Undergraduate medical student's experience in general practice

Cullen, W. and Langton, D. and Kelly, Y. and Bury, G. (2004) Undergraduate medical student's experience in general practice. pp. 30-33. ISSN 00211265 (ISSN)

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Background. Increasingly, undergraduate medical education is becoming community-based. Logbooks are a useful tool in documenting the range of clinical exposure and learning opportunities available to students during clinical training, particularly where the role of new clinical settings for training medical students is being explored. Aims. To describe the clinical experience of medical students during an undergraduate programme in general practice at an Irish University. Methods. Medical students in the fifth year of medical school were asked to record data from 20 consecutive consultations during a clinical attachment in general practice. Results. A total of 186 students (82% of total) recorded data on 3,710 consultations. The patient population encountered was similar in demography and morbidity profile to other general practice populations, with hypertension, preventive immunisation and cough the most frequently encountered diagnostic labels. Respiratory illness and circulatory illness were the most frequently encountered primary and secondary presentations, respectively. An active role was adopted by students in almost half of all consultations. Conclusions. This paper provides evidence that general practice in Ireland is a setting in which medical students can both encounter a wide range of clinical problems and engage in active learning processes.

Item Type: Article
Additional Information: Cited By :4; Export Date: 23 February 2015; CODEN: IJMSA; Correspondence Address: Cullen, W.; Department of General Practice, University College Dublin, Coombe Healthcare Centre, Dolphin's Barn, Dublin 8, Ireland; email: walter.cullen@ucd.ie; References: Higgins, P.M., Teaching medicine in general practice: The Guy's experience (1989) Med. Educ., 23 (6), pp. 504-511; Parle, J., Greenfield, S., Thomas, C., Community-based clinical education at the University of Birmingham Medical School (1999) Acad. Med., 74 (3), pp. 248-253; Oswald, N., Alderson, T., Jones, S., Evaluating primary care as a base for medical education: The report of the Cambridge Community-based Clinical Course (2001) Med. Educ., 35 (8), pp. 782-788; Bligh, J., Is it time for a community-based medical school in the UK? (1999) Med. Educ., 33 (5), p. 315; Oswald, N., Why not base clinical education in general practice? (1989) The Lancet, 2 (8655), pp. 148-149; Oswald, N., Where should we train doctors in the future? (1991) BMJ, 303 (6794), p. 71; Bradley, P., Community learning - The good, bad and the way to be beautiful (2001) Med. Educ., 35, pp. 822-823; (2001), Review of Medical Schools in Ireland. Dublin: Medical CouncilMunro, J.G., Computer analysis of the student log diary: An aid in the teaching of general practice and family medicine (1984) Med. Educ., 18 (2), pp. 75-79; Blake, K., The daily grind - Use of log books and portfolios for documenting undergraduate activities (2001) Med. Educ., 35, pp. 1097-1098; Withy, K., An inexpensive patient-encounter log (2001) Acad. Med., 76 (8), pp. 860-862; Dolmans, D., Schmidt, A., van der Beek, J., Does a student log provide a means to better structure clinical education? (1999) Med. Educ., 33 (2), pp. 89-94; Greer, T., Schneeweiss, R., Baldwin, L.M., A comparison of student clerkship experiences in community practices and residency-based clinics (1993) Fam. Med., 25 (5), pp. 322-326; Murray, E., Alderman, P., Coppola, W., What do students actually do on an internal medicine clerkship? A log diary study (2001) Med. Educ., 35, pp. 1101-1107; Patil, N., Lee, P., Interactive logbooks for medical students: Are they useful? (2002) Med. Educ., 36, pp. 672-677; ICPC-2: International Classification of Primary Care (1998), Oxford University PressPatricoski, C., Shannon, K., Doyle, G., The accuracy of patient encounter logbooks used by family medicine clerkship students (1998) Fam. Med., 30, pp. 487-489; Rabinowitz, H., Student clinical experiences in family medicine: A comparison of clerkships and preceptorships (1989) Fam. Prac. Res. J, 8, pp. 92-99; Rattner, S.L., Louis, D.Z., Rabinowitz, C., Documenting and comparing medical students' clinical experiences (2001) JAMA, 286 (9), pp. 1035-1040; Comber, H., The First National Study of Workload in General Practice (1992), Dublin: Irish College of General PractitionersMorbidity Statistics from General Practice - Fourth National Study 1991-92 (1995), Norwich: The Stationery OfficeGeneral Practice activity in Australia Sydney (1999), Bettering the Evaluation and Care of Health: Australia Institute of Health and WelfareSchamroth, A.J., Haines, A.P., Gallivan, S., Medical student experience of London general practice teaching attachments (1990) Med. Educ., 24 (4), pp. 354-358; Harrell, P.L., Kearl, G.W., Reed, E.L., Medical students' confidence and the characteristics of their clinical experiences in a primary care clerkship (1993) Acad. Med., 68 (7), pp. 577-579; Lawrence, S.L., Lindemann, J.C., Gottlieb, M., What students value: Learning outcomes in a required third-year ambulatory primary care clerkship (1999) Acad. Med., 74 (6), pp. 715-717
Uncontrolled Keywords: article; cardiovascular disease; consultation; coughing; demography; education program; experience; general practice; human; hypertension; immunization; information processing; Ireland; learning; medical school; medical student; morbidity; population research; respiratory tract disease; university; education; medical education; nonparametric test; statistics; Education, Medical, Undergraduate; Family Practice; Humans; Statistics, Nonparametric
Depositing User: Colin Lowry
Last Modified: 27 Nov 2015 02:36
URI: http://eprints.teachingandlearning.ie/id/eprint/2116

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