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患者参与基于全科医疗的本科教学:一项关于患者观点的焦点小组研究。

Patient participation in general practice based undergraduate teaching: a focus group study of patient perspectives.

作者信息

Park Sophie E, Allfrey Caroline, Jones Melvyn M, Chana Jasprit, Abbott Ciara, Faircloth Sofia, Higgins Nicola, Abdullah Laila

机构信息

Research Department of Primary Care and Population Health, University College London Medical School, University College London, Hampstead, London.

出版信息

Br J Gen Pract. 2017 Apr;67(657):e260-e266. doi: 10.3399/bjgp17X690233.

Abstract

BACKGROUND

Patients make a crucial contribution to undergraduate medical education. Although a national resource is available for patients participating in research, none is as yet available for education.

AIM

This study aimed to explore what information patients would like about participation in general practice based undergraduate medical education, and how they would like to obtain this information.

DESIGN AND SETTING

Two focus groups were conducted in London-based practices involved in both undergraduate and postgraduate teaching.

METHOD

Patients both with and without teaching experience were recruited using leaflets, posters, and patient participation groups. An open-ended topic guide explored three areas: perceived barriers that participants anticipated or had experienced; patient roles in medical education; and what help would support participation. Focus groups were audiorecorded, transcribed, and analysed thematically.

RESULTS

Patients suggested ways of professionalising the teaching process. These were: making information available to patients about confidentiality, iterative consent, and normalising teaching in the practice. Patients highlighted the importance of relationships, making information available about their GPs' involvement in teaching, and initiating student-patient interactions. Participants emphasised educational principles to maximise exchange of information, including active participation of students, patient identification of student learner needs, and exchange of feedback.

CONCLUSION

This study will inform development of patient information resources to support their participation in teaching and access to information both before and during general practice based teaching encounters.

摘要

背景

患者对本科医学教育做出了至关重要的贡献。虽然有一项全国性资源可供参与研究的患者使用,但目前尚无用于教育的资源。

目的

本研究旨在探讨患者希望了解哪些关于参与基于全科医疗的本科医学教育的信息,以及他们希望如何获取这些信息。

设计与背景

在伦敦参与本科和研究生教学的医疗机构中进行了两个焦点小组访谈。

方法

通过传单、海报和患者参与小组招募有和没有教学经验的患者。一份开放式主题指南探讨了三个领域:参与者预期或经历过的感知障碍;患者在医学教育中的角色;以及哪些帮助会支持参与。焦点小组访谈进行了录音、转录并进行了主题分析。

结果

患者提出了使教学过程专业化的方法。这些方法包括:向患者提供有关保密、反复同意以及在医疗机构中使教学常态化的信息。患者强调了关系的重要性,提供有关其全科医生参与教学的信息,以及发起学生与患者的互动。参与者强调了最大化信息交流的教育原则,包括学生的积极参与、患者识别学生的学习需求以及反馈的交流。

结论

本研究将为患者信息资源的开发提供参考,以支持他们参与教学,并在基于全科医疗的教学接触之前和期间获取信息。

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