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Impact of family medicine clerkships in undergraduate medical education: a systematic review

OBJECTIVE: Synthesise evidence about the impact of family medicine/general practice (FM) clerkships on undergraduate medical students, teaching general/family practitioners (FPs) and/or their patients. DATA SOURCES: Medline, ERIC, PsycINFO, EMBASE and Web of Knowledge searched from 21 November to 17...

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Autores principales: Turkeshi, Eralda, Michels, Nele R, Hendrickx, Kristin, Remmen, Roy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4538263/
https://www.ncbi.nlm.nih.gov/pubmed/26243553
http://dx.doi.org/10.1136/bmjopen-2015-008265
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author Turkeshi, Eralda
Michels, Nele R
Hendrickx, Kristin
Remmen, Roy
author_facet Turkeshi, Eralda
Michels, Nele R
Hendrickx, Kristin
Remmen, Roy
author_sort Turkeshi, Eralda
collection PubMed
description OBJECTIVE: Synthesise evidence about the impact of family medicine/general practice (FM) clerkships on undergraduate medical students, teaching general/family practitioners (FPs) and/or their patients. DATA SOURCES: Medline, ERIC, PsycINFO, EMBASE and Web of Knowledge searched from 21 November to 17 December 2013. Primary, empirical, quantitative or qualitative studies, since 1990, with abstracts included. No country restrictions. Full text languages: English, French, Spanish, German, Dutch or Italian. REVIEW METHODS: Independent selection and data extraction by two authors using predefined data extraction fields, including Kirkpatrick’s levels for educational intervention outcomes, study quality indicators and Best Evidence Medical Education (BEME) strength of findings’ grades. Descriptive narrative synthesis applied. RESULTS: Sixty-four included articles: impact on students (48), teaching FPs (12) and patients (8). Sample sizes: 16-1095 students, 3-146 FPs and 94-2550 patients. Twenty-six studies evaluated at Kirkpatrick level 1, 26 at level 2 and 6 at level 3. Only one study achieved BEME’s grade 5. The majority was assessed as grade 4 (27) and 3 (33). Students reported satisfaction with content and process of teaching as well as learning in FM clerkships. They enhanced previous learning, and provided unique learning on dealing with common acute and chronic conditions, health maintenance, disease prevention, communication and problem-solving skills. Students’ attitudes towards FM were improved, but new or enhanced interest in FM careers did not persist without change after graduation. Teaching FPs reported increased job satisfaction and stimulation for professional development, but also increased workload and less productivity, depending on the setting. Overall, student’s presence and participation did not have a negative impact on patients. CONCLUSIONS: Research quality on the impact of FM clerkships is still limited, yet across different settings and countries, positive impact is reported on students, FPs and patients. Future studies should involve different stakeholders, medical schools and countries, and use standardised and validated evaluation tools.
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spelling pubmed-45382632015-08-21 Impact of family medicine clerkships in undergraduate medical education: a systematic review Turkeshi, Eralda Michels, Nele R Hendrickx, Kristin Remmen, Roy BMJ Open General practice / Family practice OBJECTIVE: Synthesise evidence about the impact of family medicine/general practice (FM) clerkships on undergraduate medical students, teaching general/family practitioners (FPs) and/or their patients. DATA SOURCES: Medline, ERIC, PsycINFO, EMBASE and Web of Knowledge searched from 21 November to 17 December 2013. Primary, empirical, quantitative or qualitative studies, since 1990, with abstracts included. No country restrictions. Full text languages: English, French, Spanish, German, Dutch or Italian. REVIEW METHODS: Independent selection and data extraction by two authors using predefined data extraction fields, including Kirkpatrick’s levels for educational intervention outcomes, study quality indicators and Best Evidence Medical Education (BEME) strength of findings’ grades. Descriptive narrative synthesis applied. RESULTS: Sixty-four included articles: impact on students (48), teaching FPs (12) and patients (8). Sample sizes: 16-1095 students, 3-146 FPs and 94-2550 patients. Twenty-six studies evaluated at Kirkpatrick level 1, 26 at level 2 and 6 at level 3. Only one study achieved BEME’s grade 5. The majority was assessed as grade 4 (27) and 3 (33). Students reported satisfaction with content and process of teaching as well as learning in FM clerkships. They enhanced previous learning, and provided unique learning on dealing with common acute and chronic conditions, health maintenance, disease prevention, communication and problem-solving skills. Students’ attitudes towards FM were improved, but new or enhanced interest in FM careers did not persist without change after graduation. Teaching FPs reported increased job satisfaction and stimulation for professional development, but also increased workload and less productivity, depending on the setting. Overall, student’s presence and participation did not have a negative impact on patients. CONCLUSIONS: Research quality on the impact of FM clerkships is still limited, yet across different settings and countries, positive impact is reported on students, FPs and patients. Future studies should involve different stakeholders, medical schools and countries, and use standardised and validated evaluation tools. BMJ Publishing Group 2015-08-04 /pmc/articles/PMC4538263/ /pubmed/26243553 http://dx.doi.org/10.1136/bmjopen-2015-008265 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle General practice / Family practice
Turkeshi, Eralda
Michels, Nele R
Hendrickx, Kristin
Remmen, Roy
Impact of family medicine clerkships in undergraduate medical education: a systematic review
title Impact of family medicine clerkships in undergraduate medical education: a systematic review
title_full Impact of family medicine clerkships in undergraduate medical education: a systematic review
title_fullStr Impact of family medicine clerkships in undergraduate medical education: a systematic review
title_full_unstemmed Impact of family medicine clerkships in undergraduate medical education: a systematic review
title_short Impact of family medicine clerkships in undergraduate medical education: a systematic review
title_sort impact of family medicine clerkships in undergraduate medical education: a systematic review
topic General practice / Family practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4538263/
https://www.ncbi.nlm.nih.gov/pubmed/26243553
http://dx.doi.org/10.1136/bmjopen-2015-008265
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