Hannula Verneri, Lehtovirta Lari, Liu Hermanni, Sumanen Markku
The Wellbeing Services County of Pirkanmaa, Tampere, Finland.
Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Clin Teach. 2025 Aug;22(4):e70119. doi: 10.1111/tct.70119.
Clinical-phase learning is integral to medical education, increasingly challenged by a rising student population. Prior research has presented conflicting findings on students' preferences for following doctors at different stages of their career. Moreover, evaluations of clerkships across specialties vary significantly. This study explored medical students' perceptions about who they received the best clinical teaching from and why.
A survey was conducted among 4th- to 6th-year medical students at Tampere University, Finland. Information was sought from participants on aspects regarding from whom and where they believed they received the best clinical teaching: doctors' properties (age group and career stage) and setting (field of specialty and location). Open-ended responses were analysed using inductive content analysis.
We obtained 262 responses, yielding an overall response rate of 62%. Predominantly, respondents favoured resident doctors (54%), young doctors aged 25-34 years (41%), university hospitals (34%) and the field of internal medicine (25%). Common reasons cited included instructors dedicating time for teaching, enthusiasm about teaching and attentiveness to students. However, over half of the themes were related to specific answer options.
Our findings indicate that Finnish medical students most commonly prefer to receive clinical teaching from residents and young doctors. Nevertheless, exposure to doctors at their different career stages and in various settings is perceived as valuable. To enhance clinical teaching, organisations should allocate adequate time and encourage doctors to engage actively with students, understanding their individual learning needs and fostering independent participation.
临床阶段的学习是医学教育不可或缺的一部分，日益受到学生人数不断增加的挑战。先前的研究在学生对不同职业阶段医生的跟随偏好方面给出了相互矛盾的结果。此外，各专业实习的评估差异很大。本研究探讨了医学生对于他们从谁那里获得了最佳临床教学以及原因的看法。
对芬兰坦佩雷大学四至六年级的医学生进行了一项调查。向参与者询问了他们认为从谁那里以及在哪里获得了最佳临床教学的相关信息：医生的属性（年龄组和职业阶段）和环境（专业领域和地点）。使用归纳性内容分析法对开放式回答进行了分析。
我们获得了262份回复，总体回复率为62%。主要地，受访者更青睐住院医生（54%）、25至34岁的年轻医生（41%）、大学医院（34%）以及内科领域（25%）。提到的常见原因包括教师投入时间教学、对教学的热情以及对学生的关注。然而，超过一半的主题与特定答案选项相关。
我们的研究结果表明，芬兰医学生最普遍倾向于从住院医生和年轻医生那里接受临床教学。尽管如此，接触处于不同职业阶段和各种环境中的医生被认为是有价值的。为了加强临床教学，各机构应分配足够的时间，并鼓励医生积极与学生互动，了解他们的个人学习需求并促进其独立参与。
