Saba Thomas G, Hershenson Marc B, Arteta Manuel, Ramirez Ixsy A, Mullan Patricia B, Owens Sonal T
Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, MI, USA;
Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, MI, USA.
Med Educ Online. 2015 Nov 4;20:28654. doi: 10.3402/meo.v20.28654. eCollection 2015.
Our objective was to evaluate the educational value of introducing pre-clinical medical students to pediatric patients and their families in a subspecialty clinic setting.
First- and second-year medical students at the University of Michigan seeking clinical experience outside of the classroom attended an outpatient pediatric pulmonary clinic. Evaluation of the experience consisted of pre- and post-clinic student surveys and post-clinic parent surveys with statements employing a four-point Likert scale as well as open-ended questions.
Twenty-eight first-year students, 6 second-year students, and 33 parents participated in the study. Post-clinic statement scores significantly increased for statements addressing empathic attitudes, confidence communicating with children and families, comfort in the clinical environment, and social awareness. Scores did not change for statements addressing motivation, a sense of team membership, or confidence with career goals. Students achieved their goals of gaining experience interacting with patients, learning about pulmonary diseases, and observing clinic workflow. Parents felt that they contributed to student education and were not inconvenienced.
Students identified several educational benefits of exposure to a single pediatric pulmonary clinic. Patients and families were not inconvenienced by the participation of a student. Additional studies are warranted to further investigate the value of this model of pre-clinical medical student exposure to subspecialty pediatrics.
我们的目的是评估在专科门诊环境中,让临床前医学生接触儿科患者及其家庭的教育价值。
密歇根大学寻求课堂外临床经验的一年级和二年级医学生参加了一次儿科肺科门诊。对该经历的评估包括门诊前后的学生调查以及门诊后的家长调查,调查采用四分制李克特量表陈述以及开放式问题。
28名一年级学生、6名二年级学生和33名家长参与了该研究。对于涉及共情态度、与儿童和家庭沟通的信心、在临床环境中的舒适度以及社会意识的陈述,门诊后的得分显著提高。对于涉及动机、团队归属感或职业目标信心的陈述,得分没有变化。学生实现了与患者互动获取经验、了解肺部疾病以及观察门诊工作流程的目标。家长认为他们对学生教育有帮助且未造成不便。
学生认识到接触单一儿科肺科门诊有多项教育益处。患者和家庭并未因学生的参与而感到不便。有必要进行更多研究以进一步探究这种临床前医学生接触专科儿科模式的价值。