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Student experiences and satisfaction with a novel clerkship patient scheduling

机译：学生与新型职员调度的经历和满意度

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Background: Outpatient primary care clerkships are an important part of medical students' education.Traditional clerkships usually partner a student with a single preceptor in that physician's clinic. However, it can be quite difficult for the preceptor to balance the educational needs of the students, the expectations of the patients and the organizational demands of the clinic practice.Objective: An innovative scheduling model (named "Patients as Teachers" [PAT] clinic) was developed as part of our third-year Family Medicine clerkship. The goal was to increase the students' opportunities for independence and improve their satisfaction without negatively impacting the flow of the clinic or patient satisfaction.Design: The third-year medical students spent part of their clerkship working in the PAT clinic and part of the time working with an individual preceptor in that preceptor's clinic in the traditional, usual fashion (PAU clinic-precepting as usual). The students completed patient-logs regarding the patients they saw and their level of participation. They also completed a voluntary survey regarding their experiences.Results: Students performed more independent interviews (90.3 vs 59.0%) and independent exams (96.2 vs 63.3%) in the PAT clinic than while working with their traditional preceptor (both p<0.01). Students were highly satisfied with the experience with 89.5% stating they would recommend it and 87.7% finding the PAT clinic to be an equal or superior experience to the PAU experience.Conclusions: Using a combination of time in the PAT clinic and time with a one on one preceptor in the usual fashion was successful in increasing opportunities for student autonomy and achieving a high level of student satisfaction in our third-year Family Medicine clerkship. Additional opportunities for innovative scheduling could be considered for meeting a variety of clerkship and clinic needs.
机译：背景：门诊初级护理职员是医学生教育的重要组成部分。传统职员通常在该医师的诊所中具有一个唯一的备向的学生。然而，预先使患者的教育需求平衡患者的教育需求以及诊所实践的组织需求可能是非常困难的。目的：一种创新的调度模型（名为“教师”的创新调度模型[Pat]诊所）作为我们的第三年家庭医学职员的一部分开发。目标是增加学生的独立机会，并在不对诊所或患者满意的流动影响的情况下提高他们的满意度。指导：第三年的医学生在Pat诊所工作的一部分职员以及部分时间以传统的通常的方式（像往常一样Prepeping的Pau Prinic-Prepepting），与个人诊所一起工作。学生们完成了有关他们看到的患者的患者日志及其参与水平。他们还完成了有关其经验的自愿调查。结果：学生在帕特诊所进行了更多独立的访谈（90.3 vs 59.0％）和独立的考试（96.2 vs 63.3％），而不是与传统的预先使用（P <0.01）。学生对89.5％的经验非常满意，他们会推荐它和87.7％找到PAT诊所的一个平等或优越的经验.Conclusions：使用Pat Clinic和时间的时间组合和一个在通常的时尚中，在一个常见的时尚方面取得了成功的越来越多的学生自主机会，并在我们的第三年家庭医学职员中实现了高度学生满意度。可以考虑创新计划的额外机会，以满足各种职员和诊所需求。

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