Mathers Jonathan, Parry Jayne, Lewis Sarah, Greenfield Sheila
Health Impact Assessment Research Unit, Department of Public Health and Epidemiology, University of Birmingham, Birmingham, UK.
Med Educ. 2004 Dec;38(12):1219-28. doi: 10.1111/j.1365-2929.2004.02014.x.
Recommendations for medical training have seen a growing drive for undergraduate teaching to take place within the community - primarily in the general practice surgery. In light of the ongoing expansion of medical student numbers, many more general practices will be required to participate in undergraduate teaching.
To explore the perceptions of primary care staff on the impact that increasing student numbers will have on them, on their patients and on the students themselves.
Semi-structured interviews.
Three general practices presently involved in undergraduate teaching, 3 practices about to become involved in undergraduate teaching and 1 non-teaching practice, all in the Black Country area of the West Midlands.
Semi-structured interviews with prearranged prompts were undertaken with a variety of practice staff including general practitioners (GPs), practice managers and practice nurses, as well as administrative and reception staff.
Eleven GPs, 6 practice managers, 4 practice nurses and 6 receptionists/administrators took part in the interviews. Three main themes emerged relating to the effects on students and reflecting attitudes towards the Black Country, the experience of working among deprived populations and issues around access to the new training locations. The majority of interviewees were of the opinion that patients both enjoy taking part in undergraduate teaching and are able to benefit from the process. Positive impacts on practice infrastructure were also elicited, but when asked about the resource implications for the practice of undergraduate teaching, there was a dichotomy of opinion.
For many practices, involvement in undergraduate teaching is a double-edged sword.
医学培训的建议越来越倾向于在社区内开展本科教学——主要是在全科诊所。鉴于医学生数量不断增加，将需要更多的全科诊所参与本科教学。
探讨基层医疗人员对学生数量增加对他们自身、患者以及学生本身所产生影响的看法。
半结构化访谈。
西米德兰兹郡黑乡地区目前参与本科教学的三家全科诊所、即将参与本科教学的三家诊所和一家非教学诊所。
对包括全科医生（GP）、诊所经理、诊所护士以及行政和接待人员在内的各类诊所工作人员进行了带有预先安排提示的半结构化访谈。
11名全科医生、6名诊所经理、4名诊所护士和6名接待员/行政人员参与了访谈。出现了三个主要主题，涉及对学生的影响，并反映了对黑乡地区的态度、在贫困人群中工作的经历以及围绕进入新培训地点的问题。大多数受访者认为患者既乐于参与本科教学，又能从这个过程中受益。还引出了对诊所基础设施的积极影响，但当被问及本科教学对诊所的资源影响时，存在意见分歧。
对许多诊所来说，参与本科教学是一把双刃剑。
