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Learning through work: clinical shadowing of junior doctors by first year medical students

Learning through work: clinical shadowing of junior doctors by first year medical students
Learning through work: clinical shadowing of junior doctors by first year medical students

BACKGROUND: Early clinical contact (ECC) is a key feature of undergraduate programmes, yet they make significant demands on senior clinicians delivering it and usually focus on patient contact.

AIMS: To explore the potential of an ECC activity oriented to work as a junior doctor and the clinical environment, and the use of very junior doctors as facilitators of this learning.

METHODS: For two academic years, all first year medical students at UCL Medical School shadowed a Foundation Year (FY) doctor for a four-hour shift to experience and understand the work of junior doctors. Feedback from students and FY doctors was gathered and analysed.

RESULTS: The students found the FY doctors to be good near-peer tutors and enjoyed exploring the clinical environment, but felt that the unstructured learning environment was difficult. The FY doctors felt that learning in and about the clinical environment was an important learning outcome for the students, although they found supervising junior medical students in a shadowing context difficult.

CONCLUSIONS: FY doctors are an effective and under-utilised resource in introducing novices to the role of a medical professional in the clinical environment; however students and FY doctors need support to maximise the learning potential of early shadowing activities.

Attitude of Health Personnel, Clinical Clerkship/organization & administration, Clinical Competence, Curriculum, Education, Medical, Undergraduate/organization & administration, Humans, Medical Staff, Hospital, Perception, Program Evaluation
0142-159X
633-638
Iwata, Kazuya
0159f8f5-17d9-4e0b-bc62-528460c472d5
Gill, Deborah
7efe669f-45e8-45d3-ab30-8717653353ca
Iwata, Kazuya
0159f8f5-17d9-4e0b-bc62-528460c472d5
Gill, Deborah
7efe669f-45e8-45d3-ab30-8717653353ca

Iwata, Kazuya and Gill, Deborah (2013) Learning through work: clinical shadowing of junior doctors by first year medical students. Medical Teacher, 35 (8), 633-638. (doi:10.3109/0142159X.2013.801552).

Record type: Article

Abstract

BACKGROUND: Early clinical contact (ECC) is a key feature of undergraduate programmes, yet they make significant demands on senior clinicians delivering it and usually focus on patient contact.

AIMS: To explore the potential of an ECC activity oriented to work as a junior doctor and the clinical environment, and the use of very junior doctors as facilitators of this learning.

METHODS: For two academic years, all first year medical students at UCL Medical School shadowed a Foundation Year (FY) doctor for a four-hour shift to experience and understand the work of junior doctors. Feedback from students and FY doctors was gathered and analysed.

RESULTS: The students found the FY doctors to be good near-peer tutors and enjoyed exploring the clinical environment, but felt that the unstructured learning environment was difficult. The FY doctors felt that learning in and about the clinical environment was an important learning outcome for the students, although they found supervising junior medical students in a shadowing context difficult.

CONCLUSIONS: FY doctors are an effective and under-utilised resource in introducing novices to the role of a medical professional in the clinical environment; however students and FY doctors need support to maximise the learning potential of early shadowing activities.

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More information

Published date: 19 September 2013
Keywords: Attitude of Health Personnel, Clinical Clerkship/organization & administration, Clinical Competence, Curriculum, Education, Medical, Undergraduate/organization & administration, Humans, Medical Staff, Hospital, Perception, Program Evaluation

Identifiers

Local EPrints ID: 502531
URI: http://eprints.soton.ac.uk/id/eprint/502531
ISSN: 0142-159X
PURE UUID: a744731d-f142-4d4c-b304-5e7f4e0e2ea0
ORCID for Deborah Gill: ORCID iD orcid.org/0009-0005-8371-2496

Catalogue record

Date deposited: 30 Jun 2025 17:35
Last modified: 03 Jul 2025 02:31

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Contributors

Author: Kazuya Iwata
Author: Deborah Gill ORCID iD

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