Student perspectives of preparedness characteristics for clinical learning within a fully distributed veterinary teaching model

The transition into the clinical environment is challenging and associated with significant stress and anxiety. This study aimed to examine the perspectives of students on the characteristics important for preparedness for clinical learning and the influence of gender, age, and graduate status on those perspectives. This descriptive, questionnaire-based study of 62 characteristics categorised into six themes was conducted within the Surrey School of Veterinary Medicine completed by 139 students commencing their final clinical year. The Friedman test and post-hoc Wilcoxon signed rank sum test explored for differences in ranking across the themes. Ordinal logistic regression and Mann-Whitney U pairwise comparisons were utilised to investigate for effects of gender, age, and graduate status on theme ranking. There was a significant difference (P <0.05) between medians for themes of preparedness characteristics with comparisons revealing willingness and communication and interaction as the most highly rated characteristics. Knowledge and understanding were viewed as the least important characteristic. Regression and pairwise Mann-Whitney U comparisons confirmed no significant effects (P >0.05) of gender, age or graduate status on student rating of preparedness characteristics. Integrating learning opportunities of those preparedness characteristics in the pre-clinical curriculum may improve students’ preparedness for the clinical environment.

[1]  Qunhong Wu,et al.  Gender differences on medical students’ attitudes toward patient-centred care: a cross-sectional survey conducted in Heilongjiang, China , 2019, PeerJ.

[2]  B. Chipwaza,et al.  Factors Affecting Performance in Clinical Practice among Preservice Diploma Nursing Students in Northern Tanzania , 2019, Nursing research and practice.

[3]  H. Perrin.  What Are Employers Looking for in New Veterinary Graduates? A Content Analysis of UK Veterinary Job Advertisements. , 2019, Journal of veterinary medical education.

[4]  K. Jeevaratnam,et al.  Student preparedness characteristics important for clinical learning: perspectives of supervisors from medicine, pharmacy and nursing , 2017, BMC Medical Education.

[5]  I. Hambleton,et al.  Exploring the transition of undergraduate medical students into a clinical clerkship using organizational socialization theory , 2016, Perspectives on Medical Education.

[6]  Peggy L. Schmidt,et al.  Distributive veterinary clinical education: a model of clinical-site selection. , 2014, Journal of veterinary medical education.

[7]  A. Fall,et al.  The Multiple Mini-Interview (MMI) for student selection in health professions training – A systematic review , 2013, Medical teacher.

[8]  C. Myford,et al.  Improving Student Selection Using Multiple Mini-Interviews With Multifaceted Rasch Modeling , 2013, Academic medicine : journal of the Association of American Medical Colleges.

[9]  Peter J. Buttrum,et al.  Characteristics of student preparedness for clinical learning: clinical educator perspectives using the Delphi approach , 2012, BMC medical education.

[10]  O. Valencia,et al.  A comparison of multiple mini-interviews and structured interviews in a UK setting , 2011, Medical teacher.

[11]  A. Scherpbier,et al.  Students' perceptions about the transition to the clinical phase of a medical curriculum with preclinical patient contacts; a focus group study , 2010, BMC medical education.

[12]  J. Lockyer,et al.  The multiple mini‐interview for selection of international medical graduates into family medicine residency education , 2009, Medical education.

[13]  T. Dornan,et al.  Maturity and medical students’ ease of transition into the clinical environment , 2009, Medical teacher.

[14]  J. Cohen-schotanus,et al.  Transition to clinical training: influence of pre‐clinical knowledge and skills, and consequences for clinical performance , 2008, Medical education.

[15]  Farkhondeh Sharif,et al.  A qualitative study of nursing student experiences of clinical practice , 2005, BMC nursing.

[16]  A. Scherpbier,et al.  Students' opinions about their preparation for clinical practice , 2005, Medical education.

[17]  J. Serpell.  Factors influencing veterinary students career choices and attitudes to animals. , 2005, Journal of veterinary medical education.

[18]  T. Dornan,et al.  What can experience add to early medical education? Consensus survey , 2004, BMJ : British Medical Journal.

[19]  Helen Lester,et al.  Perceived stress during undergraduate medical training: a qualitative study , 2003, Medical education.

[20]  K. Pitkala,et al.  Professional socialization revised: medical students' own conceptions related to adoption of the future physician's role--a qualitative study , 2003, Medical teacher.

[21]  R. Cruess,et al.  Professionalism: a contract between medicine and society. , 2000, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[22]  E. Paul,et al.  Veterinary education and students' attitudes towards animal welfare , 2000, Veterinary Record.

[23]  W. Montague,et al.  Academic selection criteria and subsequent performance , 1990, Medical education.

[24]  I. McManus,et al.  Prospective survey of performance of medical students during preclinical years. , 1986, British medical journal.

[25]  S. Hobfoll,et al.  Prediction of clinical performance: the role of prior experience. , 1981, Journal of medical education.