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首页> 外文期刊>Medical education >Do consultations in rural general practice take more time when practitioners are precepting medical students?
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Do consultations in rural general practice take more time when practitioners are precepting medical students?

机译：从业人员接受医学生教育时，农村普通实践中的咨询会花费更多时间吗？

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Context At Flinders University, Adelaide, a subset of students on the 4-year, graduate-entry medical course chooses to spend Year 3 based in rural general practice as part of the Parallel Rural Community Curriculum (PRCC). This programme is equivalent to the tertiary teaching hospital option in terms of student educational outcomes. However, there is concern that this success comes at the cost of lost consulting time for the general practitioners (GPs) who supervise these students. Objective This study aimed to quantify the impact of medical students on the consulting time of rural GP supervisors. Methods We carried out a prospective cohort study using analysis of videotape recordings. Study subjects were GPs supervising PRCC medical students and working from their own consulting rooms in the clinic setting. Main outcome measures were mean consultation times in sessions with and without medical students. Results Using mixed model analysis accounting for clustering of consultations within doctors, and controlling for confounding factors, the estimated marginal mean of regular consultation time was 13 minutes, 27 seconds, which was not significantly shorter than that of precepting consultations (12 minutes, 48 seconds) or parallel consultations (12 minutes, 24 seconds). Conclusions Consultation length does not increase when rural GPs supervise medical students using a parallel consulting model.
机译：背景信息在阿德莱德的弗林德斯大学（Flinders University），为期4年的研究生入学医学课程的一部分学生选择在农村普通实践中学习3年级，作为并行农村社区课程（PRCC）的一部分。就学生的教育成果而言，该计划相当于三级教学医院的选择。但是，令人担忧的是，这种成功是以失去监督这些学生的全科医生（GP）的咨询时间为代价的。目的本研究旨在量化医学生对农村全科医生监督人员咨询时间的影响。方法我们使用录像带记录分析进行了一项前瞻性队列研究。研究对象是监督PRCC医学生并在诊所环境中自己的咨询室工作的GP。主要结局指标是有或没有医学专业学生的平均咨询时间。结果使用混合模型分析来考虑医生中会诊的聚类并控制混杂因素，定期会诊时间的估计边际平均值为13分钟，27秒，并不比接受会诊的时间（12分钟，48秒）明显短）或并行咨询（12分24秒）。结论当农村全科医生使用并行咨询模型监督医学生时，咨询时间不会增加。

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