RESUMEN
The number of physician associates (PAs) training in the United Kingdom is rising dramatically, yet the approaches to teaching this new professional group are yet to be examined. We set out to determine if and how the 'Safe and Effective Clinical Outcomes' (SECO) simulation training could help this new group of students to develop skills around conducting a consultation in primary care.Six clinics were designed and implemented over three academic years (2016-2018) in a clinical skills simulation centre in a university hospital. In total, 71 PA students took part and feedback was collected from students and simulated patients as part of routine evaluation processes. We found that the SECO simulation training offered PA students the opportunity to practise consultation skills and review their scope of practice in a safe environment. It helped students build confidence in their approach and gave them the opportunity to discuss what it means to be a 'safe' practitioner. The simulated patients were positive about the experience but remained unsure of what the PA role was even after the simulation training. Based on our experience, the SECO clinics have value for those training PA students.
Asunto(s)
Competencia Clínica , Simulación de Paciente , Asistentes Médicos/educación , Humanos , Seguridad del Paciente , Atención Primaria de Salud/métodos , Reino UnidoRESUMEN
BACKGROUND: This article describes a simulated General Practice clinic for medical students, which incorporates specific features to aid learning of clinical problem solving. DESCRIPTION: We outline the overall objectives of the simulation, explain the concept, and describe how the clinic works. The clinic is novel in that it utilises clinical outcomes as measures for student success in the consultation. There are no time restrictions on a consultation. Students are unobserved and have open access to clinical information and telephone advice from a senior colleague. EVALUATION: The achievement of the case-specific outcomes is assessed by reference to students' clinical notes and the responses of the simulated patients to specific scenario-related questions. Following the clinic there is a debrief session, and students are provided with the evidence base and outcomes for each scenario. CONCLUSIONS: The clinic has been part of our undergraduate curriculum since 2004. Collectively, students rate it as their most effective learning experience.