Medical students spot ‘hidden’ lessons in family doctor clerkship


There are “hidden” lessons in family medicine that become apparent when medical students serve as clerks in the field.

Also, addressing challenges in family medicine practice may encourage more medical students to choose it as a specialty later on.

In a study published in the journal Revealing the Hidden Clerkship Curriculum: A Qualitative Analysis this year, researchers found that medical students mastered specific learning goals and at least four traits that weren’t part of their course plans. I discovered that household medicineResearchers Molly Cohen-Osher, MD, MmedEd, Amy L. Lee, MD, and Deborah Erlich, MD, MmedED, studied 668 patients from medical students at Boston University’s Chobanian & Avedisian School of Medicine and Tufts University School of Medicine. Written feedback was analyzed.

After the required six-week primary care physician clerkship, budding physicians were asked to list their top five take-home points regarding their specialty. The researcher grouped them into 13 broad categories, 9 of which he matched with prescribed learning goals, and 4 of which “could be considered part of a hidden curriculum.” bottom.

  • Characteristics of primary care physicians such as empathy, efficiency, and flexibility.
  • Challenges in home care, including payment issues, time constraints, and patient complexity.
  • Personal impact on the student’s future career.
  • Life skills and tips to advance your career.

“Three of the four hidden curriculum categories did not go against the rotation’s overall goals, but one topic indicated a topic that could be addressed more explicitly. It’s the challenge of family medicine as a profession,” Cohen-Osher said in News. release. Cohen-Osher is Associate Dean of Medical Education for Curriculum and Instructional Planning and was previously the Director of the Family Physician Clerkship.

“Recognizing the challenges of primary care practice and solutions-focused education can impact how students address reasons for not choosing family medicine as a career,” says Cohen-Osher. The study acknowledges the goals of the American Association of Family Physicians (AAFP) 25X2030 initiative, which aims to engage 25% of medical students in this specialty by 2030.

This month, the National Resident Matching Program recorded a record number of primary care vacancies, with 577 vacancies in family medicine and 380 vacancies in internal medicine. Despite the post not being filled, the AAFP leader said the figure was good news and a reminder of the need for more primary care physicians, with 57% of his osteopathic medical students enrolled in primary care. said that it matches the framework of

Regarding the study of the “hidden” curriculum, medical students listed lessons dealing with:

  • Scope of practice with prevention as a subcategory.
  • healthcare system.
  • The role of family medicine in the healthcare system.
  • Characteristics of the family doctor.
  • Family Medicine Values ​​with Subcategories: Physician-Patient Relationships. continuity of care; and team care.
  • Cultural Competence/Social Justice.
  • home medicine challenges.
  • Evidence-based medicine.
  • Clinical Skills for Students.
  • personal influence.
  • life skills and tips.
  • Patient-centric.
  • Clinical Pearl.

The authors point out limitations of this study, including no primary care missions from two private medical schools in the same city and average or below-average concordance to family medicine. There was no causal relationship between student findings and clerical work.



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