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Doctoring Undercover: updating the educational tradition of shadowing

机译：卧底医生：更新阴影的教育传统

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Background: Premedical students are educated in basic biological and health sciences. As a complement to traditional premedical coursework, medical school applicants are encouraged to shadow practitioners, with the hope that observation will introduce students to the culture and practice of healthcare. Yet the shadowing experience varies widely across practitioners and institutions; resources that guide students’ critical reflection and structure the experience are scarce.Development: A pilot experiential learning course, Doctoring Undercover: Shadowing and the Culture of Medicine, was developed to fill this gap. The course consisted of three parts: an introduction to medical culture through the disciplines of medical sociology, history, anthropology, and bioethics; a site placement in which students applied these fields’ analytical techniques to the study of medical culture and practice; and the development of an online activity guide that other premedical students may adapt to their shadowing circumstances.Implementation: Students reported that they were exposed to new disciplinary perspectives and interprofessional environments that they would not traditionally encounter. Students’ contributions to the shadowing guide encouraged active learning and reflection on the dynamics of effective patient-provider relationships and shadowing experiences.Future Directions: Locally, the class may be scaled for a larger group of premedical students and incorporated into a formal pathway program for premedical students; the content will also be integrated into the clinical medicine course for first-year medical students. Online, the guide will be promoted for use by other institutions and by individuals planning extracurricular shadowing experiences; feedback will be solicited. Tools for evaluating the short- and long-term impact of the course and guide will be developed and validated. Observational and experimental studies of the course’s impact should be conducted.Abbreviations: ICM: Introduction to Clinical Medicine; SCE: Selective Clinical Experiences.
机译：背景：预科生接受基础生物学和健康科学教育。作为对传统医学预科课程的补充，我们鼓励医学院校申请者聘请影子医生，以期观察将使学生了解医疗保健的文化和实践。但是，从业者和机构之间的影子经验差异很大。缺乏足够的资源来引导学生进行批判性思考和构建经验。发展：为填补这一空白，开发了试点性体验式学习课程“ Doctoring Undercover：阴影与医学文化”。该课程包括三个部分：通过医学社会学，历史学，人类学和生物伦理学对医学文化进行介绍;一个学生可以将这些领域的分析技术应用于医学文化和实践研究的网站布置;实施：学生报告说，他们接触到了新的学科视角和专业间环境，这是他们传统上不会遇到的。学生对重影指南的贡献鼓励积极学习和反思有效的患者-提供者关系和重影经验的动态。未来方向：在本地，该班级可能会针对较大数量的医学预科生而定规模，并纳入正式的衔接课程以医学预科生;内容还将被整合到一年级医学生的临床医学课程中。该指南将在网上推广，供其他机构和计划课外遮蔽经验的个人使用;征求反馈意见。将开发和验证用于评估课程和指南的短期和长期影响的工具。应对此课程的效果进行观察和实验研究。缩写：ICM：临床医学导论; SCE：选择性临床经验。

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