Cotter Danielle, Turner Michael J, McAuliffe Fionnuala M, Higgins Mary F
UCD Obstetrics and Gynaecology, School of Medicine and Medical Sciences, University College Dublin, National Maternity Hospital, Dublin 2, Ireland; UCD Center for Human Reproduction, Coombe Women and Children's University Hospital, Dublin 8, Ireland.
UCD Center for Human Reproduction, Coombe Women and Children's University Hospital, Dublin 8, Ireland.
Eur J Obstet Gynecol Reprod Biol. 2016 Nov;206:204-207. doi: 10.1016/j.ejogrb.2016.09.022. Epub 2016 Sep 21.
To study the educational value to medical students of a labour ward rotation.
Qualitative research study was performed in two tertiary level obstetric hospitals attached to a large medical school in Dublin. Medical students attending a six-week rotation in Obstetrics and Gynaecology in University College Dublin were invited to participate. As part of this rotation, students spend one week as part of the clinical team working on the labour ward. Focus groups were held in order to identify common themes and experiences of medical students during this labour ward week. Grounded theory with thematic analysis was used. The main outcome measures were the educational experience and value of a labour ward rotation to medical students.
Five distinct themes developed from the focus groups of 19 students. A high value was placed on patient centred bedside teaching. Midwives were identified as excellent teachers and facilitators of learning. There was a clear sense of teamwork and belonging by the students. However, students reported frustration with unclear learning objectives. Students identified extra pre-learning with pre-specified learning aims before the labour ward week as being important.
Bedside teaching was highly valued as it advanced student's knowledge of obstetrics theory and improved communication skills. In general, medical students reported a positive experience from working in the labour word but there is scope for improvement.
研究产房轮转对医学生的教育价值。
在都柏林一所大型医学院附属的两家三级产科医院进行了定性研究。邀请了都柏林大学学院参加为期六周妇产科轮转的医学生参与。作为此次轮转的一部分，学生们作为临床团队的一员在产房工作一周。为了确定医学生在产房这一周的共同主题和经历，组织了焦点小组讨论。采用了基于主题分析的扎根理论。主要结果指标是产房轮转对医学生的教育经历和价值。
从19名学生的焦点小组讨论中形成了五个不同的主题。以患者为中心的床边教学受到高度重视。助产士被认为是优秀的教师和学习促进者。学生们有明显的团队合作感和归属感。然而，学生们报告说对不明确的学习目标感到沮丧。学生们认为在产房周之前进行有预先设定学习目标的额外预习很重要。
床边教学因其增进了学生对产科理论的了解并提高了沟通技巧而受到高度重视。总体而言，医学生报告说在产房工作有积极的体验，但仍有改进的空间。
