The Feasibility of Longitudinal Patient Contacts in a Large Medical School
| Autor: | Dorien L.M. Zwart, H. Carrie Chen, Anke H M Steerneman, Esther de Groot, Saskia S.L. Mol |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Students Medical 020205 medical informatics education Pilot Projects 02 engineering and technology Education 03 medical and health sciences Young Adult 0302 clinical medicine Orientation (mental) Medical Patient-Centered Care Surveys and Questionnaires Journal Article 0202 electrical engineering electronic engineering information engineering patient-centeredness Humans 030212 general & internal medicine Students Curriculum Students medical Schools Medical Netherlands Medical education Physician-Patient Relations Schools Family Practice/education longitudinal patient contacts Medical school patient panel General Medicine Patient-centered care Focus Groups Focus group early learner engagement Feasibility Studies Female Psychology Family Practice Patient centered |
| Zdroj: | Teaching and Learning in Medicine, 31(2), 178. Routledge |
| ISSN: | 1532-8015 1040-1334 |
| Popis: | PROBLEM: Longitudinal patient contacts are being implemented worldwide as a way to enhance a patient-centered orientation among medical students. In large medical schools, longitudinal integrated clerkships may not be feasible, so other ways must be sought to expose students to prolonged contact with patients. INTERVENTION: Medical students were attached to a family practice and assigned a panel of 4 patients to follow over the 3 years of their clinical training. Their role was that of companion on the patient's medical journey. The program consisted of several encounters, joining the patient in the medical setting for significant events, and written assignments. This intervention was piloted with 35 students. We describe our experiences from the 1st pilot year of this program. CONTEXT: The intervention was performed with 3rd-year students-of a 6-year curriculum-at a large medical school in the Netherlands. OUTCOME: Finding enough patients per practice was feasible. On the whole, students fulfilled the program's expectations regarding frequency of patient encounters and assignments. The most frequent problems encountered by the students were uncertainty about their role and setting boundaries in their contact with the patients. They needed more preceptor supervision and coaching than they received. LESSONS LEARNED: For junior students, close and structured supervision led by the faculty is necessary to help them navigate and learn from a panel of patients. Students need guidance about what role they should take on and on how to manage both their own and their patient's expectations. Guided reflection is necessary to help students give meaning to their experiences with patients. |
| Databáze: | OpenAIRE |
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