Developing effective teamworking skills is an appropriate focus for first-year health professional students. The timing of learning about the roles of different professionals is yet to be resolved.
In New Zealand there is emphasis on improving access to primary healthcare, particularly for high health need populations such as Maori, the indigenous people of New Zealand. Critical to the development of the primary healthcare environment is building healthcare teams and better utilising health practitioners. This article reports on an interprofessional educational initiative where medical, nursing and pharmacy undergraduates learnt together in order to understand Maori health issues, how these are addressed by health services and also appreciate the contribution of different health professionals within the healthcare team. The educational initiative is described and interprofessional learning issues are explored across the different curricula structures of medicine, nursing and pharmacy.
Human dissection continues to be strongly argued for teaching human anatomy to medical students and is technically and emotionally demanding. An orientation to dissection and the laboratory are provided for students before beginning their work because students' and families' reactions to dissection are often complex. This study explored medical students' experiences of attending an orientation to human dissection and the anatomy laboratory. Students' reactions, feelings, and thoughts were enquired about 1 year after beginning dissection at the University of Auckland, New Zealand. Qualitative research methods, specifically one-on-one semistructured interview were utilized. Third-year medical students self-selected into the study and were interviewed 1 year after entering the laboratory. Transcribed audiotapes of the interviews were analyzed for themes across the interviews. One year after dissection students have vivid memories with differing ways of viewing the body that may help or hinder with dissection. The themes presented include orientation, student anticipation, psychological approach to the body, normalizing-continuing disquiet, and social reference. The orientation eases student entry into the laboratory. There can be ongoing feelings of ambivalence regards the body for some students. Novel findings include that students not only have their own feelings to deal with but also those of friends and family who question them and may feel uncomfortable with the idea of them dissecting. Even one year after beginning dissection, students may emotionally struggle with their work and may require further support, including how they talk about sensitive topics with other people.
The purpose of this study was to examine the achievement motivation perceptions of medical students in early clinical training, to find out if variations in such perceptions may relate to students' gender, age, ethnicity, or enrolment status (domestic or international). The participants were 272 4th and 5th year medical students who voluntarily completed the short version of the Motivated Strategies for Learning Questionnaire. The students' scores in self-efficacy, intrinsic value, test anxiety, cognitive strategy use, and self-regulation, derived from the questionnaire, were analyzed in relation to the students' gender, ethnicity, and enrolment status, along with their age as a possible covariate. Female students evidenced lower self-efficacy and higher test anxiety compared to their male counterparts. Likewise, international students were found to have lower self-efficacy and higher test anxiety compared to domestic students; the international students also scored lower in intrinsic value perception. Age was found to significantly correlate with self-efficacy, test anxiety, and intrinsic value perception. The findings suggest a need to use strategies like role-modeling to counteract the possible detrimental effects of negative gender stereotyping on female students' self-efficacy -especially female students from non-Western cultural backgrounds. The higher levels of test anxiety evidenced by some groups may be understandable in the context of clinical training, but nevertheless indicate a need for the formulation and provision of appropriate forms of skills training and support for students -including communication skills training and support for international students.
This journey involved one of us having (repeat) intraspinal surgery in a country far from home but of a similar culture and with the same first language. The carer travelled across the world to be present during the hospital stay. We kept a journal during our admission, and following discharge realised there were significant differences between how we had documented our experience and the record presented in the clinical notes. The particular examples we present illustrate the relationships, rules and issues that we navigated. We share our experience in the form of moments from our journal, some of them alongside information recorded in the clinical notes for the corresponding timeframe. This provides insights into differing narratives between the experiences of the patient/caregiver and practitioners. We recommend that individual practitioners and organisations consider the lived experience of patients and how they consciously engage with patients/carers to address the risk of 'othering'.
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