Hansen Torben Bæk, Pape Britta, Thiesen Pernille Staal, Jakobsen Flemming
University Clinic for Hand, Hip and Knee Surgery, Regional Hospital West Jutland, Denmark.
Int J Med Educ. 2020 Sep 28;11:191-200. doi: 10.5116/ijme.5f50.bc76.
OBJECTIVES: The aim of the present study was to explore and compare medical students' perceived learning outcomes when treating patients under supervision in two different learning settings: a uniprofessional or an interprofessional dyad. METHODS: The design of the study is a qualitative interview study. Data were collected from October 2016 to June 2017 via semi-structured group interviews performed at the end of the clinical placement in an orthopaedic outpatient clinic for medical students in the last semester of the curriculum. In the placement, the students worked by turns in either a uniprofessional dyad with two medical students or an interprofessional dyad with a nursing student. The data from the interviews were analysed using Systematic Text Analysis. RESULTS: Overall, 21 students were interviewed. The students appreciated the authenticity of dealing with real patient problems. Both dyads provided the possibility of working as a professional, but the interprofessional dyad had a more authentic setting. In both dyads, the students' interdependence and mutual support promoted the acquisition of knowledge and skills. Working in the interprofessional dyad facilitated relationships between the professions, and the medical students became aware of some of their own profession's strengths and weaknesses. The interprofessional collaboration contributed to different perspectives on the patients' course of treatment and led to a more holistic understanding of the treatment. CONCLUSIONS: Interprofessional dyads have the potential to improve learning outcomes in the clinical training of medical students. Further studies are needed to explore the benefits across medical specialities and settings.
目的:本研究旨在探讨和比较医学生在两种不同学习环境下接受监督治疗患者时所感知到的学习成果:单一专业配对或跨专业配对。 方法:本研究设计为定性访谈研究。2016年10月至2017年6月期间,通过在课程最后一学期的骨科门诊临床实习结束时进行的半结构化小组访谈收集数据。在实习中,学生们轮流在由两名医学生组成的单一专业配对或与一名护理学生组成的跨专业配对中工作。使用系统文本分析法对访谈数据进行分析。 结果:总体而言,对21名学生进行了访谈。学生们赞赏处理实际患者问题的真实性。两种配对都提供了作为专业人员工作的可能性,但跨专业配对的环境更真实。在两种配对中,学生们的相互依赖和相互支持促进了知识和技能的获得。在跨专业配对中工作促进了不同专业之间的关系,医学生也意识到了自己专业的一些优势和劣势。跨专业协作有助于从不同角度看待患者的治疗过程,并导致对治疗有更全面的理解。 结论:跨专业配对有可能改善医学生临床培训中的学习成果。需要进一步研究以探索在不同医学专业和环境中的益处。
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