The case for patient involvement in medical curriculum development
BMJ 2024; 386 doi: https://doi.org/10.1136/bmj-2024-080641 (Published 26 September 2024) Cite this as: BMJ 2024;386:e080641- Amber Bennett-Weston, post-doctoral researcher1,
- Jennifer Bostock, involvement strategy fellow2,
- Jeremy Howick, professor of empathic healthcare1
- 1Stoneygate Centre for Empathic Healthcare, Leicester Medical School, University of Leicester, Leicester, UK
- 2Patient representative, Care Policy and Evaluation Centre, London School of Economics, London, UK
- Correspondence to: A Bennett-Weston abw13{at}leicester.ac.uk
Historically, patients were “wheeled in” to lecture theatres, often without consent, to demonstrate illnesses to students.1 The shift to patient centred care and shared decision making over the past few decades has led to more active and prominent roles for patients and carers (here we use “patients” to include both for succinctness) in medical education.234 However, involving patients in developing curriculums seems to be less common, particularly in the UK.23 This is despite the General Medical Council (GMC) requirement that curriculum development be informed by “patients, families and carers”5 and contrasts with medical research, in which patient and public involvement from design to dissemination is often required.6
Patient involvement in medical curriculum development has been shown to improve patient centred care and practitioner wellbeing by enhancing empathy.78 Given the UK’s current crises with medical student910 and healthcare practitioner burnout,11 and the record low patient satisfaction with the NHS,12 action to increase patient involvement in curriculum development is timely.
What is the evidence?
Development of undergraduate and postgraduate medical curriculums involves identifying a subject of interest, writing learning objectives, determining content, selecting educational strategies, and planning evaluation.13 Patients should be actively engaged throughout this process.1
Systematic reviews reveal little published evidence on patient involvement in medical curriculum development,2314 but a handful of studies have described the process and impact of patient involvement in the development of curriculums on cancer inequalities,15 patient centred care,16 mental health,17 disability,18 transgender healthcare,19 and end-of-life care.20 Most originate from the United States (US) and Canada, but one UK study18 has been recognised as good practice by the GMC.10 …
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