Graphic 1.

Graphic 2:

Brazilian medical students’ personal information_
| Variables | n. (%) | |
|---|---|---|
| Age | Minimum | 21 |
| Maximum | 52 | |
| Gender | Female | 355 (55,2%) |
| Male | 287 (44,7%) | |
| Previous college education | Yes | 72 (11.2%) |
| No | 569 (88.6%) | |
| Did not respond | 01 (0.2%) | |
| Previous bachelor’s degree | Yes. completed | 45 (7%) |
| Yes. not completed | 70 (10,9%) | |
| No | 412 (64,2%) | |
| Did not respond | 115 (17,9%) | |
| Medical program semester | Ninth | 136 (21,2%) |
| Tenth | 177 (27,6%) | |
| Eleventh | 143 (22,2%) | |
| Twelfth | 186 (29,0%) | |
| Prior teamwork experience during the course | Yes | 433 (67,4%) |
| No | 206 (32.2%) | |
| Did not respond | 3 (0.4%) | |
Mean scores of students by RIPLS factors and independent variables_
| RIPLS factor | Variables | N | Mean | SD | p-value | |
|---|---|---|---|---|---|---|
| F1 | Male | 286 | 56.50 | 6.71 | <0.001 | |
| Female | 354 | 58.18 | 6.44 | |||
| F2 | Male | 286 | 21.61 | 4.68 | <0.001 | |
| Female | 354 | 19.97 | 4.46 | |||
| F3 | Male | 286 | 22.73 | 2.24 | <0.001 | |
| Female | 354 | 23.04 | 2.03 | |||
| F1 | Prior college training | Yes | 72 | 57.06 | 6.40 | 0.2961 |
| No | 568 | 57.46 | 6.66 | |||
| F2 | Yes | 72 | 20.21 | 4.57 | 0.484 | |
| No | 568 | 20.77 | 4.63 | |||
| F3 | Yes | 72 | 22.65 | 2.10 | 0.0735 | |
| No | 568 | 22.93 | 2.13 | |||
| F1 | Previous bachelor’s degree | Yes | 522 | 57.41 | 6.42 | 0.592 |
| No | 118 | 57.43 | 7.49 | |||
| F2 | Yes | 522 | 20.52 | 4.64 | 0.0453 | |
| No | 118 | 21.53 | 4.50 | |||
| F3 | Yes | 522 | 22.95 | 2.12 | 0.0411 | |
| No | 118 | 22.64 | 2.18 | |||
| F1 | Public university | 1 | 124 | 56.29 | 8.08 | 0.5043 |
| 2 | 58 | 57.67 | 6.56 | |||
| 3 | 87 | 57.47 | 6.41 | |||
| 4 | 91 | 57.20 | 6.26 | |||
| Private university | 5 | 88 | 58.14 | 5.75 | ||
| 6 | 193 | 57.81 | 6.20 | |||
| F2 | Public university | 1 | 124 | 19.80 | 5.11 | <0.001 |
| 2 | 58 | 19.10 | 4.22 | |||
| 3 | 87 | 19.24 | 4.10 | |||
| 4 | 91 | 21.87 | 4.04 | |||
| Private university | 5 | 88 | 21.02 | 4.45 | ||
| 6 | 193 | 21.74 | 4.59 | |||
| F3 | Public university | 1 | 124 | 22.44 | 2.19 | <0.001 |
| 2 | 58 | 22.91 | 2.30 | |||
| 3 | 87 | 22.99 | 2.14 | |||
| 4 | 91 | 22.51 | 2.14 | |||
| Private university | 5 | 88 | 22.74 | 2.38 | ||
| 6 | 193 | 23.40 | 1.79 | |||
| F1 | Medical program semester | 9 | 136 | 58.65 | 5.94 | <0.001 |
| 10 | 176 | 57.03 | 6.38 | |||
| 11 | 143 | 57.03 | 6.32 | |||
| 12 | 186 | 57.17 | 7.43 | |||
| F2 | 9 | 136 | 19.71 | 4.77 | 0.009 | |
| 10 | 176 | 21.16 | 4.51 | |||
| 11 | 143 | 21.44 | 4.63 | |||
| 12 | 186 | 20.44 | 4.50 | |||
| F3 | 9 | 136 | 23.21 | 1.97 | 0.0154 | |
| 10 | 176 | 22.99 | 2.01 | |||
| 11 | 143 | 22.60 | 2.37 | |||
| 12 | 186 | 22.81 | 2.14 | |||
| F1 | Previous teamwork experience | Yes | 489 | 57.74 | 6.48 | 0.0231 |
| No | 145 | 56.39 | 7.03 | |||
| F2 | Yes | 489 | 20.59 | 4.68 | 0.0721 | |
| No | 145 | 21.06 | 4.46 | |||
| F3 | Yes | 489 | 22.96 | 2.11 | 0.099 | |
| No | 145 | 22.72 | 2.18 | |||
| F1 | Current clinical practice | Primary Care | 76 | 58.66 | 6.03 | <0.001 |
| Acute care | 541 | 57.28 | 6.66 | |||
| F2 | Primary Care | 76 | 20.51 | 3.83 | 0.1473 | |
| Acute care | 541 | 20.69 | 4.73 | |||
| F3 | Primary Care | 76 | 23.41 | 1.81 | 0.002 | |
| Acute care | 541 | 22.83 | 2.12 | |||
Mean scores of students by RIPLS factors and RIPLS items_
| RIPLS | N | mean | SD | min | max |
|---|---|---|---|---|---|
| Factor | |||||
| F1 Teamwork | 642 | 4.11 | 1.02 | 1.00 | 5.00 |
| F2 Professional identity | 642 | 2.50 | 0.12 | 1.00 | 5.00 |
| F3 Patient-centered care | 642 | 4.58 | 0.06 | 1.00 | 5.00 |
| Items | |||||
| 1- Learning with other students will help me become a more effective participant of a health care team | 641 | 4.47 | 0.64 | 1.00 | 5.00 |
| 2- Patients ultimately benefit if health care professionals work together to solve patients’ problems | 642 | 4.54 | 0.63 | 1.00 | 5.00 |
| 3- Shared learning with other health care professionals will increase my ability to understand clinical problems | 641 | 4.35 | 0.77 | 1.00 | 5.00 |
| 4- Learning with health care students from other disciplines before qualification would improve relationships after qualification | 637 | 4.38 | 0.77 | 1.00 | 5.00 |
| 5- Communication skills should be learned together with health care professionals | 639 | 3.92 | 1.01 | 1.00 | 5.00 |
| 6- Shared learning will help me to think positively about other health care students and professionals | 640 | 4.18 | 0.81 | 1.00 | 5.00 |
| 7- For small group learning to work, students need to trust and respect each other | 640 | 4.59 | 0.58 | 2.00 | 5.00 |
| 8- Teamwork skills are essential for all students to learn | 640 | 4.53 | 0.65 | 1.00 | 5.00 |
| 9- Shared learning will help me to understand my own limitations | 638 | 4.20 | 0.83 | 1.00 | 5.00 |
| 10- I don’t want to waste my time learning with other health care students | 639 | 1.62 | 0.83 | 1.00 | 5.00 |
| 11- It is not beneficial for undergraduate health care students to learn together | 642 | 1.74 | 0.88 | 1.00 | 5.00 |
| 12- Problem-solving skills for clinicians should only be learned from students of my course | 639 | 1.93 | 1.01 | 1.00 | 5.00 |
| 13- Shared learning with other health care students will help me to communicate better with patients and other professionals | 639 | 4.15 | 0.87 | 1.00 | 5.00 |
| 14- I would welcome the opportunity to work on small-group projects with other health care students | 639 | 3.83 | 0.96 | 1.00 | 5.00 |
| 15- Shared learning helps to clarify the nature of patient problems | 641 | 4.11 | 0.79 | 1.00 | 5.00 |
| 16- Shared learning before qualification would help health care professionals become better team workers | 640 | 4.37 | 0.67 | 1.00 | 5.00 |
| 17- The role of other health professionals is mainly to provide support for doctors | 642 | 1.46 | 1.03 | 1.00 | 5.00 |
| 19- I have to acquire much more knowledge and skills than other health care students | 638 | 3.13 | 1.22 | 1.00 | 5.00 |
| 21- I would feel uncomfortable if another health care student knew more about a topic than I did | 642 | 2.06 | 1.03 | 1.00 | 5.00 |
| 22- Will I be able to use my judgment in my professional role | 637 | 3.45 | 0.95 | 1.00 | 5.00 |
| 23- Reaching a diagnosis will be the main the function of my professional role | 642 | 2.94 | 1.12 | 1.00 | 5.00 |
| 24- My main responsibility as a professional will be to treat my patient | 640 | 3.63 | 1.04 | 1.00 | 5.00 |
| 25- I like to understand the patient’s side of the problem | 640 | 4.33 | 0.62 | 1.00 | 5.00 |
| 26- Establishing a relationship of trust with my patients is important to me | 640 | 4.72 | 0.46 | 3.00 | 5.00 |
| 27- I try to communicate with compassion with my patients | 640 | 4.56 | 0.57 | 2.00 | 5.00 |
| 28- Thinking about the patient as a person is important in getting treatment right | 642 | 4.65 | 0.57 | 1.00 | 5.00 |
| 29- In my profession, one needs skills in interacting and cooperating with patients | 642 | 4.67 | 0.59 | 1.00 | 5.00 |
