University-Private Hospital clinical education partnerships: opportunities, benefits and barriers for medical student clinical training in private hospitals
Introduction: Private hospitals in Australia have the potential to offer rich clinical training opportunities for medical students. This study aimed to identify benefits and barriers to private hospitals engaging with medical schools to provide clinical learning opportunities, as perceived by staff and visiting clinicians at private hospitals.
Methods: Visiting clinicians and staff at four private hospitals in Adelaide (South Australia) were surveyed, using open-ended questions, to determine attitudes to medical student training in private hospitals. Responses were analysed using inductive content analysis to determine dominant themes in relation to perceived benefits, perceived barriers, and factors that might facilitate clinical teaching in private hospitals.
Results: A total of 59 participants completed the survey: 38 secondary care specialists; 4 general practitioners; 6 senior administrative staff; 6 hospital volunteers, medical students or registered nurses; and 5 not specified. There were three dominant themes related to perceived benefits of teaching: the breadth and diversity of clinical exposure for students, opportunities for students to understand private and community health systems, and the high quality of learning available. There were three dominant themes related to barriers: time constraints, patient unwillingness and limitations of learning opportunities. Factors that might facilitate medical education in private hospitals included senior staff acceptance and provision of clear support structures, faculty clinical academic support, administration and facilitation.
Conclusions: Attention to the issues raised, correction of the misunderstanding regarding patient acceptance of students and minimisation of disruption to clinical service provision should allow further development of training placements in private hospitals.
AMA Position statement on Medical Training in Expanded Settings – 2012 https://ama.com.au/position-statement/medical-training-expanded-settings-2012 (viewed 8 March 2014)
Arolker M., Barnes J., Gadoud A., Jones L., Barnes L., Johnson M.J., (2010).
‘They've got to learn' – a qualitative study exploring the views of patients and staff regarding medical student teaching in a hospice. Palliat Med 2010; 24: 419-426.
Carmichael A., McCall M., (2008). National Clinical Training Review: Report to the Medical Training Review Panel Clinical Training Sub-Committee, Medical Deans Australia and New Zealand. http://www.medicaldeans.org.au/wp-content/uploads/National-Clinical-Training-Review.pdf (last viewed 20 January 2015)
Esguerra R., Toro J., Ospina J.M., Porra A., Diaz C., Reyes S., (2014). The transition to a teaching hospital: Patient satisfaction before and after the introduction of medical students Medical Teacher 2014, 36: 710–714
Greenslopes Private Hospital http://www.greenslopesprivate.com.au/Our-Hospital/teaching-research.aspx (viewed 14 March 2014)
Houston, J., 2012; Director of Medical Services Greenslopes Private Hospital. Private communication and presentation to DOHA
Hudson J., Weston K., Farmer E., Ivers R., Pearson R., (2010). Are patients willing participants in the new wave of community-based medical education in regional and rural Australia? Med J Aust 2010; 192: 150-153.
Mahoney S., Walters L., Ash J., (2012) Urban community based medical education. Australian Family Physician 2012; 41: 631-636
Mahoney S., Yong T., (2012). Patient participation In, and Attitudes Towards, Community – Based Medical Education, MedEdWorld http://informahealthcare.com/doi/abs/10.3109/0142159X.2013.825155
Medical Board of Australia 2009. Good Medical Practice: A Code of Conduct for Doctors in Australia. http://www.medicalboard.gov.au/Codes-Guidelines-Policies.aspx (viewed 14 March 2014)
Phelan, P., (2002). Responding to the impact of changes in Australia’s health care system. A discussion Paper (Prepared by Peter Phelan Consulting, Medical Specialist Education and Training for the AHMAC Working Party to Research Issues Relevant to Specialist Medical Training Outside teaching hospitals) February 2002
Saunders A., Clinical Education Hub, St Andrews News, Issue 26 April 2012, p4 http://www.stand.org.au/system/files/sah_newsletter_march_2012.pdf (Viewed 9 March 2014)
Siggins Miller Consultants 2012. Promoting Quality in Clinical Placements: Literature review and national stakeholder consultation, Health Workforce Australia, Adelaide. http://www.hwa.gov.au/sites/uploads/Promoting-quality-in-clinical-placements-report-20130408.pdf (viewed 14 March 2014)
Sousa A., Tajra C., Coelho R., Gomes C., Teixeira R., (2009). Medical learning in a private hospital: patients' and companions' perspectives. Sao Paulo Med J 2009; 127: 101-104.
Worley P., Silagy S., Prideaux D., Newble D., Jones A., (2000). The Parallel Rural Community Curriculum: an integrated clinical curriculum based in rural general practice. Medical Education 34(7): 558–565
- There are currently no refbacks.