General practice and medical education: What do medical students value?

An external evaluation [1] of the fourth-year medical student attachment in general practice at the University of Dundee was conducted to determine the strengths and weaknesses of the teaching programme. Written evaluations of the attachment were obtained from 75 medical students. In addition, interviews were conducted with students and their tutors and a focus group was arranged at the conclusion of the attachment. The overall evaluation by the students was positive. Students liked the opportunity for the hands-on practice of medicine and the collegial reception from their tutors. Major criticisms related to the lack of adequate opportunities for some students to see patients on their own and to learn practical procedures. Many students would like to have a longer attachment. Problem areas which may provide valuable learning experiences, such as dealing with 'difficult patients' need to be addressed in advance and during the attachment. Other health professionals need to be adequately prepared for, and involved in, student teaching. The combination of independent practice experience in a friendly learning environment and guided reflection on practice are to be encouraged to ensure the further success of this teaching programme.