University of Tasmania, Australia.
Med Teach. 2012;34(1):e9-14. doi: 10.3109/0142159X.2012.638007.
Undergraduate students' in several Australian medical courses undertake short placements with Paramedics to increase their awareness of biopsychosocial factors affecting health, provide opportunities to apply knowledge and clinical skills in health contexts and to develop inter-professional knowledge.
The purpose of this study was to provide the first report of medical students experiences on Paramedic placements, by identifying the opportunities and range of clinical activities they experienced, and to seek feedback to improve placements.
Students (n = 33, 72% response rate) completed an 11-question post-placement survey requiring Likert-scale responses with open-ended questions requiring narrative responses.
Students employed communicative, observational and basic clinical skills 'on the job' during the placement. They had exposure to a range of experiences from non-emergency patient transfers to violence and intoxication, trauma, suicide and death. Students witnessed the importance of different individuals as well as the importance of the inter-professional network in delivering pre-hospital care. Overall, students were over-confident of their abilities, but found the placements to be valuable learning opportunities that met the intended outcomes.
Suggested improvements include better orientation, management of expectations and debriefing, shifts with a higher rate of call outs, direct clinical teaching and introduction of a 'patient journey' approach to the placement.
在澳大利亚的几所医学课程中，本科生与护理人员一起进行短期实习，以提高他们对影响健康的生物心理社会因素的认识，提供在健康背景下应用知识和临床技能的机会，并发展跨专业知识。
本研究旨在通过确定学生在护理人员实习中所经历的机会和临床活动范围，首次报告医学生的实习经历，并寻求反馈以改进实习。
学生（n=33，72%的回复率）完成了一份 11 个问题的实习后调查，要求对开放式问题进行李克特量表式回答，并要求进行叙述性回答。
学生在实习期间在工作中运用了沟通、观察和基本的临床技能。他们接触到了从非紧急病人转接到暴力和中毒、创伤、自杀和死亡等各种不同的经历。学生们看到了不同个体的重要性，以及在提供院前护理方面的跨专业网络的重要性。总的来说，学生对自己的能力过于自信，但他们认为这些实习是有价值的学习机会，达到了预期的效果。
建议的改进措施包括更好的定向、期望管理和汇报、呼叫率更高的轮班、直接的临床教学以及在实习中引入“患者就诊”方法。
