MANDY HAMPSHIRE MANDY.HAMPSHIRE@NOTTINGHAM.AC.UK
Director of Bmbs Admissions
A BEME systematic review of UK undergraduate medical education in the general practice setting: BEME Guide No. 32
Hampshire, Mandy; Park, Sophie; Khan, Nada F.; KNOX, RICHARD; Malpass, Alice; Thomas, James; Anagnostelis, Betsy; Newman, Mark; Bower, Peter; Rosenthal, Joe; Murray, Elizabeth; Iliffe, Steve; Heneghan, Carl; Band, Amanda; Georgieva, Zoya
Authors
Sophie Park
Nada F. Khan
RICHARD KNOX
Alice Malpass
James Thomas
Betsy Anagnostelis
Mark Newman
Peter Bower
Joe Rosenthal
Elizabeth Murray
Steve Iliffe
Carl Heneghan
Amanda Band
Zoya Georgieva
Abstract
Background: General practice is increasingly used as a learning environment in undergraduate medical education in the UK.
Aim: The aim of this project was to identify, summarise and synthesise research about undergraduate medical education in general practice in the UK.
Methods: We systematically identified studies of undergraduate medical education within a general practice setting in the UK from 1990 onwards. All papers were summarised in a descriptive report and categorised into two in-depth syntheses: a quantitative and a qualitative in-depth review.
Results: 169 papers were identified, representing research from 26 UK medical schools. The in-depth review of quantitative papers (n = 7) showed that medical students learned clinical skills as well or better in general practice settings. Students receive more teaching, and clerk and examine more patients in the general practice setting than in hospital. Patient satisfaction and enablement are similar whether a student is present or not in a consultation, however, patients experience lower relational empathy. Two main thematic groups emerged from the qualitative in-depth review (n = 10): the interpersonal interactions within the teaching consultation and the socio-cultural spaces of learning which shape these interactions. The GP has a role as a broker of the interactions between patients and students. General practice is a socio-cultural and developmental learning space for students, who need to negotiate the competing cultures between hospital and general practice. Lastly, patients are transient members of the learning community, and their role requires careful facilitation.
Conclusions: General practice is as good, if not better, than hospital delivery of teaching of clinical skills. Our meta-ethnography has produced rich understandings of the complex relationships shaping possibilities for student and patient active participation in learning.
Citation
Hampshire, M., Park, S., Khan, N. F., KNOX, R., Malpass, A., Thomas, J., …Georgieva, Z. (2015). A BEME systematic review of UK undergraduate medical education in the general practice setting: BEME Guide No. 32. Medical Teacher, 37(7), 611-630. https://doi.org/10.3109/0142159X.2015.1032918
Journal Article Type | Article |
---|---|
Acceptance Date | May 1, 2015 |
Online Publication Date | May 6, 2015 |
Publication Date | May 7, 2015 |
Deposit Date | Aug 2, 2018 |
Print ISSN | 1466-187x |
Electronic ISSN | 1466-187X |
Publisher | Taylor and Francis |
Peer Reviewed | Peer Reviewed |
Volume | 37 |
Issue | 7 |
Pages | 611-630 |
DOI | https://doi.org/10.3109/0142159X.2015.1032918 |
Public URL | http://dx.doi.org/10.3109/0142159X.2015.1032918 |
Publisher URL | https://www.tandfonline.com/doi/full/10.3109/0142159X.2015.1032918 |
Downloadable Citations
About Repository@Nottingham
Administrator e-mail: discovery-access-systems@nottingham.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search