Implementing Excursions in the Undergraduate Education in Family Medicine

DOI: 10.3238/zfa.2020.0176-0181

german translation / full article

Bettina Engel, Jutta Bleidorn, Nils Schneider, Kambiz Afshar

Keywords: educational research excursions family medicine medical education small group teaching

BackgroundIn the academic year 2016/17, excursions to various outpatient facilities and institutions with relevance for (family) medicine were integrated into the module family medicine in the third year of the basic medical education model program “HannibaL” at the Hannover Medical School. The aim of this work was to outline the implementation process and to evaluate the new format by medical students.MethodsMandatory excursions with a duration of three teaching units (1 unit = 45 min) took place in the academic years 2016/17 and 2017/18. Students themselves chose their preferred excursion spot. Student evaluation was performed in three stages: (1) anonymous online-based final evaluation with three items (six point Likert scale), (2) overall rating (school grades scale 1–6), and (3) free text answers. Items and overall ratings were analyzed with descriptive statistics, free text answers were analyzed by content analysis.ResultsOf the in total 551 students who attended the excursions, 439 provided information on the excursion in the final evaluations. On average, the excursions were rated with a grade of 1.8. Positive feedback on the learning effect and the practical relevance predominated in the free texts (77 %). The low level of factual knowledge was considered negative. Some students stated that they would have liked to visit more than one excursion spot.ConclusionsExcursions represent a good opportunity for students to experience the interfaces between (family) medicine and other outpatient health facilities. Considering large number of students the curricular implementation and organisational execution are particularly challenging, but also feasible requiring location-specific solutions.Keywordsfamily medicine; medical education; excursions; small group teaching; educational research

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