Medical students, early general practice placements and positive supervisor experiences

Abstract

Introduction

Community-based longitudinal clinical placements for medical students are becoming more common globally. The perspective of supervising clinicians about their experiences and processes involved in maximising these training experiences has received less attention than that of students.

Aims

This paper explores the general practitioner (GP) supervisor perspective of positive training experiences with medical students undertaking urban community-based, longitudinal clinical placements in the early years of medical training.

Methods

Year 2 medical students spent a half-day per week in general practice for either 13 or 26 weeks. Transcribed semi-structured interviews from a convenience sample of participating GPs were thematically analysed by two researchers, using a general inductive approach.

Results

Identified themes related to the attributes of participating persons and organisations: GPs, students, patients, practices and their supporting institution; GPs’ perceptions of student development; and triggers enhancing the experience. A model was developed to reflect these themes.

Conclusions

Training experiences were enhanced for GPs supervising medical students in early longitudinal clinical placements by the synergy of motivated students and keen teachers with support from patients, practice staff and academic institutions. We developed an explanatory model to better understand the mechanism of positive experiences. Understanding the interaction of factors enhancing teaching satisfaction is important for clinical disciplines wishing to maintain sustainable, high quality teaching.

Keywords:

• Clinical clerkship
• general practice
• medical students
• preceptorship
• primary health care
• longitudinal clerkship
• early clinical experience