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Undergraduate medical teaching with remote consultations in general practice: a realist evaluation
BACKGROUND: Supervisors historically educated students in primary care in face-to-face contexts; as a result of COVID-19, students now experience patient consultations predominantly remotely. There is a paucity of evidence regarding the facilitators and barriers to supervising students for excellent...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Royal College of General Practitioners
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9680759/ https://www.ncbi.nlm.nih.gov/pubmed/35210228 http://dx.doi.org/10.3399/BJGPO.2021.0185 |
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author | Al-bedaery, Roaa Chaudhry, Umar Ahmed Riaz Jones, Melvyn Noble, Lorraine Ibison, Judith |
author_facet | Al-bedaery, Roaa Chaudhry, Umar Ahmed Riaz Jones, Melvyn Noble, Lorraine Ibison, Judith |
author_sort | Al-bedaery, Roaa |
collection | PubMed |
description | BACKGROUND: Supervisors historically educated students in primary care in face-to-face contexts; as a result of COVID-19, students now experience patient consultations predominantly remotely. There is a paucity of evidence regarding the facilitators and barriers to supervising students for excellent educational impact in the remote consultation environment. AIM: To understand the facilitators and barriers to educating medical students using remote consultations in primary care, and the consequences for students in terms of educational impact. DESIGN & SETTING: A realist evaluation methodology was adopted to identify causal chains of contexts, mechanisms, and outcomes, describing how the teaching and learning functioned on a sample of medical students and GP tutors from two medical schools in London, UK. METHOD: An initial programme theory was developed from the literature and a scoping exercise informed the data collection tools. Qualitative data were collected through online questionnaires (49 students, 19 tutors) and/or a semi-structured interview (eight students, two tutors). The data were coded to generate context–mechanisms–outcome configurations outlining how the teaching and learning operated. RESULTS: The results demonstrated a sequential style of supervision can positively impact student engagement and confidence, and highlighted a need to address student preparation for remote patient examinations. Students found passive observation of remote patient encounters disengaging, and, in addition, reported isolation that impacted negatively on their experiences and perceptions of primary care. CONCLUSION: Student and tutor experiences may improve through considering the supervision style adopted by tutors, and through interventions to reduce student isolation and disengagement when using remote patient consultations in primary care. |
format | Online Article Text |
id | pubmed-9680759 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Royal College of General Practitioners |
record_format | MEDLINE/PubMed |
spelling | pubmed-96807592022-11-23 Undergraduate medical teaching with remote consultations in general practice: a realist evaluation Al-bedaery, Roaa Chaudhry, Umar Ahmed Riaz Jones, Melvyn Noble, Lorraine Ibison, Judith BJGP Open Research BACKGROUND: Supervisors historically educated students in primary care in face-to-face contexts; as a result of COVID-19, students now experience patient consultations predominantly remotely. There is a paucity of evidence regarding the facilitators and barriers to supervising students for excellent educational impact in the remote consultation environment. AIM: To understand the facilitators and barriers to educating medical students using remote consultations in primary care, and the consequences for students in terms of educational impact. DESIGN & SETTING: A realist evaluation methodology was adopted to identify causal chains of contexts, mechanisms, and outcomes, describing how the teaching and learning functioned on a sample of medical students and GP tutors from two medical schools in London, UK. METHOD: An initial programme theory was developed from the literature and a scoping exercise informed the data collection tools. Qualitative data were collected through online questionnaires (49 students, 19 tutors) and/or a semi-structured interview (eight students, two tutors). The data were coded to generate context–mechanisms–outcome configurations outlining how the teaching and learning operated. RESULTS: The results demonstrated a sequential style of supervision can positively impact student engagement and confidence, and highlighted a need to address student preparation for remote patient examinations. Students found passive observation of remote patient encounters disengaging, and, in addition, reported isolation that impacted negatively on their experiences and perceptions of primary care. CONCLUSION: Student and tutor experiences may improve through considering the supervision style adopted by tutors, and through interventions to reduce student isolation and disengagement when using remote patient consultations in primary care. Royal College of General Practitioners 2022-07-13 /pmc/articles/PMC9680759/ /pubmed/35210228 http://dx.doi.org/10.3399/BJGPO.2021.0185 Text en Copyright © 2022, The Authors https://creativecommons.org/licenses/by/4.0/This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Research Al-bedaery, Roaa Chaudhry, Umar Ahmed Riaz Jones, Melvyn Noble, Lorraine Ibison, Judith Undergraduate medical teaching with remote consultations in general practice: a realist evaluation |
title | Undergraduate medical teaching with remote consultations in general practice: a realist evaluation |
title_full | Undergraduate medical teaching with remote consultations in general practice: a realist evaluation |
title_fullStr | Undergraduate medical teaching with remote consultations in general practice: a realist evaluation |
title_full_unstemmed | Undergraduate medical teaching with remote consultations in general practice: a realist evaluation |
title_short | Undergraduate medical teaching with remote consultations in general practice: a realist evaluation |
title_sort | undergraduate medical teaching with remote consultations in general practice: a realist evaluation |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9680759/ https://www.ncbi.nlm.nih.gov/pubmed/35210228 http://dx.doi.org/10.3399/BJGPO.2021.0185 |
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