Impact of the primary care curriculum and its teaching formats on medical students’ perception of primary care: a cross-sectional study

Autor: Dagmar M. Haller, Christopher Chung, Thomas Bischoff, Hubert Maisonneuve, Eva Pfarrwaller, Lilli Herzig, Marie-Claude Audétat, Alain Birchmeier, Johanna Sommer
Rok vydání: 2016
Předmět:
Male
Students
Medical

020205 medical informatics
Attitude of Health Personnel
Cross-sectional study
media_common.quotation_subject
education
Specialty
02 engineering and technology
Undergraduate medical education
Young Adult
03 medical and health sciences
0302 clinical medicine
Nursing
Cross-sectional
Surveys and Questionnaires
Perception
Health care
ComputingMilieux_COMPUTERSANDEDUCATION
0202 electrical engineering
electronic engineering
information engineering

Humans
Medicine
030212 general & internal medicine
Curriculum
ddc:613
media_common
Response rate (survey)
ComputingMilieux_THECOMPUTINGPROFESSION
Career Choice
Primary Health Care
business.industry
Teaching
Hidden curriculum
Primary care
Cross-Sectional Studies
Education
Medical
Undergraduate/methods

Female
Primary Health Care/manpower
Students
Medical/psychology

Switzerland
Career choice
Workforce
Family Practice
business
Education
Medical
Undergraduate

Research Article
Zdroj: BMC Family Practice
BMC family practice, vol. 17, no. 1, pp. 135
BMC Family Practice, Vol. 17, No 1 (2016) P. 135
ISSN: 1471-2296
DOI: 10.1186/s12875-016-0532-x
Popis: Background Switzerland is facing an impending primary care workforce crisis since almost half of all primary care physicians are expected to retire in the next decade. Only a minority of medical students choose a primary care specialty, further deepening the workforce shortage. It is therefore essential to identify ways to promote the choice of a primary care career. The aim of the present study was to explore students’ views about the undergraduate primary care teaching curriculum and different teaching formats, and to evaluate the possible impact of these views on students’ perceptions of primary care. Methods We surveyed fifth year medical students from the Medical Faculties in Geneva and Lausanne, Switzerland (n = 285) with a four sections electronic questionnaire. We carried out descriptive analyses presented as frequencies for categorical data, and means and/or medians for continuous data. Results The response rate was 43 %. Overall, primary care teaching had a positive impact on students’ image of primary care. In Lausanne, primary care curricular components were rated more positively than in Geneva. Curricular components that were not part of the primary care teaching, but were nevertheless cited by some students, were frequently perceived as having a negative impact. Conclusions The primary care curriculum at Lausanne and Geneva Universities positively influences students’ perceptions of this discipline. However, there are shortcomings in both the structure and the content of both the primary care and hidden curriculum that may contribute to perpetuating a negative image of this specialization. Electronic supplementary material The online version of this article (doi:10.1186/s12875-016-0532-x) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE