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卡塔尔学生对学生主导的家庭医学诊所的看法:一项描述性定性研究。

Student perspectives on student-led family medicine clinics in Qatar: a descriptive qualitative study.

机构信息

Faculty of Medicine and Health Sciences, Keele University, Keele, ST5 5GB, Newcastle, UK.

College of Medicine, QU-Health, Primary Health Care Corporation, Qatar University, Doha, Qatar.

出版信息

BMC Med Educ. 2024 Oct 18;24(1):1165. doi: 10.1186/s12909-024-06145-z.

Abstract

BACKGROUND

Student-led clinic is an educational-professional training environment where students are leading the care of patients under the supervision of licensed health care professionals. This study aims to explore medical students' experiences in leading family medicine clinics in Qatar.

METHODS

The study used a qualitative descriptive method. To collect the data, the researchers have used semi-structured interviews. To recruit students, a convenience sampling strategy was used by sending a call to participate to all students who completed the rotation and met the inclusion criteria. An inductive thematic analysis was employed to data analysis.

RESULTS

Ten students participated in the study. Data analysis revealed six themes. These are: Student led clinic as transitional and transformative stage, Challenges faced by students, coping strategies, protective factors, implications of the experience and students' reflections for future rotations. The study revealed that students experienced a mixture of anxiety and excitement during the transition to leading clinics. Challenges included patient-related challenges such as language barriers, challenges related to personal skills such as time and knowledge, and institutional challenges that included limited supervisor availability and balancing academic responsibilities with clinic duties. Coping strategies included continuous knowledge revision, seeking advice from colleagues, and employing creative tools to overcome language barriers.

CONCLUSION

Leading family medicine clinics has an impact on students such as enhancing their time management, diagnostic abilities, communication skills, and confidence. Support from supervisors, team members, patients, and colleagues play a crucial role in students' experiences. This transitional experience supports the shift from self-perception as students perceiving themselves as physicians.

摘要

背景

学生主导诊所是一种教育-专业培训环境,学生在有执照的医疗保健专业人员的监督下主导患者的护理。本研究旨在探讨卡塔尔医学生在主导家庭医学诊所方面的经验。

方法

本研究采用定性描述方法。为了收集数据,研究人员使用了半结构化访谈。通过向所有完成轮班并符合纳入标准的学生发送参与邀请,采用便利抽样策略招募学生。采用归纳主题分析进行数据分析。

结果

共有 10 名学生参加了这项研究。数据分析揭示了六个主题。这些主题包括:学生主导的诊所作为过渡和转型阶段、学生面临的挑战、应对策略、保护因素、经验的影响以及学生对未来轮班的反思。研究表明,学生在过渡到主导诊所时经历了焦虑和兴奋的混合情绪。挑战包括与患者相关的挑战,如语言障碍,与个人技能相关的挑战,如时间和知识,以及与监督可用性有限和平衡学术责任与诊所职责相关的机构挑战。应对策略包括不断复习知识、向同事寻求建议以及采用创造性工具来克服语言障碍。

结论

主导家庭医学诊所对学生有影响,例如提高他们的时间管理、诊断能力、沟通技巧和信心。来自导师、团队成员、患者和同事的支持在学生的体验中起着至关重要的作用。这种过渡性体验支持了从自我认知为学生到自我认知为医生的转变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d22/11488238/5c2c87ae2b7e/12909_2024_6145_Fig1_HTML.jpg

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