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Research

The nature and prevalence of threats to medical student placement capacity in primary care: a survey of East of England GP practices

Richard Darnton, Sam Amey and James Brimicombe
BJGP Open 2022; 6 (4): BJGPO.2022.0127. DOI: https://doi.org/10.3399/BJGPO.2022.0127
Richard Darnton
1 Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
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  • For correspondence: rmd61@medschl.cam.ac.uk
Sam Amey
2 School of Clinical Medicine, University of Cambridge, Cambridge, UK
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James Brimicombe
1 Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
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    Figure 1. Main challenges of delivering medical student placements faced by practices (n = 114 [each practice selected four options])
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    Figure 2. Factors influencing a practice decision to continue hosting medical student placements
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    Figure 3. Thematic map of factors influencing a practice continuing to host medical student placements. (Solid blue line indicates an enhancing effect, dashed green line indicates a reductive effect).

    ARR = additional roles reimbursement. GPSTs = GP specialty trainees. PA = physician associate. PCN = primary care network

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    Table 1. Frequencies with which each of the options were picked
    Challenges faced delivering medical student placements (each of the 114 practices selected four options from this list)Practices selecting this option, n
    Your clinical/practice workload92
    Lack of space in the practice63
    Student absence owing to illness or isolating43
    Lack of clinical staff in the practice39
    The need to educate or supervise other learners that are hosted by the practice35
    Administrative burden of hosting medical students30
    The shift to remote consulting (that is, telephone and/or video) in primary care28
    Level of financial reimbursement for hosting medical students28
    Adhering to workplace guidance (for example, local and/or national policies) regarding COVID-1920
    Student accommodation and/or travel issues19
    Student attitudinal issues17
    Lack of colleagues with skills and/or interest in supervising medical students11
    Deficits in students’ skills or knowledge10
    Other9
    Reluctance of patients to consult with students8
    Student welfare issues4

Supplementary Data

  • Darnton_BJGPO.2022.0127_supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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December 2022
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The nature and prevalence of threats to medical student placement capacity in primary care: a survey of East of England GP practices
Richard Darnton, Sam Amey, James Brimicombe
BJGP Open 2022; 6 (4): BJGPO.2022.0127. DOI: 10.3399/BJGPO.2022.0127

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The nature and prevalence of threats to medical student placement capacity in primary care: a survey of East of England GP practices
Richard Darnton, Sam Amey, James Brimicombe
BJGP Open 2022; 6 (4): BJGPO.2022.0127. DOI: 10.3399/BJGPO.2022.0127
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Keywords

  • practice organisation
  • undergraduate education
  • students, medical
  • teaching
  • general practice
  • Primary healthcare

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