Institute of Clinical Sciences, and General Practice, University of Birmingham, Birmingham, UK.
Division of Pathology, and School of Medicine, Imperial College London, London, UK.
Med Educ. 2018 Jan;52(1):14-23. doi: 10.1111/medu.13445. Epub 2017 Nov 2.
Many doctors, across grades and specialities, supervise or advise students and juniors undertaking elective placements. Electives form part of medical curricula on a worldwide scale. The Medical Schools Council (MSC) Electives Committee in the UK identified a gap in the current literature in relation to provision of comprehensive recommendations for the design and management of undergraduate elective programmes. Electives afford many known benefits for medical and other health care students, but the context, and risks (impacting potentially on patient, public and student well-being) are usually different from those associated with 'home' clinical placements.
The aim is to share experiences and good practice within UK Medical Schools, and inform and inspire others involved with similar programmes across the globe.
This paper reports the results of the formation of a sub-group to draft a set of recommendations, drawing on the reported experiences of academic elective leads across all UK schools, and including input from the MSC, and the student group Medsin (to capture the learner voice). The final document was the result of a national consultative process of four iterations. The end document was approved at school level, e.g. by curriculum committee, by each of the participating schools.
The recommendations consolidate the experiences of 30 participating UK medical schools. The consultation process generated 17 pre-departure recommendations, seven during elective recommendations, 11 post elective recommendations and a further four recommendations relating to infectious disease.
We believe developing elective programmes using collective recommendations will provide a basis for a safer and more structured approach to a medical elective without losing the uniqueness and creative experiences valued by participants. Issues relating to undergraduates leaving their home school to experience medicine in a new context or country replicate across sites, so many recommendations will be transferable internationally.
许多医生，不论职称和专业，都会监督或指导参加选修实习的学生和住院医师。选修实习是全球医学课程的一部分。英国医学总会（MSC）的选修委员会发现，目前的文献中存在一个空白，即缺乏关于本科选修课程设计和管理的全面建议。选修实习为医学生和其他医疗保健学生提供了许多已知的好处，但与“家庭”临床实习相比，其背景和风险（可能对患者、公众和学生的健康产生影响）通常不同。
目的是在英国医学院分享经验和良好做法，并为全球参与类似项目的人员提供信息和启发。
本文报告了成立一个小组起草一系列建议的结果，这些建议借鉴了所有英国学校的学术选修负责人的报告经验，包括 MSC 和学生组织 Medsin 的意见（以捕捉学习者的声音）。最终文件是经过四轮全国协商过程的结果。最终文件由参与学校的课程委员会等学校层面批准。
这些建议整合了 30 所参与英国医学院的经验。咨询过程产生了 17 项出发前建议、7 项选修期间建议、11 项选修后建议和另外 4 项与传染病相关的建议。
我们相信，使用集体建议来开发选修课程将为更安全、更结构化的医学选修方法提供基础，而不会失去参与者所重视的独特性和创造性体验。与本科生离开自己的学校到新的环境或国家体验医学相关的问题在各个地点都存在，因此许多建议在国际上是可转移的。
