Uhomoibhi Catherine, Kearns Angela
Infectious diseases Registrar, Beaumont Hospital, Dublin, Ireland.
Medicine for University of Galway, Mayo Medical Academy, Castlebar, Co. Mayo, Ireland.
BMC Med Educ. 2024 Dec 18;24(1):1448. doi: 10.1186/s12909-024-06199-z.
Medical students and doctors are rarely taught how to be educators, but are expected to perform the role of clinical teacher once qualified (Kloek AT, Van Zijl ACM, ten Cate OTJ, Perspect Med Educ. 5:325-331, 2016). Qureshi (Perspect Med Edu 3:69-72, 2014) suggests that development of teaching skills should be incorporated into the undergraduate medical curriculum, while Charnell et al. (Br J Med Pract. 11:a1103, 2018) advocate providing training after graduation and as an integrated part of an induction programme. No such strategies currently exist for our graduates, and there is a lack of opinion regarding their expectations and ability to deliver bedside teaching.
This qualitative study sought to explore the varied experiences of medical students with regards to bedside teaching, and the influence such encounters may have on their future potential role as educators. In-depth interviews were conducted with fourteen final year medical students to gain a detailed understanding. Thematic analysis was conducted to organise the data into themes and sub-themes.
Medical students identified a range of affirmative and challenging aspects regarding their undergraduate experiences. All recognized important practices necessary to meet individual learning needs and highlighted the positive impact such experiences would have on their future role as educators. Students preferred receiving constructive feedback as opposed to positive or no feedback at all, and all acknowledged a sense of responsibility towards being a future educator.
The findings of this study suggest that while medical students recognise the role of doctors as clinical educators, and strive to fulfil this responsibility based on their own undergraduate experiences, training in the art of clinical teaching would be of benefit to all.
医学生和医生很少接受如何成为教育者的培训,但一旦获得资格,就被期望承担临床教师的角色(Kloek AT,Van Zijl ACM,ten Cate OTJ,《医学教育展望》。5:325 - 331,2016年)。库雷希(《医学教育展望》3:69 - 72,2014年)建议将教学技能的培养纳入本科医学课程,而查内尔等人(《英国医学实践》。11:a1103,2018年)主张在毕业后并作为入职培训计划的一个组成部分提供培训。目前,我们的毕业生没有这样的策略,而且对于他们开展床边教学的期望和能力缺乏相关看法。
这项定性研究旨在探索医学生在床边教学方面的不同经历,以及此类经历可能对他们未来作为教育者的潜在角色产生的影响。对14名医学专业最后一年的学生进行了深入访谈,以深入了解情况。进行了主题分析,将数据整理成主题和子主题。
医学生指出了本科经历中一系列积极和具有挑战性的方面。所有人都认识到满足个人学习需求所必需的重要做法,并强调了这些经历对他们未来作为教育者角色的积极影响。学生更喜欢接受建设性反馈,而不是正面反馈或根本没有反馈,并且所有人都承认对成为未来教育者负有责任感。
本研究结果表明,虽然医学生认识到医生作为临床教育者的角色,并努力根据自己的本科经历履行这一职责,但临床教学艺术的培训将使所有人受益。