Early clinical exposure improves medical students' recognition of the need for professionalism and interprofessional collaboration

被引:8
作者
Chang, Ching-Chih [1 ,2 ,3 ]
Huang, Hui-Chun [1 ,2 ,3 ]
Lee, Wen-Shin [3 ,4 ]
Chuang, Chiao-Lin [1 ,3 ]
Huang, Ling-Ju [1 ,3 ]
Lu, Dai-Yin [3 ]
Yang, Ying-Ying [1 ,2 ,3 ,5 ]
Hsu, Hui-Chi [3 ,6 ]
机构
[1] Taipei Vet Gen Hosp, Dept Med, Div Gen Med, Taipei, Taiwan
[2] Taipei Vet Gen Hosp, Dept Med Gastroenterol & Hepatol, Taipei, Taiwan
[3] Natl Yang Ming Chiao Tung Univ, Fac Med, Taipei, Taiwan
[4] Taipei Med Univ, Shuang Ho Hosp, New Taipei, Taiwan
[5] Taipei Vet Gen Hosp, Dept Med Educ, Taipei, Taiwan
[6] Cheng Hsin Gen Hosp, Taipei, Taiwan
关键词
Communication; Medical professionalism; Physician-patient relations; EDUCATION; ATTITUDES; PATIENT; EMPATHY;
D O I
10.1097/JCMA.0000000000000575
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Medical students in Taiwan start their clerkship in their fifth year. A lack of early clinical exposure can mean they have a lack of medical professionalism and collaborative practice. This study investigates whether early engagement in hospital-based clinical practice could improve their understanding of these requirements. Methods: From 2017 to 2019, a total of 59 medical students at the end of their third year joined a 2-week summer camp at the hospital. Every participant was assigned to work with one patient and they accompanied this patient throughout their hospital course. The students were also asked to interview other medical professionals within the hospital and to write up interview reports. In addition, they had to complete pre- and postcamp questionnaires which included 10 questions to evaluate their recognition of professionalism, doctor-patient relationships, and interprofessional collaboration. Answers to the questions were all rated using a 5-score Likert scale. Results: The total postcamp Likert scores were significantly increased after the 2-week training camp compared with the precourse scores (pre- vs postcourse: 44.08 +/- 0.45 vs 46.66 +/- 0.33, p < 0.001). In addition, the students' recognition of medical professionalism, the importance of communication with patients, and their respect for other medical professionals were significantly improved after the 2-week training. Conclusion: Our data showed that early clinical exposure through a preclerkship summer camp can help medical students improve their recognition of medical professionalism and interprofessional collaboration.
引用
收藏
页码:778 / 782
页数:5
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