Is there a role for GPs in teaching neurology to medical students? A qualitative evaluation

Abstract

BackgroundThe purpose of this study was to evaluate whether general practitioners can support medical students in learning basic neurology in the context of a traditional hospital neurology attachment. MethodThis qualitative evaluation used routinely collected data from stakeholders. Data was analysed in the form of student evaluation questionnaires, course documentation and correspondence from faculty staff. ResultsThe addition of GP teaching to the programme increased availability of accessible patients with neurological problems and provided a safe, supportive environment for students to learn their fundamental clinical skills. Students gained valuable insights into the impact of neurological disease from the perspective of patients, their families +and carers. GP teaching of neurology was well regarded by students. Some GP tutors felt they lacked adequate experience to teach more technical aspects of neurology, and some students shared this concern. Concepts of professional boundaries between generalists and specialists were not observed but GP teaching was perceived to be 'other' or outside normal medical school activity. ConclusionsGeneral practitioners can successfully facilitate students' access to patients with neurological disease and employ their generalist approach to enhance neurological learning. Some GPs were initially uncomfortable with teaching skills such as detailed neurological physical examination.

Yonder: Eating disorders, neurology teaching, nursing homes, and foster carers

“…The neurology quote comes from a recent UCL study that shows the success of an intervention to increase the number of GPs involved in teaching what is usually considered to be one of the most technical and specialised disciplines. 2 Nursing homes. In 2012, the Danish Ministry of Social Affairs assigned dedicated GPs to seven separate nursing homes.…”