Assessing students’ perceptions of the effects of a new Canadian longitudinal pre-clerkship family medicine experience

Willoughby, Karen A.; Rodríguez, Charo; Boillat, Miriam; Dove, Marion; Nugus, Peter; Steinert, Yvonne; Lalla, Leonora

doi:10.1080/14739879.2016.1172033

Cited by 8 publications

(9 citation statements)

References 17 publications

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“…Indeed, this was the finding in a study conducted in Vietnam where attitudes regarding FM were shown to be more positive in the group that participated in a 2‐week FM rotation compared to its control 57 . Regardless of eventual specialty interest, early placements may help improve attitudes and perspectives of FM in medical school 33,58‐64 …”

Section: Discussionmentioning

confidence: 81%

“…Schools also discussed changes in admission policies to accept learners with generalist attributes, and the need to advocate for government funding to support distributed and community‐based learning 32 . Curriculum development should be accompanied by evidence‐based self‐assessment, using scales such as the Longitudinal Family Medicine Experience survey 33 . Beyond simply promoting a career in FM, these placements are likely to also teach important knowledge about primary medical care, and help students understand how PC fits within medicine as a whole.…”

Section: Discussionmentioning

confidence: 99%

“…32 Curriculum development should be accompanied by evidence-based self-assessment, using scales such as the Longitudinal Family Medicine Experience survey. 33 Beyond simply promoting a career in FM, these placements are likely to also teach important knowledge about primary medical care, and help students understand how PC fits within medicine as a whole.…”

Section: Discussionmentioning

confidence: 99%

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Early generalist placements are associated with family medicine career choice: A systematic review and meta‐analysis

et al. 2021

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Introduction Many developed countries have reported shortages of Primary Care (PC) physicians. The lack of a regular primary physician is associated with inferior health outcomes. One strategy to address this shortage is to increase the proportion of medical students selecting a Family Medicine (FM) or PC career. The purpose of this systematic review is to identify whether pre‐clerkship general practice placements increase students’ interest in, and selection of FM or PC residencies. Methods Three databases (PubMed, Embase, Web of Science) searched for interventional studies of pre‐clerkship generalist placements in medical school. Pooled statistical analysis and meta‐analysis were performed, along with narrative summaries when possible. Intervention participants (IP) were compared to controls matched (MC) for baseline interest in FM and an unmatched sample (UC) of contemporary students. Findings A 11 studies were identified including a total of 5430 students (2428 intervention participants and 3002 controls). IPs were more likely to match to FM than both MC (Risk Ratio: 1.62 [95% CI: 1.03‐2.55]) and UC (RR: 2.04 [1.46‐2.86]). Participation in long interventions (4‐11 weeks) matched to FM at higher rates than short (25‐40 hours) interventions (RR: 3.15 [2.28‐4.35]). The percentage of students with FM/PC as their top specialty of interest increased after the placements (mean difference: +12.8%, n = 586). Conclusions Medical students who participated in pre‐clerkship general practice placements were more likely to match to a FM residency. Longer pre‐clerkship placements had a stronger association with FM specialty choice. The implementation of longitudinal block generalist placements in the pre‐clerkship years is one strategy for increasing interest in generalist careers. Level of evidence IV, systematic review of level III and IV studies.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Early generalist placements are associated with family medicine career choice: A systematic review and meta‐analysis

et al. 2021

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“…A variety of educational tools, used for person-centered care in GP/FM for both undergraduate students and primary care staff, is described. Willoughby et al refer to a Longitudinal Family Medicine Experience for first-year medical students ( 31 ). Paired to a GP/FD, students encounter patients in the real GP/FM clinical context, writing patient logs, and a reflective essay.…”

Section: Resultsmentioning

confidence: 99%

“…However, in most of the studies retained, personcentered care as a learning objective is usually mentioned together with other topics such as shared decision making, comprehensive approach, empowerment, compassionate care, etc. (25)(26)(27)(28)(29)(30)(31). Moreover, person-centered care and these other topics are often seen as indirect objectives to be taught when organizing training programs around themes as dementia, multimorbidity, or clinical care of refugees (22)(23)(24).…”

Section: Person-centered Carementioning

confidence: 99%

Teaching and Learning Core Values in General Practice/Family Medicine: A Narrative Review

et al. 2021

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General Practice/Family Medicine (GP/FM) is a key discipline within primary health care and so by extension for the whole health care system. An essential condition for effective GP/FM care is a work force that is highly qualified. As society is changing rapidly, a revision of the GP/FM definition is ongoing, in addition to a recent movement of identifying related core values. In this paper, we want to give an overview on how these new paths and perspectives are currently reflected in GP/FM teaching and training. We selected four core values that fit in with possible future visions: person-centered care, continuity of care, cooperation in care, and community-oriented care. By a narrative review, we observed that GP/FM education toward core values is often built around overarching topics. Teaching and learning take place in specific contexts, most of all through placements within communities, primary care settings, or hospital wards. Mixed teaching- and training methods are used combining knowledge, skills, and attitude. Furthermore, collaboration with other health professionals and peers is stressed, in addition to the importance of role models, a holistic focus and the involvement of patients. Since these core values are important within GP/FM and rather few studies on the educational aspects and learning tools were found we advocate encouraging each other more to share good practices, certainly the innovative ones specifically related to GP/FM.

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Community Preceptors’ Motivations and Views about Their Relationships with Medical Students During a Longitudinal Family Medicine Experience: A Qualitative Case Study

Rodríguez

Bélanger

Nugus

et al. 2018

Teaching and Learning in Medicine

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Assessing students’ perceptions of the effects of a new Canadian longitudinal pre-clerkship family medicine experience

Cited by 8 publications

References 17 publications

Early generalist placements are associated with family medicine career choice: A systematic review and meta‐analysis

Early generalist placements are associated with family medicine career choice: A systematic review and meta‐analysis

Teaching and Learning Core Values in General Practice/Family Medicine: A Narrative Review

Community Preceptors’ Motivations and Views about Their Relationships with Medical Students During a Longitudinal Family Medicine Experience: A Qualitative Case Study

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