No Cover Image

Staff Thesis 474 views 114 downloads

Long-case Observation in Undergraduate Medical Education. A case study

Clive Weston Orcid Logo

Swansea University Author: Clive Weston Orcid Logo

Abstract

Clerking patients is a fundamental clinical skill acquired by medical students. Through this dialogue with patients clinicians understand both the pathophysiology of symptoms and the person experiencing them. While students receive instruction on individual components of clerking in clinical skills...

Full description

Published: 2012
URI: https://cronfa.swan.ac.uk/Record/cronfa11890
Tags: Add Tag
No Tags, Be the first to tag this record!
first_indexed 2017-05-11T15:02:40Z
last_indexed 2018-02-27T12:58:39Z
id cronfa11890
recordtype SURis
fullrecord <?xml version="1.0"?><rfc1807><datestamp>2017-05-11T14:19:20.4570000</datestamp><bib-version>v2</bib-version><id>11890</id><entry>2012-07-10</entry><title>Long-case Observation in Undergraduate Medical Education. A case study</title><swanseaauthors><author><sid>df85e4e0e139d0f46eb683174eba98a9</sid><ORCID>0000-0002-8995-8199</ORCID><firstname>Clive</firstname><surname>Weston</surname><name>Clive Weston</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2012-07-10</date><deptcode>PMSC</deptcode><abstract>Clerking patients is a fundamental clinical skill acquired by medical students. Through this dialogue with patients clinicians understand both the pathophysiology of symptoms and the person experiencing them. While students receive instruction on individual components of clerking in clinical skills laboratories, it is rare for students to be observed clerking a patient, in a clinical setting, from beginning to end. Within Swansea University&#x2019;s Graduate-Entry Medicine Programme, students participate in Long-Case Observations &#x2013; a senior clinical teacher witnesses an entire interaction between student and patient, gives immediate feedback, and later written feedback. The student reflects on their performance by listing learning points.Using Case Study Research to explore the educational value of long-case observation, I performed semi-structured interviews with three second-year medical students. Transcripts were analysed using a hybrid approach of inductive and deductive coding and theme development. Other data were examined for supporting and contradictory evidence.The students found long-case observation educationally worthwhile. They used the experience to gauge their progress on the course; to prepare for professional practice; to form educational relationships with clinical teachers; and to spend time interacting (and considering future interactions) with patients. Its inclusion in the curriculum served to counter the influence of exam-driven learning, to emphasise the importance of student-patient and doctor-patient interactions and to demonstrate that clinical teachers valued undergraduate education and cared for the students.Long-case observation could be used to endorse a humane approach to patients, and reverse some of the erosive qualities of the hidden curriculum.</abstract><type>Thesis</type><journal/><publisher/><keywords>Medical Education, Undergraduate</keywords><publishedDay>31</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2012</publishedYear><publishedDate>2012-12-31</publishedDate><doi/><url/><notes/><college>COLLEGE NANME</college><department>Medicine</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>PMSC</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2018-02-27T08:08:56.0103741</lastEdited><Created>2012-07-10T11:23:26.5648368</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Clive</firstname><surname>Weston</surname><orcid>0000-0002-8995-8199</orcid><order>1</order></author></authors><documents><document><filename>0011890-11052017141920.pdf</filename><originalFilename>Dis.pdf</originalFilename><uploaded>2017-05-11T14:19:20.4570000</uploaded><type>Output</type><contentLength>855563</contentLength><contentType>application/pdf</contentType><version>Author's Original</version><cronfaStatus>true</cronfaStatus><embargoDate>2017-05-11T00:00:00.0000000</embargoDate><copyrightCorrect>true</copyrightCorrect><language>eng</language></document></documents><OutputDurs/></rfc1807>
spelling 2017-05-11T14:19:20.4570000 v2 11890 2012-07-10 Long-case Observation in Undergraduate Medical Education. A case study df85e4e0e139d0f46eb683174eba98a9 0000-0002-8995-8199 Clive Weston Clive Weston true false 2012-07-10 PMSC Clerking patients is a fundamental clinical skill acquired by medical students. Through this dialogue with patients clinicians understand both the pathophysiology of symptoms and the person experiencing them. While students receive instruction on individual components of clerking in clinical skills laboratories, it is rare for students to be observed clerking a patient, in a clinical setting, from beginning to end. Within Swansea University’s Graduate-Entry Medicine Programme, students participate in Long-Case Observations – a senior clinical teacher witnesses an entire interaction between student and patient, gives immediate feedback, and later written feedback. The student reflects on their performance by listing learning points.Using Case Study Research to explore the educational value of long-case observation, I performed semi-structured interviews with three second-year medical students. Transcripts were analysed using a hybrid approach of inductive and deductive coding and theme development. Other data were examined for supporting and contradictory evidence.The students found long-case observation educationally worthwhile. They used the experience to gauge their progress on the course; to prepare for professional practice; to form educational relationships with clinical teachers; and to spend time interacting (and considering future interactions) with patients. Its inclusion in the curriculum served to counter the influence of exam-driven learning, to emphasise the importance of student-patient and doctor-patient interactions and to demonstrate that clinical teachers valued undergraduate education and cared for the students.Long-case observation could be used to endorse a humane approach to patients, and reverse some of the erosive qualities of the hidden curriculum. Thesis Medical Education, Undergraduate 31 12 2012 2012-12-31 COLLEGE NANME Medicine COLLEGE CODE PMSC Swansea University 2018-02-27T08:08:56.0103741 2012-07-10T11:23:26.5648368 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Clive Weston 0000-0002-8995-8199 1 0011890-11052017141920.pdf Dis.pdf 2017-05-11T14:19:20.4570000 Output 855563 application/pdf Author's Original true 2017-05-11T00:00:00.0000000 true eng
title Long-case Observation in Undergraduate Medical Education. A case study
spellingShingle Long-case Observation in Undergraduate Medical Education. A case study
Clive Weston
title_short Long-case Observation in Undergraduate Medical Education. A case study
title_full Long-case Observation in Undergraduate Medical Education. A case study
title_fullStr Long-case Observation in Undergraduate Medical Education. A case study
title_full_unstemmed Long-case Observation in Undergraduate Medical Education. A case study
title_sort Long-case Observation in Undergraduate Medical Education. A case study
author_id_str_mv df85e4e0e139d0f46eb683174eba98a9
author_id_fullname_str_mv df85e4e0e139d0f46eb683174eba98a9_***_Clive Weston
author Clive Weston
author2 Clive Weston
format Staff Thesis
publishDate 2012
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description Clerking patients is a fundamental clinical skill acquired by medical students. Through this dialogue with patients clinicians understand both the pathophysiology of symptoms and the person experiencing them. While students receive instruction on individual components of clerking in clinical skills laboratories, it is rare for students to be observed clerking a patient, in a clinical setting, from beginning to end. Within Swansea University’s Graduate-Entry Medicine Programme, students participate in Long-Case Observations – a senior clinical teacher witnesses an entire interaction between student and patient, gives immediate feedback, and later written feedback. The student reflects on their performance by listing learning points.Using Case Study Research to explore the educational value of long-case observation, I performed semi-structured interviews with three second-year medical students. Transcripts were analysed using a hybrid approach of inductive and deductive coding and theme development. Other data were examined for supporting and contradictory evidence.The students found long-case observation educationally worthwhile. They used the experience to gauge their progress on the course; to prepare for professional practice; to form educational relationships with clinical teachers; and to spend time interacting (and considering future interactions) with patients. Its inclusion in the curriculum served to counter the influence of exam-driven learning, to emphasise the importance of student-patient and doctor-patient interactions and to demonstrate that clinical teachers valued undergraduate education and cared for the students.Long-case observation could be used to endorse a humane approach to patients, and reverse some of the erosive qualities of the hidden curriculum.
published_date 2012-12-31T03:13:46Z
_version_ 1763750158241103872
score 11.012678

Similar Items