关键词: Primary care education general practice healthcare medical student teaching

来  源:   DOI:10.1080/14739879.2024.2364869

Abstract:
UNASSIGNED: The UK faces a decline in medical students\' interest in general practice (GP), crucial for its healthcare system. This trend endangers primary care sustainability and broader healthcare infrastructure, necessitating innovative educational approaches to improve perceptions of general practice.
UNASSIGNED: To assess the impact of a pilot programme integrating innovative educational strategies on medical students\' perceptions of general practice, aiming to highlight potential reforms for medical education and primary care\'s future in the UK.
UNASSIGNED: A longitudinal pilot study with eighteen fifth-year medical students from Queen Mary University of London employed a diverse educational approach over thirty-six months. The programme encompassed mentorship, storytelling, community home visits, interactive patient cases, and GP speciality clinics, covering six GP practice domains. Data were collected through mid-placement and end-of-placement questionnaires to evaluate students\' perceptions and interest in GP careers.
UNASSIGNED: The programme significantly improved students\' perceptions of general practice. Mentorship and storytelling saw an 83% to 94% increase in appreciation for GP complexities and impact. Community home visits enhanced cultural sensitivity and holistic health views among 67% to 89% of participants. Interactive patient cases and GP speciality clinics notably advanced understanding of GP\'s multidisciplinary nature. Exposure to GP-led research and business initiatives heightened awareness of entrepreneurial and innovative opportunities within general practice.
UNASSIGNED: Innovative educational strategies can substantially influence medical students\' perceptions and interest in general practice. The study suggests that enriching medical education with real-world experiences, mentorship, and comprehensive general practice exposure can counter declining interest, showcasing general practice as a dynamic and fulfilling career.
摘要:
英国面临医学生对全科医学(GP)的兴趣下降,对其医疗系统至关重要。这一趋势危及初级保健的可持续性和更广泛的医疗基础设施。需要创新的教育方法来提高对一般实践的认识。
为了评估整合创新教育策略的试点计划对医学生对全科医学的看法的影响,旨在强调英国医学教育和初级保健未来的潜在改革。
对来自伦敦玛丽女王大学的18名五年级医学生进行的一项纵向试点研究在36个月内采用了多样化的教育方法。该方案包括指导,讲故事,社区家访,交互式患者病例,和GP专科诊所,涵盖六个GP实践领域。通过中期安置和安置结束问卷收集数据,以评估学生对GP职业的看法和兴趣。
该计划显著提高了学生对一般实践的看法。指导和讲故事使人们对GP的复杂性和影响的欣赏增加了83%至94%。社区家访提高了67%至89%的参与者的文化敏感性和整体健康观点。交互式患者病例和GP专科诊所尤其是对GP多学科性质的深入理解。接触GP主导的研究和商业计划,提高了一般实践中的创业和创新机会的意识。
创新的教育策略可以极大地影响医学生对一般实践的看法和兴趣。研究表明,丰富医学教育与现实世界的经验,导师,全面的全科医生接触可以对抗兴趣下降,展示一般实践作为一个充满活力和充实的职业。
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