March 3, 2010 at 1:20 am (articles, research and publications)
1D. Widyandana, 2G.D. Majoor, 2A.J.J.A. Scherpbier
1 Dept. Medical Education & Skills Lab, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia
2Institute for Education, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
Keywords:
Comparison, clinical environment, cases, facility, clinical supervisor, medical students
Introduction
Current studies show the importance of early clinical experiences for undergraduate medical students. It improves motivation for learning and prepares them entering clinical rotations. Skills laboratory needs to collaborate with clinical settings to give skills training program for students before entering clerkship.
Objective
To compare three clinical settings (primary health care (PHC), secondary health care (SHC) and tertiary health care (THC)) environment for undergraduate skills training program .
Method
Questionnaires were send to 272 clerkship students in Faculty of Medicine Gadjah Mada University, Indonesia. The students were practicing in three different clinical settings. This survey using modified DREEM questionnaire that already has been validated, and followed by semi structured interview to the clinical supervisors from those settings (n:45).
Result
In general, clerkship students shows that primary health care environment have highest score compare with SHC and THC settings (p<0.05). The clinical supervisors from the hospital settings (SHC and THC) indicate that they are willing to teach, but having difficulties on managing time to supervise students. Beside of that, teaching hospital (THC) is already overloaded with residents, clerkship and other students. This situation is different in PHC, students are welcome, teachers more concern about education, and they have enough time to supervise students. Moreover, facilities and variety of cases in those settings proved to be sufficient for teaching basic knowledge and clinical skills for undergraduate student’s level.
Conclusion
Primary health care settings are feasible as a partner of skills laboratory for undergraduate skills training program. It can provide enough supervision, facilities and availability of cases that suitable for student’s level of competency.
Awarded as BEST ORAL PRESENTATION
in APMEC Conference 2010, NUS, Singapore
will be Published in Medical Education Suplement 2011
Further information, contact widyandana@yahoo.com
About the author