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首页> 外文期刊>BMC Medical Education >Students' perceptions about the transition to the clinical phase of a medical curriculum with preclinical patient contacts; a focus group study
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Students' perceptions about the transition to the clinical phase of a medical curriculum with preclinical patient contacts; a focus group study

机译：学生对与临床前患者接触的医学课程过渡到临床阶段的看法;焦点小组研究

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Background Studies have shown that medical students experience the transition between preclinical and clinical training as a stressful period. They are generally frustrated by their inability to apply their knowledge to solve clinical problems in practice. Preclinical patient contacts may offer a solution to this 'shock of practice.' We studied how students who have had preclinical patient contacts perceive the transition from preclinical to clinical training and, more specifically, how they value these early patient contacts as preparation for learning in clinical practice. Methods A purposive sample of 21 students participated in three focus groups which met twice during their first weeks of clinical clerkships. The interviews were recorded and transcribed literally. Qualitative content analysis of the transcriptions was performed. Results According to the students, working in clinical practice was enjoyable, motivated them to study and helped them to develop non-analytical reasoning skills. The students experienced stress due to increased working hours and work load, uncertainty as to what was expected of them and self-perceived lack of knowledge. They did not experience a major gap between the preclinical and clinical phase and felt well prepared for the clerkships. The preclinical patient contacts were considered to be instrumental in this. Conclusions Early patient contacts seem to ameliorate the shock of practice and prepare students for clinical work. The problems mentioned by the students in this study are mainly related to the socialisation process. The results of this study have to be validated by quantitative research.
机译：背景研究表明，医学生经历了临床前和临床培训之间的过渡，这是一个压力期。他们通常因无法在实践中运用知识来解决临床问题而感到沮丧。临床前患者接触可以为这种“实践冲击”提供解决方案。我们研究了具有临床前患者联系的学生如何感知从临床前培训到临床培训的过渡，更具体地说，他们如何看重这些早期患者的联系以作为临床实践学习的准备。方法以目的为样本的21名学生参加了三个焦点小组，他们在临床工作的最初几周里见过两次面。采访记录并按字面抄录。对转录进行定性内容分析。结果学生认为，从事临床实践很愉快，激发了他们学习的兴趣，并帮助他们发展了非分析性的推理能力。由于工作时间和工作量的增加，学生的压力很大，他们对预期的不确定性和自我认识的缺乏。他们在临床前阶段和临床阶段之间没有遇到重大差距，并且为准备工作做好了充分准备。临床前的患者接触被认为是有帮助的。结论早期的患者接触似乎可以减轻实践的冲击，并为学生做好临床工作的准备。学生在本研究中提到的问题主要与社会化过程有关。这项研究的结果必须通过定量研究来验证。

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