Primary care placements in the post-COVID era: A qualitative evaluation of a final year undergraduate clerkship

Darnton, Richard; Khan, Maaz; Tan, Xiu Sheng; Jenkins, Mark

doi:10.1080/0142159x.2021.1990239

Cited by 7 publications

(6 citation statements)

References 24 publications

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“…Recent studies have elicited the perspective of primary care-based educators and medical students in relation to remote consulting. 3,4 They have also established the feasibility of medical students undertaking consultations from their own homes. 4 These studies suggest video consultations may confer a number of practical benefits for clinical education.…”

Section: Practical Benefits For Clinical Educationmentioning

confidence: 99%

“…"Video consultations could ... offer access to educationally valuable cultural contexts/patients, unlock extra teaching capacity, and contribute to environmentally sustainable medical education." consultations find the educational value and enjoyment of the experience to vary hugely depending on the degree to which they experience clinical responsibility/autonomy 3 and consult with acutely presenting patients. 4 So, if student video consultations involved masses of students passively observing a live video consultation, it would be no more authentic than joining a 19th century audience at the operating theatre.…”

Section: Video Consultationsmentioning

confidence: 99%

“…In medical student teaching, 'video first' surgeries for medical student teaching could be encouraged. 3 Clinical supervisors could be provided with effective tools, guidance, and techniques for embedding video consulting into the learning process. IT infrastructure that explicitly supports offsite medical student video surgeries might help overcome perceived barriers, as could educator development that focuses on 'immunity to change' 12 mindsets.…”

Section: How Might We Promote and Embed These Changes?mentioning

confidence: 99%

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Video consultations: a potential gamechanger in clinical education

2022

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Section: Practical Benefits For Clinical Educationmentioning

confidence: 99%

Section: Video Consultationsmentioning

confidence: 99%

Section: How Might We Promote and Embed These Changes?mentioning

confidence: 99%

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Video consultations: a potential gamechanger in clinical education

2022

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“…Furthermore, these studies took place prior to the COVID-19 pandemic (i.e. pre-2020), and since then the delivery of UK primary care (and the teaching provided in this environment 5 ) has changed significantly. For example, there has been a sustained increase in the use of remote consulting 6 , primary care is facing unprecedented workload pressures 7 , primary care networks (created in 2019) have matured 8 and GP trainee numbers have increased by 25% since 2019 9 .…”

Section: Introductionmentioning

confidence: 99%

“…While studies have identified a range of facilitators and barriers to general practice teaching, 4 they do not provide evidence on the scale or prevalence of the different challenges to primary care placement capacity. Furthermore, these studies took place before the COVID-19 pandemic (that is, pre-2020), and since then the delivery of UK primary care (and the teaching provided in this environment 5 ) has changed significantly. For example, there has been a sustained increase in the use of remote consulting, 6 primary care is facing unprecedented workload pressures, 7 PCNs (created in 2019) have matured, 8 and GP trainee numbers have increased by 25% since 2019.…”

Section: Introductionmentioning

confidence: 99%

The nature and prevalence of threats to medical student placement capacity in primary care: a survey of East of England GP practices

2022

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BackgroundGP practices deliver vital medical student teaching in the face of increasingly challenging circumstancesAimTo understand the nature and scale of threats to medical student teaching capacity in primary careDesign & settingAn electronic survey of a pre-defined population of 120 East of England GP practices who host medical student placements.MethodThe survey was completed on behalf of the practice by the GP lead for medical student teaching. They were asked to pick (from a list of sixteen) the four main challenges they faced delivering medical student teaching placements, then explain their selection and suggest solutions. Thematic analysis of free text responses was undertaken from an activity theory perspective.ResultsResponses were received from 114 of the 120 practices in the study population (95% response rate). After clinical/practice workload (picked by 92 practices), lack of space in the practice was by far the most commonly selected challenge to delivering placements (picked by 63 practices). Thematic analysis produced a model whereby a practice’s decision to continue hosting students was influenced by level of motivation and burden of teaching, but only if a certain level of resource enablement is present. Analysis of free text responses suggested that space pressures were perceived as being exacerbated by the need to accommodate more clinicians – especially advanced practitioners employed by primary care networks under the additional roles reimbursement scheme (ARRS).ConclusionThis study provides much needed quantitative evidence to support the view that lack of space in GP premises is a major threat to the future of undergraduate general practice.

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