A university department of general medicine (DUMG) meets the challenge of democratic rights in health care: training general practitioner junior doctors by patient-teachers

Gross, Olivia

A university department of general medicine (DUMG) meets the challenge of democratic rights in health care: training general practitioner junior doctors by patient-teachers - 2017.


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This article reports on a patient-teacher programme (PEP13) designed in collaboration with patients, a LEPS [ Laboratoire Éducations et Pratiques de Santé] EA3412 laboratory, and the University Department of General Medicine (DUMG) of the Faculty of Medicine of the University of Paris 13. PEP13 is based on the principle that the patient perspective can improve the quality of care through the training of general practitioners. The article describes PEP13, its research guidelines, and presents its preliminary results. The effects of PEP13 on junior doctors education and the necessary conditions for its transferability to other medical faculties are discussed. The conceptual part of the research is based on the course-of-action theory. The current stage of the research programme confirms that patient-teachers favour care which respects patients’ rights and dignity, question the habitus, and increase knowledge about the health care system and its recent laws. They demonstrate emotional, pedagogical, and interpersonal skills. The current success of the programme is based on the choice of a DUMG [ Département universitaire de médecine générale], its connection to a research laboratory, the integration of “patient leaders” in the DUMG, the effort to recruit patients, and the fact that the constitutive pedagogical elements of patients’ perspectives are developed collectively.

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