Undergraduate Medical Students’ Clinical Supervision at The Primary Health Care Services: A Cross-Sectional Survey Among General Practitioners in Morocco

Abstract

Clinical supervision is crucial for medical students. The general practitioners do not receive any clinical supervision training in Morocco. We aim to describe the general practitioners pedagogical practices, motivations, barriers and needs at the primary health care services. This is a cross-sectional study among general practitioners in Morocco using a volunteer sampling. Data were collected using an online survey, which has included demographics, pedagogical practices, motivations, barriers and needs of the general practitioners. In addition to descriptive statistics, a bivariate analysis was performed using SPSS to identify the associated factors to interest in clinical supervision. The degree of significance is fixed at 5%. 223 general practitioners have participated. The mean age was 43.0 ± 12.8 years with a sex-ratio female/male of 1.52. More than a half of the general practitioners (56.5%) had been working in the public sector. A majority of general practitioners were interested by clinical supervision (82%). The associated factors with the interest in clinical supervision were the exercise in team (p = 0.02) and low job seniority (p = 0.03), general practitioners motivations and needs. Observation (82.4%), direct supervision (82.6%) and explicative discussion around a case (94.6%) were the main pedagogical practices. The principles barriers for the general practitioners were the lack or absence of training on clinical supervision (75.3%) and, understanding of rotations objectives (67.3%). The general practitioners in Morocco were interested in clinical supervision. The majority of general practitioners were interested in CS (82%). The general practitioners motivations and needs have to be reinforced in order to enhance their interest.