Centre for Academic Primary Care, Bristol Medical School, University of Bristol , Bristol, UK.
Educ Prim Care. 2020 Jul;31(4):218-223. doi: 10.1080/14739879.2020.1747364. Epub 2020 Apr 15.
There is a need to increase undergraduate primary care exposure and subsequently enhance primary care recruitment. This study aimed to establish the current use and education potential of the primary care out of hours (OOH) learning environment. This was a mix methods study. A questionnaire was sent to UK primary care heads of teaching nationally to explore the current use of GP OOHs in the undergraduate curriculum and focus groups evaluated final year medical students' experience of an OOH placement. There was a 100% response rate from primary care heads of teaching. Despite 86% being in favour of integrating OOH placements within the undergraduate curriculum, only 28% of medical schools currently offer primary care OOH placements. 36 out of 240 students volunteered for a clinical OOH session. Focus group data from 6 of these students revealed that the placements provided unique learning opportunities and allowed students to appreciate the organisational structure of the National Health Service (NHS). However, barriers included logistical difficulties with the OOH providers and inadequate supervision. It appears that we are overlooking a unique educational opportunity for medical undergraduates. With increasing demands for GP exposure within the undergraduate curriculum, GP OOH is a useful resource for UK medical schools.
需要增加本科生在初级保健方面的接触，并随后加强初级保健人员的招聘。本研究旨在确定初级保健课外时间（OOH）学习环境的当前使用情况和教育潜力。这是一项混合方法研究。向英国全国初级保健教学负责人发送了一份问卷，以探讨 GP OOH 在本科生课程中的当前使用情况，并对最后一年的医学生进行焦点小组评估，以了解他们在 OOH 实习中的体验。初级保健教学负责人的回应率为 100%。尽管 86%的人赞成将 OOH 实习纳入本科生课程，但目前只有 28%的医学院提供初级保健 OOH 实习。240 名学生中有 36 名自愿参加临床 OOH 课程。来自其中 6 名学生的焦点小组数据显示，这些实习提供了独特的学习机会，并让学生了解国民保健制度（NHS）的组织结构。然而，障碍包括 OOH 提供者的后勤困难和监督不足。看来我们忽视了医学生的一个独特的教育机会。随着本科生对全科医生接触的需求不断增加，全科医生 OOH 是英国医学院的一个有用资源。
