Walker Beth, Wallace Deirdre, Mangera Zaheer, Gill Deborah
Academic Centre for Medical Education, University College, London, UK.
Clin Teach. 2017 Oct;14(5):336-339. doi: 10.1111/tct.12571. Epub 2016 Sep 15.
A small number of medical students elect to work as health care assistants (HCAs) during or prior to their undergraduate training. There is a significant body of evidence in the literature regarding the impact of HCA experience on student nurses; however, little research has examined the effects of such experience on medical students.
All fourth-year medical students with self-declared experience as HCAs from a single UK medical school were invited to participate in focus groups to explore their experiences and perceptions. Ten students from the year group took part.
Participants felt that their experience as HCAs enhanced their learning in the workplace through becoming 'ward smart', helping them to become socialised into the world of health care, providing early meaningful and humanised patient interaction, and increasing their understanding of multidisciplinary team (MDT) members' roles. Little research has examined the effects of [HCA] experience on medical students DISCUSSION: Becoming 'ward smart' and developing a sense of belonging are central to maximising learning in, from and through work on the ward. Experience as a HCA provides a range of learning and social opportunities for medical students, and legitimises their participation within clinical communities. HCA experience also seems to benefit in the 'hard to reach' dimensions of medical training: empathy; humanisation of patient care; professional socialisation; and providing a sense of belonging within health care environments.
一小部分医学生选择在本科培训期间或之前担任医疗保健助理（HCA）。文献中有大量关于HCA经历对学生护士影响的证据；然而，很少有研究探讨这种经历对医学生的影响。
邀请一所英国医学院所有自称有HCA经历的四年级医学生参加焦点小组，以探讨他们的经历和看法。该年级组有10名学生参加。
参与者认为，他们作为HCA的经历通过变得“病房机灵”增强了他们在工作场所的学习，帮助他们融入医疗保健领域，提供早期有意义且人性化的患者互动，并增进了他们对多学科团队（MDT）成员角色的理解。很少有研究探讨[HCA]经历对医学生的影响。讨论：变得“病房机灵”和培养归属感对于在病房工作中最大限度地学习、从工作中学习以及通过工作学习至关重要。作为HCA的经历为医学生提供了一系列学习和社交机会，并使他们在临床社区中的参与合法化。HCA经历似乎也有益于医学培训中“难以触及”的方面：同理心；患者护理的人性化；职业社会化；以及在医疗保健环境中提供归属感。
