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Undergraduate medical teaching with remote consultations in general practice: realist evaluation

Al-Bedaery, Roaa; Chaudhry, Umar Ahmed Riaz; Jones, Melvyn; Noble, Lorraine; Ibison, Judith; (2022) Undergraduate medical teaching with remote consultations in general practice: realist evaluation. BJGP Open , Article BJGPO.2021.0185. 10.3399/BJGPO.2021.0185. (In press). Green open access

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Abstract

BACKGROUND: As a result of Covid-19, students in primary care now experience patient consultations predominantly remotely, with supervisors historically educating students in face-to-face contexts. There is a paucity of evidence regarding the facilitators and barriers to supervising students for excellent educational impact in the remote consultation environment. AIM: To understand the facilitators and barriers to educating medical students using remote consultations in primary care, and the consequences for students in educational impact. DESIGN & SETTING: A realist evaluation methodology was adopted to identify causal chains of contexts, mechanisms, and outcomes describing how the teaching and learning functioned on a sample of medical students, and GP tutors from two UK medical schools. METHOD: An initial programme theory developed from the literature and a scoping exercise informed the data collection tools. We collected qualitative data through online questionnaires (49 students, 19 tutors) and/or a semi-structured interview (8 students, 2 tutors). The data was coded to generate context-mechanisms-outcome configurations outlining how the teaching and learning operated. RESULTS: The results demonstrated a sequential style of supervision can positively impact student engagement and confidence and highlighted a need to address student preparation for remote patient examinations. Students found passive observation of remote patient encounters disengaging, and in addition, reported isolation which impacted negatively on their experiences and perceptions of primary care. CONCLUSION: Student and tutor experiences may improve through considering the supervision style adopted by tutors and interventions to reduce student isolation and disengagement when using remote patient consultations in primary care.

Type: Article
Title: Undergraduate medical teaching with remote consultations in general practice: realist evaluation
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.3399/BJGPO.2021.0185
Publisher version: https://doi.org/10.3399/BJGPO.2021.0185
Language: English
Additional information: © 2022 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License (http://creativecommons.org/licenses/by/4.0/). Published by BJGP Open. For editorial process and policies, see: https://bjgpopen.org/authors/bjgp-open-editorial-process-and-policies
Keywords: GP, Medical education, Remote consultation
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > UCL Medical School
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10144768
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