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Early longitudinal experiences increase medical student self-efficacy.

Kanwarabijit Thind1, Patrick Bauer2, Hilary Titus1

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Mededpublish (2016)
|March 15, 2024
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Summary

Early longitudinal preceptorships enhance medical students' patient-centeredness self-efficacy. These experiences foster a deeper understanding of patient perspectives and healthcare systems, improving overall clinical attitudes.

Keywords:
early medical educationlongitudinal experiencespatient-centerednesspreceptorshipself-efficacy

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Area of Science:

  • Medical Education Research
  • Healthcare Professional Development
  • Psychology in Medicine

Background:

  • Longitudinal preceptorships offer sustained clinical exposure.
  • Understanding the impact on medical student self-efficacy is crucial.
  • Patient-centeredness is a key competency in modern healthcare.

Purpose of the Study:

  • To assess the effect of early longitudinal preceptorships on medical students' self-efficacy.
  • To compare general self-efficacy and patient-centeredness self-efficacy evolution.
  • To explore qualitative differences in student experiences.

Main Methods:

  • Administered validated self-efficacy surveys at three timepoints.
  • Stratified data by traditional vs. longitudinal preceptorship groups.
  • Utilized Generalized Estimating Equations and qualitative essay analysis.

Main Results:

  • Patient-centeredness self-efficacy increased in the cohort; longitudinal groups showed higher gains.
  • Longitudinal preceptorships particularly improved exploring patient perspectives.
  • Qualitative data revealed increased discussion of healthcare systems and psychosocial factors.

Conclusions:

  • Early longitudinal clinical experiences foster greater patient-centeredness self-efficacy.
  • These experiences may enhance students' understanding of healthcare systems and patient needs.
  • Medical schools should consider integrating early longitudinal clinical experiences.