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Challenges Facing Undergraduate Medical Education in Ambulatory Care Clinics at Tertiary Care Hospitals.
Almushait, Youssef B; Alabdaljabar, Mohamad S; Alkhani, Khalid; Abdalla, Hesham M; Alhayaza, Raid; Temsah, Mohamad-Hani; Alsohaibani, Fahad.
  • Almushait YB; College of Medicine, Alfaisal University, Riyadh 11211, Saudi Arabia.
  • Alabdaljabar MS; College of Medicine, Alfaisal University, Riyadh 11211, Saudi Arabia.
  • Alkhani K; College of Medicine, King Saud University, Riyadh 11211, Saudi Arabia.
  • Abdalla HM; College of Medicine, Alfaisal University, Riyadh 11211, Saudi Arabia.
  • Alhayaza R; College of Medicine, Alfaisal University, Riyadh 11211, Saudi Arabia.
  • Temsah MH; College of Medicine, King Saud University, Riyadh 11211, Saudi Arabia.
  • Alsohaibani F; Department of Medicine, King Faisal Specialist Hospital & Research Center, Riyadh 11211, Saudi Arabia.
Healthcare (Basel) ; 10(3)2022 Mar 08.
Article in English | MEDLINE | ID: covidwho-1731999
ABSTRACT

Background:

Medical education has been rapidly growing and transforming due to the enormous evolution of medicine. There have been many proficient ways to learn in medicine, but academic lectures, attending wards, and ambulatory care clinics (ACC) remain the three main ways of gaining clinical knowledge and experience for medical students. Over the past decade, there has been a dramatic shift in care by focusing on ambulatory care rather than inpatient settings, which provides a golden opportunity to reinforce medical education.

Purpose:

Most of the published studies that have focused on the teaching barriers in ACC were descriptive rather than analytic studies. Herein, we aim to detect and determine the barriers to teaching in ACC settings using qualitative analysis.

Methods:

This is a cross-sectional, observational study, involving medical students in their clerkship years (i.e., fourth and fifth) from two different medical colleges in Riyadh, Saudi Arabia. Faculty who are involved in undergraduate medical education in both colleges were also included. Main

Results:

A total of 387 medical students studying at the two universities were enrolled in the study. Most of the participants preferred attending outpatient clinics with consultants (44.2%) and the majority preferred attending internal medicine (IM) and IM subspecialties clinics (40.4%). Regarding the challenges, students believe the top three barriers are related to faculty (39%), environment (34.8%), and patients (14.8%). Faculty on the other hand see that the top three barriers are related to environment (55.6%), patients (24.4%), and faculty (20%).

Conclusion:

Undergraduate medical education in outpatient settings has many challenges. In our study, the most significant challenges were COVID-19-related restrictions, patient refusal, and insufficient time for teaching. Future studies are needed to investigate these barriers and explore potential solutions that can decrease their burden on undergraduate medical education.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Language: English Year: 2022 Document Type: Article Affiliation country: Healthcare10030496

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Language: English Year: 2022 Document Type: Article Affiliation country: Healthcare10030496