Derbyshire Helen, Rees Eliot, Gay Simon P, McKinley Robert K
School of Medicine, Keele University, Keele;
School of Medicine, Keele University, Keele.
Br J Gen Pract. 2014 Jun;64(623):e336-45. doi: 10.3399/bjgp14X680113.
Learning in general practice is an essential component of undergraduate medical education; currently, on average, 13% of clinical placements in the UK are in general practice. However, whether general practice can sustainably deliver more undergraduate placements is uncertain.
To identify the geographical distribution of undergraduate teaching practices and their distance from the host medical school.
National survey of all medical schools in the UK.
All 33 UK medical schools were invited to provide the postcodes of their undergraduate teaching practices. These were collated, de-duplicated, and mapped. The distance in kilometres and journey times by car and public transport between each medical school and its teaching practices was estimated using Transport Direct (www.transportdirect.info). The postcodes of every practice in the UK were obtained from the UK's health departments.
All 33 UK medical schools responded; 4392 practices contributed to teaching, with a median (minimum-maximum) of 142 (17-385) practices per school. The median (minimum-maximum) distance between a school and a teaching practice was 28 km (0-1421 km), 41 (0:00-23:26) minutes' travel by car and 1 hour 12 (0:00-17:29) minutes' travel by public transport. All teaching practices were accessible by public transport in one school and 90-99% were in a further four schools; 24 schools had >20% of practices that were inaccessible by public transport.
The 4392 undergraduate teaching general practices are widely distributed and potentially any practice, no matter how isolated, could contribute to undergraduate education. However, this is, at the price of a considerable travel burden.
全科医学学习是本科医学教育的重要组成部分;目前,在英国,平均13%的临床实习安排在全科医学领域。然而,全科医学能否持续提供更多的本科实习尚不确定。
确定本科教学实践的地理分布及其与主办医学院校的距离。
对英国所有医学院校进行全国性调查。
邀请英国所有33所医学院校提供其本科教学实践的邮政编码。对这些邮编进行整理、去重并绘制地图。使用Transport Direct(www.transportdirect.info)估算每所医学院校与其教学实践之间的公里距离以及驾车和乘坐公共交通工具的行程时间。英国每一项实践的邮政编码均从英国卫生部门获取。
英国所有33所医学院校均做出回应;4392项实践参与教学,每所学校的实践数量中位数(最小值 - 最大值)为142(17 - 385)项。学校与教学实践之间的距离中位数(最小值 - 最大值)为28公里(0 - 1421公里),驾车行程时间为41分钟(0:00 - 23:26),乘坐公共交通工具的行程时间为1小时12分钟(0:00 - 17:29)。在一所学校中,所有教学实践均可通过公共交通到达,另有四所学校中90 - 99%的实践可通过公共交通到达;24所学校有超过20%的实践无法通过公共交通到达。
4392项本科教学全科医学实践分布广泛,潜在地,任何实践,无论多么偏远,都可为本科教育做出贡献。然而,这是以相当大的出行负担为代价的。