Pre-Clerkship Observerships to Increase Early Exposure to Geriatric Medicine

You, Peng; Leung, Marie; Xu, Victoria Y.Y.; Astell, Alexander; Gill, Sudeep S.; Gibson, Michelle; Frank, Christopher

doi:10.5770/cgj.18.184

Cited by 7 publications

(8 citation statements)

References 17 publications

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“…In our study, most students reported increased or confirmed interest in a surgical career after their observership, which is consistent with previous studies. 13 , 14 However, in line with a study assessing a similar student-led initiative in geriatric medicine, 15 we did not observe a significant change in the students’ choices of surgical specialties after the observership. This outcome was expected given the high proportion of students reporting an interest in surgery before their observerships, which resulted in a plateau effect.…”

Section: Discussionsupporting

confidence: 84%

“…This outcome was expected given the high proportion of students reporting an interest in surgery before their observerships, which resulted in a plateau effect. Although it has been suggested that a significant change could be detected in a larger study population, 15 we believe that the selection of participants has a greater influence on results. As samples are often composed of participants presenting an interest in the specialty, changes would be more difficult to identify, even in a larger sample.…”

Section: Discussionmentioning

confidence: 82%

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Effect of a surgical observership on the perceptions and career choices of preclinical medical students: a mixed-methods study

Thivierge-Southidara

Courchesne

Bonneau

et al. 2022

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Background: Medical students are increasingly choosing nonsurgical specialties; observership programs can address factors influencing them toward surgical careers by allowing preclerkship exposure and mentorship, and correcting misconceptions. The aims of this study were to assess the influence of a peer-led observership program at the Université de Montréal on the career choices of preclinical medical students and to determine the factors associated with a positive observership experience. Methods: We used a quasi-experimental convergent mixed-methods questionnaire design. From Nov. 19 to Dec. 31, 2018, and Mar. 1 to Apr. 4, 2019, all medical students participating in the observership program were eligible for the study; there were no ineligibility criteria. Using a prospective purposive sampling method, we recruited students via the email sent to confirm their observership. In the week after their observership, we invited the students by email to complete a postintervention survey. We used nonparametric tests to evaluate the impact of the observership on participants’ career choices and an inductive data-driven thematic analysis to analyze their responses. Results: Of the 204 students who participated, 157 provided consent, of whom 85 (54.1%) completed questionnaires both before and after the observership. The majority of participants were interested in a surgical specialty before (72 [85%]) and after (68 [84%]) the observership. There was no significant change in the students’ choices of surgical specialties after the observership. However, most (68 [81%]) reported being more interested in a surgical career as a result of the observership, which allowed them to see that the type of practice they considered was congruent with a surgical career. Their perceptions of the field of surgery became positive, particularly regarding its pace and atmosphere and the humanistic patient–doctor relationship it required. The experience was influenced by surgeons’ and teams’ attitudes toward students, knowledge-sharing and quality of exposure. Participants mentioned that their willingness to participate was in part responsible for the success of their experience. Conclusion: This observership program allowed an early, positive introduction of students to surgery while challenging stereotypes. It provided a better understanding of surgery, enabling participants to consider this field and potentially influencing their residency application.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 82%

Effect of a surgical observership on the perceptions and career choices of preclinical medical students: a mixed-methods study

Thivierge-Southidara

Courchesne

Bonneau

et al. 2022

cjs

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“…Our findings build on previous work that has demonstrated improvements in knowledge, clinical skills, and empathy among undergraduate and graduate medical trainees. [6][7][8][9][10][11][12][13][14][15] In particular, studies designed to evaluate the perceptions of medical and pharmacy students have demonstrated a positive influence of interprofessional activities with respect to geriatric medicine. Shrader et al 23 described an in-home interview and medication history activity with local volunteers, in which students were assessed on attitudes toward other health professionals before and after the experience, demonstrating gains in the importance in collaboration.…”

Section: Discussionmentioning

confidence: 99%

Integrating an Interprofessional Geriatric Active Learning Workshop Into Undergraduate Medical Curriculum

Jirau-Rosaly

Brown

Wood

et al. 2020

Journal of Medical Education and Curricular Development

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Purpose: The aging population in the United States poses a substantial challenge to our health care system, and particularly affects the training of physicians in geriatric care. To introduce undergraduate medical students to a variety of clinical skills and concepts emphasized in geriatrics, we created an interprofessional geriatric workshop and examined changes in student perceptions of working in interprofessional teams, knowledge regarding geriatric concepts, perceptions of the pre-work material, and suggestions for curricular improvement to enhance the workshop for future students. Methods: Second-year medical students participated in a 4-hour workshop with tasks that emphasized activities of daily living, geriatric physical assessment, end-of-life discussions, Beers Criteria, and a home health assessment. Pre- and post-surveys were administered including the Students Perceptions of Interprofessional Clinical Education–Revised (SPICE-R) survey and a knowledge assessment. Student perceptions of pre-work and overall program assessment were captured after the workshop. Descriptive statistics and paired t tests assessed for significant differences. Emerging themes were analyzed using the Glaser constant comparative method. Results: Of the 186 medical student participants, 178 students completed the SPICE-R survey, demonstrating significant increases in students’ perceptions of the value of interprofessional education ( P < .001). In addition, 111 students completed the pre- and post-test for the knowledge assessment, demonstrating significant gains in geriatric concepts ( P < .001). Overall, most students perceived the pre-work as useful and felt prepared to evaluate geriatric patients. Open-ended question analysis supported results, in which 34 students indicated that they felt most comfortable performing a home health assessment and emphasized the usage of the home health simulation. Conclusions: Introducing medical students to a variety of geriatric assessments and concepts in an interprofessional environment early in their career positively influences their perceptions of working as an interprofessional team member to deliver comprehensive care to older adults.

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“…In an effort to increase early student exposure to geriatric medicine using extracurricular time, Queen’s University introduced a structured pre-clerkship observership program that resulted in high student participation, good care of the elderly role-modelling, and stimulated student interest in a career in geriatric medicine. 39 The application of innovative and system-wide programs like the above demonstrate that effective leadership can translate to more inclusive teaching and promote a non-ageist culture.…”

Section: Introductionmentioning

confidence: 99%

We can do better: Addressing ageism against older adults in healthcare

Nemiroff

2022

Healthc Manage Forum

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Ageism in healthcare is a pervasive reality that leads to negative health outcomes for older adults. While it is often implicit, the COVID-19 pandemic threw explicit age discrimination in healthcare into sharp relief globally. In medicine, ageism translates into myriad forms of age discrimination that impact the provision of ethical care and range from ‘micro’ individual issues like paternalistic medicine or therapeutic nihilism to ‘macro’ system issues including barriers to timely and effective healthcare or exclusion from research trials. The culture of ageism in medicine can be unintentionally transmitted through role-modelling and the hidden curriculum. Strategies to combat ageism and provide ethical healthcare include intergenerational learning, educational programs, and strong leadership from organizations to enact policy and practice changes.

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Pre-Clerkship Observerships to Increase Early Exposure to Geriatric Medicine

Cited by 7 publications

References 17 publications

Effect of a surgical observership on the perceptions and career choices of preclinical medical students: a mixed-methods study

Effect of a surgical observership on the perceptions and career choices of preclinical medical students: a mixed-methods study

Integrating an Interprofessional Geriatric Active Learning Workshop Into Undergraduate Medical Curriculum

We can do better: Addressing ageism against older adults in healthcare

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