Renewing US medical students’ interest in primary care: bridging the role model gap

UNSTRUCTURED The UK General Medical Council (GMC) explicitly states doctors have a duty to ‘contribute to teaching and training…by acting as a positive role model’. However, recent studies suggest some are not fulfilling this, which is impacting medical students' experiences and attitudes during their training. As such, doctors have a duty to act as role models and teachers, as specified by the GMC, which it seems are not currently being fulfilled. This would improve the medical students’ learning experiences and demonstrate good professional values for them to emulate. Therefore, these duties should be as important as patient care, since this will influence future generations.

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Assessing factors for choosing a primary care specialty in medical students; A longitudinal study

Medical Education Online ◽

10.1080/10872981.2021.1890901 ◽

2021 ◽

Vol 26 (1) ◽

pp. 1890901

Author(s):

Corry McDonald ◽

Austin Henderson ◽

Patrick Barlow ◽

Jerrod Keith

Keyword(s):

Primary Care ◽

Longitudinal Study ◽

Medical Students ◽

Primary Care Specialty

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Fostering student motivation towards community healthcare: a qualitative study

BMJ Open ◽

10.1136/bmjopen-2020-039344 ◽

2021 ◽

Vol 11 (1) ◽

pp. e039344

Author(s):

Shinsuke Yahata ◽

Taro Takeshima ◽

Tsuneaki Kenzaka ◽

Masanobu Okayama

Keyword(s):

Medical Students ◽

Role Model ◽

Student Experiences ◽

Positive Interaction ◽

Expectancy Value ◽

Community Healthcare ◽

Positive Attitudes ◽

Qualitative Thematic Analysis ◽

Community Residents ◽

Community Environments

ObjectivesThis study investigated what kinds of experiences influence regional quota (chiikiwaku) medical students’ motivation to practice community healthcare (CH), and the mechanism of this influence, by focusing on their experiences in a community-based medical education (CBME) programme.DesignA qualitative thematic analysis based on interviews.SettingParticipants were recruited from the chiikiwaku students of Kobe University, Japan, using purposive sampling.ParticipantsFourteen students participated. The median (IQR) age of participants was 23 (23–24); half were sixth-year and half fifth-year students.AnalysisFrom September to December 2018, the interviews were audiorecorded and transcribed verbatim. Data were analysed according to the ‘Steps for Coding and Theorisation’ method. Our theoretical framework comprised three internal motives (ie, needs, cognitions and emotions) and their subordinate motivation theories self-determination theory, expectancy-value theories, and positive and negative emotions, respectively.ResultsThree mechanisms and corresponding experiences emerged. The first mechanism, envisioning and preparing for practising CH, included corresponding experiences—empathy for the community, grasping the demands for CH, understanding the practices of CH, finding a role model and diminishing the conflicts between personal life and career. The second mechanism, belonging to a supportive community, included the robust construction of students’ CH community and harmonisation with community residents. The third mechanism, psychological effects included the affect heuristic and framing effect. Student experiences brought about the changes and influences described in the presented mechanisms, and had both positive and negative impacts on their motivation towards CH. These results can be interpreted through the multifaceted lenses of motivation theories.ConclusionsThe authors revealed that motivation mechanisms of medical students towards CH derived from positive interaction with community residents, healthcare professionals and other students, and from exposure to attractive community environments and cultures. These experiences should be incorporated into CBME programmes to further encourage positive attitudes towards CH.

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High frequency of otolaryngology/ENT encounters in Canadian primary care despite low medical undergraduate

Canadian Medical Education Journal ◽

10.36834/cmej.72328 ◽

2021 ◽

Author(s):

Brendan Sorichetti ◽

Julie Pauwels ◽

Thomas Jacobs ◽

Neil Chadha ◽

Emelie Kozak ◽

...

Keyword(s):

Primary Care ◽

Medical Students ◽

Primary Care Physicians ◽

Pediatric Population ◽

Adult Population ◽

Care Facility ◽

Symptom Presentation ◽

Undergraduate Medical Students ◽

Related Symptom ◽

Medical Undergraduate

Otolaryngology involves the treatment of patients with diseases and disorders of the ear, nose, throat (ENT), and related structures of the head and neck. Many medical students in Canada have limited experiences in ENT and a vast majority of these students go on to pursue a career as primary care physicians. Physicians at a primary care facility classified patient’s visits as either being “ENT” related or not, to assess the amount of ENT related concerns they typically encounter. The data was collected separately in the summer and winter months to assess any seasonal variability. One in eight patient encounters presented with an ENT related concern. The percentage of ENT related symptom presentation visits in the pediatric population for both data collection periods (29%) was more than three times that of the adult population (9%). The rate of ENT symptom presentation in both adult and pediatric populations was not affected by seasonality. Primary care physicians will encounter new patients presenting with ENT related concerns quite frequently. This is especially true in the pediatric patient population. Increased ENT medical education is both necessary and essential for undergraduate medical students, residents, and primary care physicians.

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Student Recommendations on Techniques to Teach with Telemedicine Effectively: A comment on ‘Incorporating Medical Students into Primary Care Telehealth Visits: A Tutorial’ (Preprint)

10.2196/preprints.30703 ◽

2021 ◽

Author(s):

Hardeep Singh Kandola ◽

Sonica Minhas

Keyword(s):

Primary Care ◽

Medical Students

UNSTRUCTURED N/A

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Broadening the clinical spectrum for medical students towards primary care: a pre-post analysis of the effect of the implementation of a longitudinal clerkship in general practice

BMC Medical Education ◽

10.1186/s12909-018-1152-z ◽

2018 ◽

Vol 18 (1) ◽

Author(s):

Roman Hari ◽

Michael Harris ◽

Peter Frey ◽

Sven Streit

Keyword(s):

Primary Care ◽

General Practice ◽

Medical Students ◽

Clinical Spectrum

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Community diagnosis for a slum population under the field practice area of a government medical college, New Delhi: community-oriented primary care exercise for undergraduate students

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20184825 ◽

2018 ◽

Vol 5 (12) ◽

pp. 5404

Author(s):

P. Aravind Gandhi ◽

U. Venkatesh ◽

Poornima Tiwari ◽

Preety Doley

Keyword(s):

Primary Care ◽

Medical Students ◽

Urban Poor ◽

Unmet Need ◽

Drainage System ◽

Income Poverty ◽

New Delhi ◽

Undergraduate Medical Students ◽

Rapid Urbanization ◽

Awareness Campaigns

Background: Rapid urbanization has led to the increase in a group of people called ‘Urban poor’ dwelling as a community in ‘Slums’, worldwide. Slums manifest deprivation that transcends income poverty. Hence, we conducted this Community-oriented primary care (COPC) exercise, to give medical students a greater understanding of the situation of individual patients in the slum and to formulate a community diagnosis.Methods: The current study was done at Tyagaraj Nagar Jhuggi in the South district of New Delhi, during Community-oriented primary care (COPC) exercise of undergraduate medical students in their 4th semester over a period of 20 days, using a predesigned proforma for collecting data on health events and determinants of health, from families. 35 households were chosen by systematic random sampling.Results: Out of 179 community members studied, 33 (18.43%) were afflicted with morbidity, which consists of common cold with cough, generalized body pain and joint pain. The sex ratio was found to be 826, literacy rate was 76.9% in the study area, 44.11% of the households were having sanitary latrines owned by them, 68.6% had a closed drainage system 63% of the families used clean fuel for cooking and unmet need of contraception was 85% among eligible couples.Conclusions: Investments in women’s access to various contraceptive preferences are urgently needed to help increase the contraceptive prevalence rate. Health Education and awareness campaigns on prevention of potential mosquito, fly breeding sites, hand hygiene, avoidance of firewood as fuel, establishing smoke outlet and solid waste management should be arranged.

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