Benefits of simulated General Practice clinics in the preparation of medical students for primary healthcare

Educ Prim Care. 2019 Sep;30(5):275-281. doi: 10.1080/14739879.2019.1623087. Epub 2019 Jul 28.

Abstract

The James Cook University (JCU) medical school has a mission to produce doctors who are willing to work across northern Australia and may choose generalist rather than specialist careers. In addition to real-life placements in primary healthcare settings, the medical school has developed simulated General Practice (GP) clinics (simGPclinic) for Year 5 (Y5) students. This study compares the simGPclinic with actual GP placements for authenticity, teaching clinical skills, and preparation for real-life primary healthcare settings. Y5 students were administered a survey following their simGPclinic (n = 65; response rate = 97%). Students rated the simGPclinic's authenticity as 77 out of 100, and were more likely to rate the simGPclinic as being 'better' than their real-life GP placement in teaching them to: 'formulate a medical management plan and order correct pathology tests'; 'rule out the "red flags" for the key clinical problem'; 'undertake a patient-centred history and examination'; 'make a differential diagnosis for the key clinical problem'; and, 'develop communications skills'. The simGPclinic provided medical students with authentic and positive learning experiences in primary healthcare that were at least as beneficial as those provided in real-life settings, as well as being more reliable and better structured.

Keywords: Simulation; clinical skills; medical; primary care; undergraduate.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Clinical Competence
  • Cross-Sectional Studies
  • Education, Medical, Undergraduate / methods*
  • Formative Feedback
  • General Practice / education*
  • Humans
  • Patient Simulation*
  • Queensland
  • Students, Medical
  • Surveys and Questionnaires