Awareness of Confidentiality among Medical Postgraduate Students at a Tertiary Care Center: A Cross-sectional Study

Abstract

Confidentiality is a core medical obligation, yet knowledge gaps persist among trainees. This study assessed confidentiality awareness among medical postgraduates (PGs) at a tertiary care hospital. A cross-sectional, questionnaire-based study was conducted among 117 broad-specialty PGs (2023–2024). A validated 15-item Likert scale questionnaire (maximum score: 60) assessed clinical and research confidentiality. Data were analyzed using descriptive statistics and the Chi-square test (Monte Carlo exact method). Most participants (75%–96%) correctly identified confidentiality requirements regarding family, judicial authorities, and research. However, significant gaps emerged in situational contexts: 24% were unsure about photographing patients with masked eyes, 18% regarding disclosure for professional defense against inefficiency charges, and 8%–20% regarding insurance company disclosures. Nativity was the sole significant demographic factor ( P = 0.028), with urban students outperforming those from rural or semi-urban backgrounds. While overall awareness is adequate, specific “gray areas” regarding insurance, visual privacy and legal defense require attention. Bridging these gaps necessitates structured, case-based training and periodic reinforcement throughout medical education to ensure future clinicians navigate complex ethical dilemmas effectively.