McElhinney Zoë, Hoskison Genevieve, Bartlett Maggie
General Practice Undergraduate Education, School of Medicine, University of Dundee, Dundee, Scotland, UK.
Medical Student, Year 3 MBChB, School of Medicine, University of Dundee, Scotland, UK.
Educ Prim Care. 2023 Mar;34(2):58-63. doi: 10.1080/14739879.2022.2161423. Epub 2023 Feb 2.
In March 2020, due to the escalating global coronavirus (COVID-19) pandemic, clinical placements for most medical students in the UK were suspended. A phased resumption of clinical placements started at the beginning of academic year 2020/2021. For the Scottish Graduate Entry Medicine programme (ScotGEM), 2020/21 was the first year that Dundee School of Medicine's comprehensive LIC was extended to all 54 students in the penultimate year of the ScotGEM programme. This cross-sectional qualitative study explored aspects of tutors' experiences of supporting LIC students in their practices. Thematic analysis of the data identified significant themes relating to the effects of the coronavirus pandemic on the organisation of the LIC placements and the experiences of the tutors, and the ways in which they adapted placements to the rapidly changing clinical and social landscapes. The changes necessitated by the pandemic posed significant challenges for practice-based tutors in ensuring that students had valuable educational experiences despite the constraints of social distancing requirements and the reduction in face-to-face consultations. However, tutors also identified several positive aspects of the changes which will be of interest to those involved in the organisation and delivery of both LIC and shorter General Practice based clinical attachments. Positive relationships between LIC students and practices enhanced the success of LIC placements. We will discuss how lessons learned from the experience of tutors in the pandemic could be used in the longer term to enrich the LIC experience and General Practice placements more generally.
2020年3月，由于全球冠状病毒（COVID-19）大流行不断升级，英国大多数医学生的临床实习被暂停。2020/2021学年伊始，临床实习开始分阶段恢复。对于苏格兰研究生入学医学项目（ScotGEM）而言，2020/21学年是邓迪医学院全面的长期实习（LIC）首次扩展至ScotGEM项目倒数第二年的所有54名学生。这项横断面定性研究探讨了导师在实习中支持长期实习学生的经验方面。对数据的主题分析确定了与冠状病毒大流行对长期实习安排的组织和导师经验的影响，以及他们如何使实习适应迅速变化的临床和社会环境相关的重要主题。大流行带来的变化给以实践为基础的导师带来了重大挑战，他们要确保学生在社交距离要求的限制和面对面咨询减少的情况下仍能获得宝贵的教育体验。然而，导师们也指出了这些变化的几个积极方面，这将引起参与长期实习和较短的基于全科医学的临床实习组织与实施的人员的兴趣。长期实习学生与实习机构之间的积极关系提高了长期实习安排的成功率。我们将讨论如何从大流行期间导师的经验中吸取教训，以便从长远来看丰富长期实习体验以及更广泛地丰富全科医学实习体验。
