School of Veterinary Medicine, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom.
School of Clinical Medicine, Addenbrooke's Hospital, University of Cambridge, Cambridge, United Kingdom.
PLoS One. 2021 May 13;16(5):e0249669. doi: 10.1371/journal.pone.0249669. eCollection 2021.
The transition into the clinical environment is challenging and associated with significant stress and anxiety. This study aimed to examine the perspectives of students on the characteristics important for preparedness for clinical learning and the influence of gender, age, and graduate status on those perspectives. This descriptive, questionnaire-based study of 62 characteristics categorised into six themes was conducted within the Surrey School of Veterinary Medicine completed by 139 students commencing their final clinical year. The Friedman test and post-hoc Wilcoxon signed rank sum test explored for differences in ranking across the themes. Ordinal logistic regression and Mann-Whitney U pairwise comparisons were utilised to investigate for effects of gender, age, and graduate status on theme ranking. There was a significant difference (P <0.05) between medians for themes of preparedness characteristics with comparisons revealing willingness and communication and interaction as the most highly rated characteristics. Knowledge and understanding were viewed as the least important characteristic. Regression and pairwise Mann-Whitney U comparisons confirmed no significant effects (P >0.05) of gender, age or graduate status on student rating of preparedness characteristics. Integrating learning opportunities of those preparedness characteristics in the pre-clinical curriculum may improve students' preparedness for the clinical environment.
进入临床环境具有挑战性,并且伴随着巨大的压力和焦虑。本研究旨在探讨学生对临床学习准备重要特征的看法,以及性别、年龄和毕业状况对这些看法的影响。在萨里兽医医学院内进行了这项描述性问卷调查研究,共纳入了 139 名即将进入最后临床学年的学生,他们对 62 个特征进行了分类,分为 6 个主题。弗里德曼检验和事后 Wilcoxon 符号秩和检验用于探索主题排名的差异。有序逻辑回归和曼-惠特尼 U 成对比较用于调查性别、年龄和毕业状况对主题排名的影响。在准备特征主题的中位数之间存在显著差异(P<0.05),比较结果表明意愿和沟通与互动是评价最高的特征。知识和理解被认为是最重要的特征。回归和成对曼-惠特尼 U 比较证实,性别、年龄或毕业状况对学生对准备特征的评价没有显著影响(P>0.05)。在临床前课程中整合这些准备特征的学习机会可能会提高学生对临床环境的准备程度。