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FEM: Revista de la Fundación Educación Médica

On-line version ISSN 2014-9840Print version ISSN 2014-9832


MIRALLES, Ramón et al. An analysis of early contact of medical students with health care system. FEM (Ed. impresa) [online]. 2015, vol.18, n.3, pp.179-188. ISSN 2014-9840.

Introduction: The paper reports the results of an experience considering the early contact of medical students with medical care in the joint degree of Medicine of Universitat Autònoma de Barcelona and Universitat Pompeu Fabra. Students follow the subject 'Prácticas de Grado' in the first, second and third academic year. Subjects and methods: Students who had completed the subject in first, second and/or third year were asked to complete voluntarily and anonymously a questionnaire about their opinion on how educative objectives and competences were achieved, as well as on their satisfaction of general and organizational aspects of the subjects. Later, a comparative analysis was performed considering the students' scores by academic year and tutor (physician or nurse). Results: One hundred and twenty four students participated. Most of them considered that educative objectives and competences were achieved. Considering each item, the answers 'I fully agree' and 'I agree' ranged from 60.5% to 94.4%. No differences were observed among students of different years, except in the question regarding the models of clinical relationship where third-year students gave the smallest values (p < 0.05). They were also highly satisfied with general and organizational aspects (range of means: 7.03-8.28), except in 'timetable' item (6.25). Third-year students scored higher than their peers the items 'tutor supervision' (p < 0.01), 'learning' (p < 0.01) and 'vital experience' (p < 0.01). Regarding the comparisons by tutors, no differences were seen with the exception of 'understanding of other health professionals'. Conclusions: It is concluded that students who completed the subjects reported high scores regarding their opinion of the reaching the educational objectives and competences. No great differences were seen when compared by academic year or tutor.

Keywords : Communication skills; Early contact; Evaluation; Generic competences; Medical education; Professionalism.

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