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Medical Clerkship in a State Registration and Reception Center for Forced Migrants in Germany: Students’ Experiences, Teachable Moments, and Psychological Burden

Aspects of global health are becoming increasingly relevant for doctors of future generations. However, medical curricula rarely include courses which focus on global health or forced migration. Furthermore, it remains unclear whether students are at risk to develop psychological strain, after being...

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Autores principales: Kindermann, David, Schmid, Carolin, Derreza-Greeven, Cassandra, Junne, Florian, Friederich, Hans-Christoph, Nikendei, Christoph
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572228/
https://www.ncbi.nlm.nih.gov/pubmed/31096613
http://dx.doi.org/10.3390/ijerph16101704
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author Kindermann, David
Schmid, Carolin
Derreza-Greeven, Cassandra
Junne, Florian
Friederich, Hans-Christoph
Nikendei, Christoph
author_facet Kindermann, David
Schmid, Carolin
Derreza-Greeven, Cassandra
Junne, Florian
Friederich, Hans-Christoph
Nikendei, Christoph
author_sort Kindermann, David
collection PubMed
description Aspects of global health are becoming increasingly relevant for doctors of future generations. However, medical curricula rarely include courses which focus on global health or forced migration. Furthermore, it remains unclear whether students are at risk to develop psychological strain, after being confronted with highly burdened or even traumatized asylum seekers. This is a prospective study using a mixed-methods approach. We included n = 22 medical students performing a medical clerkship in a state registration and reception center for refugees. By applying (1) qualitative interviews, (2) reflective diaries, and (3) psychometric questionnaires, we examined the students’ experiences, teachable moments, and potential psychological burdens. In the interviews, the students emphasized the importance of cultural sensitivity during their clerkship. However, they also reported cognitive changes concerning their views of themselves and the world in general; this could indicate vicarious traumatization. The reflective diaries displayed high learning achievements. According to the psychometric questionnaires, the assignment in the reception center had not caused any significant psychological strain for the students. By completing their medical clerkship in a reception center, students were able to improve their medical, organizational, and interactional knowledge and skills. Furthermore, they reported that they had broadened their personal and cultural horizons.
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spelling pubmed-65722282019-06-18 Medical Clerkship in a State Registration and Reception Center for Forced Migrants in Germany: Students’ Experiences, Teachable Moments, and Psychological Burden Kindermann, David Schmid, Carolin Derreza-Greeven, Cassandra Junne, Florian Friederich, Hans-Christoph Nikendei, Christoph Int J Environ Res Public Health Article Aspects of global health are becoming increasingly relevant for doctors of future generations. However, medical curricula rarely include courses which focus on global health or forced migration. Furthermore, it remains unclear whether students are at risk to develop psychological strain, after being confronted with highly burdened or even traumatized asylum seekers. This is a prospective study using a mixed-methods approach. We included n = 22 medical students performing a medical clerkship in a state registration and reception center for refugees. By applying (1) qualitative interviews, (2) reflective diaries, and (3) psychometric questionnaires, we examined the students’ experiences, teachable moments, and potential psychological burdens. In the interviews, the students emphasized the importance of cultural sensitivity during their clerkship. However, they also reported cognitive changes concerning their views of themselves and the world in general; this could indicate vicarious traumatization. The reflective diaries displayed high learning achievements. According to the psychometric questionnaires, the assignment in the reception center had not caused any significant psychological strain for the students. By completing their medical clerkship in a reception center, students were able to improve their medical, organizational, and interactional knowledge and skills. Furthermore, they reported that they had broadened their personal and cultural horizons. MDPI 2019-05-15 2019-05 /pmc/articles/PMC6572228/ /pubmed/31096613 http://dx.doi.org/10.3390/ijerph16101704 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kindermann, David
Schmid, Carolin
Derreza-Greeven, Cassandra
Junne, Florian
Friederich, Hans-Christoph
Nikendei, Christoph
Medical Clerkship in a State Registration and Reception Center for Forced Migrants in Germany: Students’ Experiences, Teachable Moments, and Psychological Burden
title Medical Clerkship in a State Registration and Reception Center for Forced Migrants in Germany: Students’ Experiences, Teachable Moments, and Psychological Burden
title_full Medical Clerkship in a State Registration and Reception Center for Forced Migrants in Germany: Students’ Experiences, Teachable Moments, and Psychological Burden
title_fullStr Medical Clerkship in a State Registration and Reception Center for Forced Migrants in Germany: Students’ Experiences, Teachable Moments, and Psychological Burden
title_full_unstemmed Medical Clerkship in a State Registration and Reception Center for Forced Migrants in Germany: Students’ Experiences, Teachable Moments, and Psychological Burden
title_short Medical Clerkship in a State Registration and Reception Center for Forced Migrants in Germany: Students’ Experiences, Teachable Moments, and Psychological Burden
title_sort medical clerkship in a state registration and reception center for forced migrants in germany: students’ experiences, teachable moments, and psychological burden
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572228/
https://www.ncbi.nlm.nih.gov/pubmed/31096613
http://dx.doi.org/10.3390/ijerph16101704
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