical students in two community-based EDs is not associated with a statistically significant difference in overall patient satisfaction, but was associated with a significant positive effect on the overall rating of the ED at one of the two clinical sites studied. Further study is needed to evaluate the effect of medical student learners upon patient satisfaction in settings outside of a single health system.

KW - Emergency Medicine

KW - Patient satisfaction

KW - Students

UR - http://www.scopus.com/inward/record.url?scp=84947054675&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84947054675&partnerID=8YFLogxK

U2 - 10.5811/westjem.2015.9.27255

DO - 10.5811/westjem.2015.9.27255

M3 - Article

C2 - 26594286

AN - SCOPUS:84947054675

VL - 16

SP - 894

EP - 898

JO - Western Journal of Emergency Medicine

JF - Western Journal of Emergency Medicine

SN - 1936-900X

IS - 6

ER -