Armstrong, Sarah;
Park, Sophie;
Lawes-Wickwar, Sadie;
Lovat, eitan;
Bhattacharya, Abhishek;
younie, louise;
(2023)
Students’ and tutors’ experiences of remote ‘student–patient’ consultations.
Medical Teacher
10.1080/0142159X.2023.2170777.
(In press).
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Abstract
Background:Remote consulting has become part of the medical student clinical experience in pri-mary care, but little research exists regarding the impact on learning.Aim:To describe the experiences of General Practitioner (GP) educators and medical students inusing student-led remote consultations as an educational tool.Method:A qualitative, explorative study conducted at four UK medical schools. GP educators andmedical students were purposively sampled and interviewed.Results:Nine themes arose: practical application, autonomy, heuristics, safety, triage of undifferen-tiated patients, clinical reasoning, patient inclusion in student education, student–patient inter-action, and student–doctor interaction.Discussion:Remote consulting has become part of the clinical placement experience. This hasbeen found to expose students to a wider variety of clinical presentations. Verbal communication,history-taking, triage, and clinical reasoning skills were practised through remote consulting, butexamination skills development was lacking. Students found building rapport more challenging,although this was mitigated by having more time with patients. Greater clinical risk was perceivedin remote consulting, which had potential to negatively impact students’psychological safety.Frequent debriefs could ameliorate this risk and positively impact student–doctor relationships.Student autonomy and independence increased due to greater participation and responsibility.Pre-selection of patients could be helpful but had potential to expose students to lowercomplexity patients.
| Type: | Article |
|---|---|
| Title: | Students’ and tutors’ experiences of remote ‘student–patient’ consultations |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1080/0142159X.2023.2170777 |
| Publisher version: | https://doi.org/10.1080/0142159X.2023.2170777 |
| Language: | English |
| Additional information: | © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. |
| Keywords: | Remote consulting, medical education, primary care |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10164442 |
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