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Clerkship in primary care: a cross-sectional study about expectations and experiences of undergraduates in medicine

Introduction: With the amendment of the medical licensure act (Approbationsordnung) in 2012, a four-week clerkship in primary care (FHV) became mandatory. We investigated the expectations with which students begin the FHV, which criteria are relevant in selecting the location for the FHV, and the ex...

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Autores principales: Fuchs, Stephan, Klement, Andreas, Lichte, Thomas, Abendroth, Jens
Formato: Online Artículo Texto
Lenguaje:English
Publicado: German Medical Science GMS Publishing House 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4259063/
https://www.ncbi.nlm.nih.gov/pubmed/25489344
http://dx.doi.org/10.3205/zma000936
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author Fuchs, Stephan
Klement, Andreas
Lichte, Thomas
Abendroth, Jens
author_facet Fuchs, Stephan
Klement, Andreas
Lichte, Thomas
Abendroth, Jens
author_sort Fuchs, Stephan
collection PubMed
description Introduction: With the amendment of the medical licensure act (Approbationsordnung) in 2012, a four-week clerkship in primary care (FHV) became mandatory. We investigated the expectations with which students begin the FHV, which criteria are relevant in selecting the location for the FHV, and the experiences the students had during the FHV. Method: In a cross-sectional study, all third-year students at both medical schools in Saxony-Anhalt were surveyed in 2013 about their expectations and experiences regarding the FHV. This is the last cohort for which the FHV is optional. Questions were asked about 29 items addressing six topics (personal information, selection of FHV location, selection of FHV medical practice, expectations, experiences, and specialty selection). Results: Out of a student body of 446, responses were received from N=424 (response rate 95.1%; of which 61.8% female). Of these students, 71 (16.7%) had completed the FHV and 70 (16.5%) were planning to; another 267 students (63%) had not (yet) planned to participate in an FHV. Where a student’s parents lived, personal recommendations of a particular medical practice and the attractiveness of the region were the most important criteria for selecting the clerkship site. After completing the FHV, the learning objectives reflected themselves in the experiences of the students in a similar order and significance as in the expectations of students who planned or had not (as of yet) planned to complete the FHV. A relevant influence of the FHV confirming the choice to specialize in general practice or outpatient care was not indicated by those who had completed the FHV. Conclusion: After location and practice, the FHV is selected according to personal criteria and in connection with prioritized learning objectives. From the students’ perspective, the most frequently named learning objectives are also identified as acquired experience after completing the FHV. However, the FHV does not have a reinforcing effect on the selection of general practice as a specialty.
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spelling pubmed-42590632014-12-08 Clerkship in primary care: a cross-sectional study about expectations and experiences of undergraduates in medicine Fuchs, Stephan Klement, Andreas Lichte, Thomas Abendroth, Jens GMS Z Med Ausbild Article Introduction: With the amendment of the medical licensure act (Approbationsordnung) in 2012, a four-week clerkship in primary care (FHV) became mandatory. We investigated the expectations with which students begin the FHV, which criteria are relevant in selecting the location for the FHV, and the experiences the students had during the FHV. Method: In a cross-sectional study, all third-year students at both medical schools in Saxony-Anhalt were surveyed in 2013 about their expectations and experiences regarding the FHV. This is the last cohort for which the FHV is optional. Questions were asked about 29 items addressing six topics (personal information, selection of FHV location, selection of FHV medical practice, expectations, experiences, and specialty selection). Results: Out of a student body of 446, responses were received from N=424 (response rate 95.1%; of which 61.8% female). Of these students, 71 (16.7%) had completed the FHV and 70 (16.5%) were planning to; another 267 students (63%) had not (yet) planned to participate in an FHV. Where a student’s parents lived, personal recommendations of a particular medical practice and the attractiveness of the region were the most important criteria for selecting the clerkship site. After completing the FHV, the learning objectives reflected themselves in the experiences of the students in a similar order and significance as in the expectations of students who planned or had not (as of yet) planned to complete the FHV. A relevant influence of the FHV confirming the choice to specialize in general practice or outpatient care was not indicated by those who had completed the FHV. Conclusion: After location and practice, the FHV is selected according to personal criteria and in connection with prioritized learning objectives. From the students’ perspective, the most frequently named learning objectives are also identified as acquired experience after completing the FHV. However, the FHV does not have a reinforcing effect on the selection of general practice as a specialty. German Medical Science GMS Publishing House 2014-11-17 /pmc/articles/PMC4259063/ /pubmed/25489344 http://dx.doi.org/10.3205/zma000936 Text en Copyright © 2014 Fuchs et al. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/). You are free to copy, distribute and transmit the work, provided the original author and source are credited.
spellingShingle Article
Fuchs, Stephan
Klement, Andreas
Lichte, Thomas
Abendroth, Jens
Clerkship in primary care: a cross-sectional study about expectations and experiences of undergraduates in medicine
title Clerkship in primary care: a cross-sectional study about expectations and experiences of undergraduates in medicine
title_full Clerkship in primary care: a cross-sectional study about expectations and experiences of undergraduates in medicine
title_fullStr Clerkship in primary care: a cross-sectional study about expectations and experiences of undergraduates in medicine
title_full_unstemmed Clerkship in primary care: a cross-sectional study about expectations and experiences of undergraduates in medicine
title_short Clerkship in primary care: a cross-sectional study about expectations and experiences of undergraduates in medicine
title_sort clerkship in primary care: a cross-sectional study about expectations and experiences of undergraduates in medicine
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4259063/
https://www.ncbi.nlm.nih.gov/pubmed/25489344
http://dx.doi.org/10.3205/zma000936
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