Teaching Physical Diagnosis in the Nursing Home: A Prospective, Controlled Trial

Mayo-Smith, Mph Michael F.; Gordon, Victor; Gillie, Edward; Brett, Allan S.

doi:10.1111/j.1532-5415.1991.tb02873.x

Cited by 10 publications

(7 citation statements)

References 17 publications

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“…These findings support earlier reports stating that nursing homes and hospitals are equally suited for medical students' learning (Grady & Earll 1990;Wiener & Shamaskin 1990;Mayo-Smith et al 1991;Nair & Finucane 2003;White 2008). Interestingly though, students who were allocated to the nursing home more frequently mentioned their own relationship with patients, in contrast with students in the hospital, who reported more often about having witnessed a patients' decline or recovery.…”

Section: Discussionsupporting

confidence: 87%

Emotional learning of undergraduate medical students in an early nursing attachment in a hospital or nursing home

et al. 2011

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Background: Entering medicine for the first time is highly impressive for students, but we know little about the actual emotional learning processes taking place. Aims: We aimed to get more insight into expectations, experiences and emotions of students during their first clinical experiences in a hospital compared to a nursing home. Methods: We carried out a qualitative and a quantitative survey by administering questionnaires about expectations, impressive experiences and learning activities within two cohorts of first-year medical students before and after a 4-week nursing attachment. Results: Despite different expectations, students reported similar experiences and learning activities for the nursing home and the hospital. Most impressive events were related to patient care, being a trainee, or professional identities being challenged. Students in nursing homes most often referred to their own relationships with patients. Students expressed different emotions, and frequently experienced positive and negative emotions at the same time. Conclusions: Rewarding experiences (not only difficult or stressful events) do matter for medical professional development. Students need to learn how to deal with and feel strengthened by the emotions evoked during clinical experiences, which should be supported by educators. The nursing home and the hospital seem to be equally suited as learning environments.

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Section: Discussionsupporting

confidence: 87%

Emotional learning of undergraduate medical students in an early nursing attachment in a hospital or nursing home

et al. 2011

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“…[1][2][3] As early as the 1990s, several authors advocated, both in this and another leading medical journal, employing the nursing home as a site for teaching the medical interview and physical diagnosis 4,5 ; however, more than two decades later, a former editor of this journal must still wonder why students and residents do not learn and work in nursing homes throughout the United States. 3 In general, medical schools and residency programs are placing increasing emphasis on geriatrics training.…”

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confidence: 99%

The Nursing Home as a Learning Environment

2014

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To the authors' knowledge, this study is one of the first to identify characteristics of the nursing home as a learning environment. The main challenge in the nursing home is dealing with less, which, according to the residents in the present study, often leads to learning more. To ensure that learning really happens, the authors call for high-quality supervision to support learners in the nursing home environment.

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“…Zum anderen wurden vielf ä ltige Lehrkonzepte entwickelt, die Kontakte zwischen Studierenden und Senioren f ö rdern, wie Wahl-bzw. Pfl ichtveranstaltungen in der ambulanten und station ä ren Betreuung von geriatrischen Patienten [8] , Hausbesuche bei Senioren [9] und Unterrichtsveranstaltungen in Seniorenwohnheimen [10,11] . W ä hrend sich letztere eher als ung ü nstig herausstellten, erwiesen sich longitudinal ausgerichtete Lehrkonzepte, bei denen Studierende f ü r die Gesamtdauer ihres Medizinstudiums jeweils einen gesunden Ä lteren begleiten, als besonders g ü nstig (sog.…”

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Welche Vorstellungen haben Studierende der Medizin über das Leben von Senioren in Deutschland?

Weltermann¹,

Романова²,

Gesenhues³

2008

Z Allg Med

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& Background: With the aging of Western societies there is an increasing necessity to teach geriatrics to medical students. To better understand what students know about the elderly, we performed a questionnaire survey addressing three important aspects of seniors ' life in current Germany, based on demographic data. Methods: At the beginning of a geriatrics lecture for third-year medical students, each student received a questionnaire. Using an ordinal scale (1 -5 -25 -50 -75 % ), participants were asked to estimate the percentage of elderly in a nursing home (correct: 5 % ), percentage of elderly women living alone at home (correct: 75 % ), percentage of seniors with weekly contact to their children (correct: 75 % ). Biographic data were obtained: age, gender, living grandparents or greatgrandparents, personally knowing at least one elderly person. SPSS 14.0 was used for analysis (p < 0.05). Results: Participation rate was 50 % (55 of 110). Students ' average age was 28 years, 68 % were female. Eighty percent knew a person above age 80 and 73 % had at least one living grandparent. No participant had three correct estimates; 13 % had two and 35 % one correct answer. 42 % correctly knew the percentage elderly in a nursing home. Yet, only 13 % realized that the majority of women above eighty lives at home independently. Also, contact between generations was severely underestimated: only 6 % knew the correct answer. None of the biographic variables had any signifi cant infl uence. Conclusion:Students ' estimates about the elderly differed markedly from actual living conditions of senior citizens in a modern society. It seems prudent to include data about seniors ' everyday life when teaching geriatrics to medical students.

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Teaching Physical Diagnosis in the Nursing Home: A Prospective, Controlled Trial

Cited by 10 publications

References 17 publications

Emotional learning of undergraduate medical students in an early nursing attachment in a hospital or nursing home

Emotional learning of undergraduate medical students in an early nursing attachment in a hospital or nursing home

The Nursing Home as a Learning Environment

Welche Vorstellungen haben Studierende der Medizin über das Leben von Senioren in Deutschland?

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