scholarly journals Revealing the reality of undergraduate GP teaching in UK medical curricula: a cross-sectional questionnaire study

2020 ◽  
Vol 70 (698) ◽  
pp. e644-e650 ◽  
Author(s):  
Emily Cottrell ◽  
Hugh Alberti ◽  
Joe Rosenthal ◽  
Lindsey Pope ◽  
Trevor Thompson
Keyword(s):  
General Practice ◽  
Career Decisions ◽  
Undergraduate Curriculum ◽  
Medical Schools ◽  
Questionnaire Study ◽  
Questionnaire Response ◽  
Cross Sectional ◽  
Medical Curricula ◽  
Future Clinical Practice ◽  
Practice Teaching

BackgroundTime in general practice offers medical students opportunities to learn a breadth of clinical knowledge and skills relevant to their future clinical practice. Undergraduate experiences shape career decisions and current recommendations are that 25% of undergraduate curriculum time should be focused on general practice. However, previous work demonstrated that GP teaching had plateaued or reduced in UK medical schools. Therefore, an up-to-date description of undergraduate GP teaching is timely.AimTo describe the current picture of UK undergraduate GP teaching, including the amount of time and resources allocated to GP teaching.Design and settingA cross-sectional questionnaire study across 36 UK medical schools.MethodThe questionnaire was designed based on a previous survey performed in 2011–2013, with additional questions on human and financial support allocated to GP teaching. The questionnaire was piloted and revised prior to distribution to leads of undergraduate GP teaching in UK medical schools.ResultsThe questionnaire response rate was 100%. GP teaching constituted an average of 9.2% of medical curricula; this was lower than previous figures, though the actual number of GP sessions has remained static. The majority (n = 23) describe plans to increase GP teaching in their local curricula over the next 5 years. UK-wide average payment was 55.60 GBP/student/session of in-practice teaching, falling well below estimated costs to practices. Allocation of human resources was varied.ConclusionUndergraduate GP teaching provision has plateaued since 2000 and falls short of national recommendations. Chronic underinvestment in GP teaching persists at a time when teaching is expected to increase. Both aspects need to be addressed to facilitate high-quality undergraduate GP teaching and promotion of the expert medical generalist role.

scholarly journals Bedside ultrasound education in Canadian medical schools: A national survey

2016 ◽  
Vol 7 (1) ◽  
pp. e78-e86 ◽  
Author(s):  
Peter Steinmetz ◽  
Octavian Dobrescu ◽  
Sharon Oleskevich ◽  
John Lewis
Keyword(s):  
Medical School ◽  
Undergraduate Curriculum ◽  
Medical Schools ◽  
School Curriculum ◽  
Bedside Ultrasound ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Ultrasound Education ◽  
Current Characteristics

Background: This study was carried out to determine the extent and characteristics of bedside ultrasound teaching in medical schools across Canada.Methods: A cross-sectional, survey-based study was used to assess undergraduate bedside ultrasound education in the 17 accredited medical schools in Canada. The survey, consisting of 19 questions was pilot-tested, web-based, and completed over a period of seven months in 2014.Results:  Approximately half of the 13 responding medical schools had integrated bedside ultrasound teaching into their undergraduate curriculum. The most common trends in undergraduate ultrasound teaching related to duration (1-5 hours/year in 50% of schools), format (practical and theoretical in 67% of schools), and logistics (1:4 instructor to student ratio in 67% of schools). The majority of responding vice-deans indicated that bedside ultrasound education should be integrated into the medical school curriculum (77%), and cited a lack of ultrasound machines and infrastructure as barriers to integration.Conclusions: This study documents the current characteristics of undergraduate ultrasound education in Canada.

scholarly journals Medical applicant general practice experience and career aspirations: a questionnaire study

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0023
Author(s):  
Priyesh Agravat ◽  
Tafsir Ahmed ◽  
Esme Goudie ◽  
Shahraz Islam ◽  
Douglas GJ McKechnie ◽  
...  
Keyword(s):  
General Practice ◽  
Work Experience ◽  
Questionnaire Study ◽  
Career Motivation ◽  
School Students ◽  
Cross Sectional ◽  
Practice Experience ◽  
Career Motivations ◽  
The Uk ◽  
The University

BackgroundIncreasing access to general practice work experience placements for school students is a strategy for improving general practice recruitment, despite limited evidence and concerns surrounding equity of access to general practice experiences.AimsTo examine the association between undertaking general practice experience and the perceptions of general practice as an appealing future career among prospective medical applicants. To identify socioeconomic factors associated with obtaining general practice experience.Design & settingCross-sectional questionnaire study in the UK.MethodParticipants were UK residents aged ≥16 years and seriously considering applying to study medicine in 2019/2020. They were invited to take part via the University Clinical Aptitude Test (UCAT). Questionnaire data were analysed using a linear regression of general practice appeal on general practice experience, adjusting for career motivations and demographics, and a logistic regression of general practice experience on measures of social capital and demographics.ResultsOf 6391 responders, 4031 were in their last year of school. General practice experience predicted general practice appeal after adjusting for career motivation and demographics (b = 0.37, standard error [SE] = 0.06, P<0.00001). General practice experience was more common among students at private (odds ratio [OR] = 1.65, 95% confidence interval [CI] = 1.31 to 2.08, P<0.0001) or grammar schools (OR = 1.33, 95% CI = 1.02 to 1.72, P = 0.03) and in the highest socioeconomic group (OR = 1.62, 95% CI = 1.28 to 2.05, P<0.0001), and less likely among students of ‘other’ ethnicity (OR = 0.37, 95% CI = 0.20 to 0.67, P = 0.0011).ConclusionHaving general practice experience prior to medical school was associated with finding general practice appealing, which supports its utility in recruitment. Applicants from more deprived backgrounds were less likely to have had a general practice experience, possibly through lack of accessible opportunities.

scholarly journals Awareness of family medicine discipline among clinical medical students of Bayero University, Kano, Nigeria

2017 ◽  
Vol 59 (3) ◽  
pp. 36
Author(s):  
Tanko Salihu Tanimu ◽  
Godpower Chinedu Michael ◽  
Aliyu Ibrahim ◽  
Bukar Alhaji Grema ◽  
Abubakar Abiso Mohammed
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Healthcare System ◽  
Undergraduate Curriculum ◽  
Medical Schools ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Wide Range ◽  
Undergraduate Programme

Introduction: Undergraduate medical education requires the studying of a wide range of medical specialties to produce the future workforce of the healthcare system. Family medicine (FM), a relatively new specialty in Nigeria, aims at supplying doctors capable of providing comprehensive healthcare for the majority of the population. However, many Nigerian medical schools (Bayero University inclusive) are yet to include FM in their undergraduate curriculum. Methods: This was a descriptive cross-sectional study of 178 respondents randomly and proportionately selected from 400-, 500- and 600-level medical students of Bayero University Kano. Using a structured questionnaire, their awareness of FM discipline, specialty preferences, factors influencing specialty preferences and their views on the relevance of FM in improving health systems were assessed. Results: A majority of the respondents (60.7%) were males and most (93.8%) had heard of FM. However, only 19.7% of respondents were aware that FM was taught in the undergraduate programme of medical schools; 86% were aware of a postgraduate FM programme. FM (22.5%) was the second most preferred specialty following surgery (23.6%). Personal interest in the specialty was the main (76.5%) reason for preference. Only 2.9% believed the postgraduate training for FM had a longer duration. All respondents believed FM was relevant as a specialty. Conclusion: The knowledge and perception of the FM discipline among clinical medical students of Bayero University was good. They expressed that FM was relevant in the healthcare system as shown in their preference for the specialty, which ranked second among other specialties. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2017.1313487

scholarly journals Unravelling sexual care in chronically ill patients: the perspective of GP practice nurses; Health Service Research

2020 ◽  
Vol 37 (6) ◽  
pp. 766-771
Author(s):  
Pieter C Barnhoorn ◽  
Hannah R Zuurveen ◽  
Inge C Prins ◽  
Gaby F van Ek ◽  
Brenda L den Oudsten ◽  
...  
Keyword(s):  
General Practice ◽  
Sexual Health ◽  
Chronically Ill ◽  
Cross Sectional Study ◽  
Service Research ◽  
Chronic Patients ◽  
Cross Sectional Survey ◽  
Questionnaire Response ◽  
Cross Sectional ◽  
Chronically Ill Patients

Abstract Background Assessment of sexual health is important in chronically ill patients, as many experience sexual dysfunction (SD). The general practice nurse (GPN) can play a crucial part in addressing SD. Objective The aim of this cross-sectional study was to examine to which extent GPNs discuss SD with chronically ill patients and what barriers may refrained them from discussing SD. Furthermore, we examined which factors had an association with a higher frequency of discussing SD. Methods A cross-sectional survey using a 48-item questionnaire was send to 637 GPNs across the Netherlands. Results In total, 407 GPNs returned the questionnaire (response rate 63.9%) of which 337 completed the survey. Two hundred and twenty-one responding GPNs (65.6%) found it important to discuss SD. More than half of the GPNS (n = 179, 53.3%) never discussed SD during a first consultation, 60 GPNs (18%) never discussed SD during follow-up consultations. The three most important barriers for discussing SD were insufficient training (54.7%), ‘reasons related to language and ethnicity’ (47.5%) and ‘reasons related to culture and religion’ (45.8%). More than half of the GPNs thought that they had not enough knowledge to discuss SD (n = 176, 54.8%). A protocol on addressing SD would significantly increase discussing during SD. Conclusions This study indicates that GPNs do not discuss SD with chronically ill patients routinely. Insufficient knowledge, training and reasons related to cultural diversity were identified as most important reasons for this practice pattern. Implementation of training in combination with guidelines on SD in the general practice could improve on the discussing of sexual health with chronic patients.

scholarly journals LeiKA: an optional German general practice teaching project for first-semester medical students: who is taking part and why? A cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e032136
Author(s):  
Anne-Kathrin Geier ◽  
Christiane Saur ◽  
Stefan Lippmann ◽  
Melanie Nafziger ◽  
T Frese ◽  
...  
Keyword(s):  
General Practice ◽  
Medical Students ◽  
Cross Sectional Study ◽  
Value Orientations ◽  
Cross Sectional ◽  
First Semester ◽  
Practice Teaching ◽  
Patient Relationships ◽  
University Of Leipzig ◽  
Career Preferences

ObjectivesThis study investigates students’ adoption of LeiKA, a new extracurricular longitudinal general practice (GP) teaching project. LeiKA aims to attract a broad range of students, not only those who are already planning to become GPs. This study compares participants’ and non-participants’ characteristics, career preferences and job-related value orientations to assess the programme’s initial potential to increase the number of students subsequently entering GP careers. Additionally, students’ motives for taking part in the programme were explored.DesignWe analysed administrative data and data from a cross-sectional questionnaire survey for the first three cohorts. LeiKA participants were compared with non-participants regarding baseline characteristics, career intentions and attitudes associated with GP careers. There was also a qualitative analysis of the reasons for taking part.SettingFaculty of Medicine, University of Leipzig, Germany.ParticipantsFirst-semester medical students in the years 2016–2018.ResultsIn the first 3 years, 86 of 90 LeiKA slots were taken, 9.0% (n=86/960) of those eligible to apply. LeiKA participants were a mean of 0.6 years older (LeiKA: 21.5 vs whole cohort: 20.9 years, p<0.001) and slightly more interested in long-term doctor–patient relationships (3.6 vs 3.3, scale from 1 ‘unimportant’ to 5 ‘very important’, p=0.018), but did not differ regarding other characteristics and attitudes. Although more participants definitely favoured a GP career (13.1% vs 4.9%, p=0.001), it was a possible option for most students in both groups (78.6% vs 74.0%). Early acquisition of skills and patient contact were the main motives for taking part, stated by 60.7% and 41.7% of the participants, respectively.ConclusionsThe extracurricular programme was taken up by a broad range of students, indicating its potential to attract more students to become GPs. The reasons for taking part that we identified may guide the planning of other similar projects.

scholarly journals Exposure of undergraduates to authentic GP teaching and subsequent entry to GP training: a quantitative study of UK medical schools

2017 ◽  
Vol 67 (657) ◽  
pp. e248-e252 ◽  
Author(s):  
Hugh Alberti ◽  
Hannah L Randles ◽  
Alex Harding ◽  
Robert K McKinley
Keyword(s):  
General Practice ◽  
Medical School ◽  
Quantitative Study ◽  
Medical Schools ◽  
Training Programme ◽  
Foundation Programme ◽  
Practice Teaching ◽  
The Uk ◽  
General Practice Training ◽  
Gp Training

BackgroundIt has been suggested that the quantity of exposure to general practice teaching at medical school is associated with future choice of a career as a GP.Aim To examine the relationship between general practice exposure at medical school and the percentage of each school’s graduates appointed to a general practice training programme after foundation training (postgraduate years 1 and 2).Design and setting A quantitative study of 29 UK medical schools.MethodThe UK Foundation Programme Office (UKFPO) destination surveys of 2014 and 2015 were used to determine the percentage of graduates of each UK medical school who were appointed to a GP training programme after foundation year 2. The Spearman rank correlation was used to examine the correlation between these data and the number of sessions spent in placements in general practice at each medical school.ResultsA statistically significant association was demonstrated between the quantity of authentic general practice teaching at each medical school and the percentage of its graduates who entered GP training after foundation programme year 2 in both 2014 (correlation coefficient [r] 0.41, P = 0.027) and 2015 (r 0.3, P = 0.044). Authentic general practice teaching here is described as teaching in a practice with patient contact, in contrast to non-clinical sessions such as group tutorials in the medical school.DiscussionThe authors have demonstrated, for the first time in the UK, an association between the quantity of clinical GP teaching at medical school and entry to general practice training. This study suggests that an increased use of, and investment in, undergraduate general practice placements would help to ensure that the UK meets its target of 50% of medical graduates entering general practice.

scholarly journals Prevalence of Upper Extremity Musculoskeletal Disorders in Patients with Type 2 Diabetes in General Practice

Medicines ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 8
Author(s):  
Login Ahmed S. Alabdali ◽  
Jasmien Jaeken ◽  
Geert-Jan Dinant ◽  
Marjan van den Akker ◽  
Bjorn Winkens ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
General Practice ◽  
Upper Extremity ◽  
Questionnaire Study ◽  
Medical Database ◽  
Cross Sectional ◽  
Database Study ◽  
Prevalence Studies ◽  
Diabetes Patients

Background: One of the lesser recognized complications of diabetes mellitus are musculoskeletal (MSK) complications of the upper and lower extremity. No prevalence studies have been conducted in general practice. Thus, the aim of this study was to investigate the prevalence of upper extremity MSK disorders in patients with type 2 diabetes (T2DM) in the Netherlands. Methods: We conducted a cross-sectional study with two different approaches, namely a representative Dutch primary care medical database study and a questionnaire study among patients with T2DM. Results: In the database study, 2669 patients with T2DM and 2669 non-diabetes patients were included. MSK disorders were observed in 16.3% of patients with T2DM compared to 11.2% of non-diabetes patients (p < 0.001, OR 1.53, 95% CI 1.31, 1.80). In the questionnaire study, 200 patients with T2DM were included who reported a lifetime prevalence of painful upper extremity body sites for at least four weeks of 67.3%. Conclusion: We found that upper extremity MSK disorders have a high prevalence in Dutch patients with T2DM presenting in general practice. The prevalence ranges from 16% based on GP registered disorders and complaints to 67% based on self-reported diagnosis and pain. Early detection and treatment of these disorders may play a role in preventing the development of chronic MSK disorders.

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