General Practice and Community Medical Education, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen , Aberdeen, UK.
Educ Prim Care. 2020 Nov;31(6):377-381. doi: 10.1080/14739879.2020.1812440. Epub 2020 Aug 25.
First year medical students value doctor and patient contact. However, it can be challenging to achieve positive exposure to primary care on a large scale. The COVID-19 pandemic has placed even greater pressure on placing students in General Practice (GP).
To assess the feasibility and acceptability of showing Year 1 medical students authentic recorded consultations between GPs and patients, and then explore what they gained from this.
Using Panopto® Video Platform, we pre-recorded real Primary Care consultations, with patient and GP consent, which were then processed securely using the University of Aberdeen server. These were shown to all Year 1 medical students who immediately debriefed these consultations in small groups with a GP tutor. Subsequently two focus groups were held with 11 students to evaluate what they had learnt.
The consultations were easy to record and play during the teaching session, although there were some issues with sound quality. All students in the focus groups enjoyed the experience. They gained new knowledge about the skills of GPs, and recognised GPs as positive role models. Students were able to identify a variety of communication and consultation skills used by the GP, which reinforced their teaching on these delivered elsewhere in the course.
Using pre-recorded consultations as a teaching tool is reproducible, time-efficient and beneficial to students. We propose that this model of using authentic 'live' interactions between GPs and patients represents a valuable undergraduate educational opportunity and could be utilised by medical schools internationally.
医学生一年级学生重视医患接触。然而，要大规模地实现对初级保健的积极接触是具有挑战性的。COVID-19 大流行给将学生安置在全科医生（GP）中带来了更大的压力。
评估向一年级医学生展示 GP 和患者之间真实记录的咨询的可行性和可接受性，然后探讨他们从中获得了什么。
我们使用 Panopto®视频平台，征得患者和全科医生的同意，预先录制真实的初级保健咨询，然后使用阿伯丁大学服务器安全地处理这些咨询。这些咨询被展示给所有一年级医学生，他们立即与 GP 导师在小组中讨论这些咨询。随后，进行了两次焦点小组讨论，有 11 名学生参加，以评估他们的学习成果。
虽然存在一些音质问题，但在教学过程中录制和播放咨询非常容易。焦点小组中的所有学生都喜欢这种体验。他们获得了关于全科医生技能的新知识，并认识到全科医生是积极的榜样。学生们能够识别出全科医生使用的各种沟通和咨询技巧，这加强了他们在课程其他地方教授的这些技巧。
将预先录制的咨询作为一种教学工具具有可重复性、高效省时的特点，对学生有益。我们建议，使用 GP 和患者之间真实“现场”互动的这种模式代表了有价值的本科教育机会，可以被国际上的医学院校利用。
