Comparison of Medical Students' Satisfaction with Family Medicine Clerkships between University Hospitals and Community Hospitals or Clinics

I write with concern for the future of good community hospitals with qualified attending pediatricians and plenty of patient material but no residents. In the ever-increasing competition for residents, such hospitals are slowly being strangled by the more fortunate university hospitals with their access to medical students and interns. I fear that the ultimate consequences will be the downgrading of pediatric practice throughout the county in those areas where there is not a medical school.

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Final year medical students' satisfaction with clinical education and family medicine module. Suez Canal University. Egypt

Journal of Contemporary Medical Education ◽

10.5455/jcme.20160614032416 ◽

2016 ◽

Vol 4 (3) ◽

pp. 113

Author(s):

Hend Salama ◽

Hebatallah NourEldein

Keyword(s):

Medical Students ◽

Family Medicine ◽

Clinical Education ◽

Suez Canal ◽

Students Satisfaction

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Strengths and Challenges for Medical Students and Residents in Rural Japan

Family Medicine ◽

10.22454/fammed.2021.308872 ◽

2021 ◽

Vol 53 (1) ◽

pp. 32-38

Author(s):

Ryuichi Ohta ◽

Yoshinori Ryu ◽

Takuji Katsube ◽

Jun Otani ◽

Yoshihiro Moriwaki

Keyword(s):

Medical Students ◽

Family Medicine ◽

Rural Community ◽

Rural Areas ◽

Educational Background ◽

Legitimate Peripheral Participation ◽

Community Hospitals ◽

Medical Issues ◽

Cognitive Apprenticeships ◽

Peripheral Participation

Background and Objectives: In Japan, family medicine training is driven by community-based medical education (CBME) and is often provided in rural community hospitals and clinics. Although CBME’s positive relationship to family medicine in rural community hospitals is proven, the learning processes of medical students and residents in rural community hospitals needs investigating. The objective of this study was to reveal medical students’ and residents’ changing motivations and learning behaviors, as well as the factors underpinning their transition between medical schools or tertiary hospitals and rural community hospitals. Methods: Over 2 years, the researchers conducted one-on-one interviews with 50 medical students and 30 residents participating in family medicine training at a rural community hospital, and analyzed the difficulties the participants encountered and how they overcame them. The interviews were audio recorded and transcribed verbatim. We used grounded theory in the data analysis to clarify the findings. Results: Three key themes emerged: educational background, changing environment, and factors driving the learning cycle. Participants had difficulties in overcoming differences between their previous education and their CBME, particularly regarding expected roles and the variety of medical issues. They overcame their difficulties through cognitive apprenticeships and legitimate peripheral participation enhanced by daily reflection. Conclusions: In rural community hospitals, participants struggled to adapt to the wider practice range and the more interactive relationship with educators. Cognitive apprenticeships and legitimate peripheral participation, supported by constant reflection between learners and clinical teachers, can facilitate learning, leading to more effective learning and practice of family medicine in rural areas.

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Attitudes about Family Medicine among brazilian medical students

O Mundo da Saúde ◽

10.15343/0104-7809.20103336340 ◽

2010 ◽

Vol 34 (3) ◽

pp. 336-340 ◽

Cited By ~ 1

Author(s):

Joshua Freeman ◽

Patricia Kelly ◽

Pablo González Blasco ◽

Marcelo Levites

Keyword(s):

Medical Students ◽

Family Medicine

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Pilot Project: Does formal bedside training of medical students with a FAST exam increase their knowledge and comfort level with ultrasound use in a community family medicine practice setting?

POCUS Journal ◽

10.24908/pocus.v2i2.13279 ◽

2017 ◽

Vol 2 (2) ◽

pp. 15-17

Author(s):

Rimi Sambi, MD ◽

Heather Sawula, MD ◽

Brent Wolfrom, MD ◽

Joseph Newbigging, MD

Keyword(s):

Medical Students ◽

Family Medicine ◽

Point Of Care ◽

Training Session ◽

Undergraduate Curriculum ◽

Knowledge Retention ◽

Comfort Level ◽

Point Of Care Ultrasound ◽

Medical Undergraduate ◽

Fast Exam

As point of care ultrasound (PoCUS) becomes increasingly popular and a standard of care in many clinical settings, the interest for integration in medical undergraduate curriculum is also growing [1]. This project aims to assess whether formal bedside Focused Abdominal Scan for Trauma (FAST) exam training of medical students increases their knowledge and comfort with the use of bedside ultrasound in a family medicine setting at Queen’s University. Third year medical students (n=18) were recruited to participate in a training session involving a 1-hour online video and 2-hour hands-on session. Knowledge based surveys were completed before and after the training. A survey was completed 4 months after the teaching session evaluating knowledge retention, comfort, and application of skills. Student knowledge of PoCUS and FAST increased and was maintained (pre-training 56%±20%, post-training 82%±10%, p<0.001). Self-evaluation of comfort performing a FAST examination (5-point Likert scale) similarly increased post-training session (pre-training 1.4±0.8, post-training 3.8±0.9, p<0.005), but decreased 4 months later (3±1.2, p<0.005). Students in this study were unanimously interested in ultrasound training and the methods used effectively increased theoretical knowledge and comfort with use. Students did not retain their comfort levels with FAST exam 4 months after the training session, nor did they have the opportunity to utilize the skills learned. Further evidence is required to identify the applicability of these results to undergraduate curriculum development.

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Perceptions of Final Year Medical Students about Family Medicine as A Career Choice in Pakistan

Pakistan Journal of Medicine and Dentistry ◽

10.36283/pjmd9-1/023 ◽

2020 ◽

Author(s):

Dur-e- Nishat

Keyword(s):

Medical Students ◽

Family Medicine ◽

Medical Profession ◽

Healthcare Services ◽

Developed Countries ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Medical College ◽

Chi Square Test

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.

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Family Medicine Education at a Rural Hospital in Japan: Impact on Institution and Trainees

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18116122 ◽

2021 ◽

Vol 18 (11) ◽

pp. 6122

Author(s):

Ryuichi Ohta ◽

Yoshinori Ryu ◽

Chiaki Sano

Keyword(s):

Family Medicine ◽

Rural Areas ◽

Clinical Performance ◽

Rural Hospital ◽

Scope Of Practice ◽

Quantitative Aspect ◽

Educational Systems ◽

Theory Approach ◽

Community Hospitals ◽

Medicine Education

Family medicine is vital in Japan as its society ages, especially in rural areas. However, the implementation of family medicine educational systems has an impact on medical institutions and requires effective communication with stakeholders. This research—based on a mixed-method study—clarifies the changes in a rural hospital and its medical trainees achieved by implementing the family medicine educational curriculum. The quantitative aspect measured the scope of practice and the change in the clinical performance of family medicine trainees through their experience of cases—categorized according to the 10th revision of the International Statistical Classification of Disease and Related Health Problems. During the one-year training program, the trainees’ scope of practice expanded significantly in both outpatient and inpatient departments. The qualitative aspect used the grounded theory approach—observations, a focus group, and one-on-one interviews. Three themes emerged during the analysis—conflicts with the past, driving unlearning, and organizational change. Implementing family medicine education in rural community hospitals can improve trainees’ experiences as family physicians. To ensure the continuity of family medicine education, and to overcome conflicts caused by system and culture changes, methods for the moderation of conflicts and effective unlearning should be promoted in community hospitals.

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Psychosocial Beliefs of Medical Students Planning to Specialize in Family Medicine

Psychological Reports ◽

10.2466/pr0.1997.80.3.987 ◽

1997 ◽

Vol 80 (3) ◽

pp. 987-992 ◽

Cited By ~ 1

Author(s):

Fred W. Markham ◽

James J. Diamond

Keyword(s):

Internal Medicine ◽

Medical Students ◽

Family Medicine ◽

Family Physicians ◽

Female Students ◽

Further Training ◽

Senior Year ◽

Family Doctors ◽

Fourth Year Medical Students ◽

Belief Scale

The psychosocial orientation of fourth-year medical students planning careers in family medicine was compared to those selecting other specialities using the Physician Belief Scale. This scale has shown that practicing family physicians have a greater psychosocial orientation than those in other specialities such as internal medicine. The current study was done to see whether students choosing family medicine already have this greater orientation before they begin training as residents. 664 fourth-year medical students received surveys during their senior year and 378 (57%) returned completed surveys. Female students had a significantly greater psychosocial orientation than their male peers, but there were no significant differences between students planning residencies in family medicine and those selecting other residencies. The greater orientation of family doctors would appear to be a product of further training and experience either during residency or later during the actual practice of family medicine.

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Undergraduate performance assessment

International Journal for Innovation Education and Research ◽

10.31686/ijier.vol5.iss9.870 ◽

2017 ◽

Vol 5 (9) ◽

pp. 1-7

Author(s):

Umayya Musharrafieh ◽

Khalil Ashkar ◽

Dima Dandashi ◽

Maya Romani ◽

Rana Houry ◽

...

Keyword(s):

Medical Students ◽

Family Medicine ◽

Assessment Tool ◽

Clinical Skills ◽

Faculty Evaluation ◽

Multiple Choice Questions ◽

Final Exam ◽

Monthly Basis ◽

Medicine Clerkship ◽

Clinical Evaluations

Introduction: Objective Structured Clinical Examination (OSCE) is considered a useful method of assessing clinical skills besides Multiple Choice Questions (MCQs) and clinical evaluations. Aim: To explore the acceptance of medical students to this assessment tool in medical education and to determine whether the assessment results of MCQs and faculty clinical evaluations agree with the respective OSCE scores of 4th year medical students (Med IV). Methods: performance of a total of 223 Med IV students distributed on academic years 2006-2007, 2007-2008, and 2008-2009 in OSCE, MCQs and faculty evaluations were compared. Out of the total 93 students were asked randomly to fill a questionnaire about their attitudes and acceptance of this tool. The OSCE was conducted every two months for two different groups of medical students who had completed their family medicine rotation, while faculty evaluation based on observation by assessors was submitted on a monthly basis upon the completion of the rotation. The final exam for the family medicine clerkship was performed at the end of the 4thacademic year, and it consisted of MCQsResults: Students highly commended the OSCE as a tool of evaluation by faculty members as it provides a true measure of required clinical skills and communication skills compared to MCQs and faculty evaluation. The study showed a significant positive correlation between the OSCE scores and the clinical evaluation scores while there was no association between the OSCE score and the final exam scores.Conclusion: Student showed high appreciation and acceptance of this type of clinical skills testing. Despite the fact that OSCEs make them more stressed than other modalities of assessment, it remained the preferred one.

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