Major categories and sub-categories | Issues | Groups | |
---|---|---|---|
NPT | PT | ||
Pre-clinical training in skills laboratory | |||
Strengths of training in skills laboratory | Preparing for interpersonal communication | 12* | 4 |
Weaknesses of training in skills laboratory | Differences between skills laboratory’s guidelines and procedures on site | 15 | 23 |
Suggestions to improve training in skills laboratory | Having more topics for practice including communication skills, pediatric examination, local language, clerkship preparation, etc. | 38 | 25 |
Difficulties in first clerkships | |||
Difficulties with communication | Difficulties related to interpersonal communication | 12 | 0 |
Difficulties with physical examination | Different guidelines from various supervisors | 21 | 9 |
Difficulty to recognize a pathological condition in patients | 14 | 2 | |
Difficulties with diagnostic and therapeutic skills | Differences between manikins and patients | 17 | 2 |
Afraid of harming the patient | 10 | 1 | |
General difficulties | Difficulties during adaptation period; responsibilities, equipments, procedures, etc | 28 | 8 |
Insufficient supervision | 24 | 14 | |
Difficulties in collaboration with other health workers, health authorities, etc. | 10 | 2 | |
Low confidence in front of patients | 15 | 3 | |
Confused in front of patients | 11 | 2 | |
Nervous in front of patients | 11 | 1 | |
NPT students need to observe first before performing a clinical skill in first clerkships | 15 | 2 | |
Difficulties with clinical reasoning ability | 14 | 6 | |
Students’ opinion on ECE for pre-clinical students | |||
Advantages | Having clinical experiences earlier | 0 | 50 |
Being aware of differences between skills laboratory and hospital reality | 9 | 28 | |
Learning to cooperate with other health workers | 5 | 18 | |
Practicing interpersonal communication | 0 | 24 | |
Improving confidence | 16 | 26 | |
Improving clinical reasoning | 4 | 20 | |
Providing opportunities to practice clinical skills | 2 | 21 | |
Motivating to practice clinical skills | 5 | 18 | |
Learning that PHC is a comfortable environment for practice | 0 | 10 | |
Students’ suggestions for ECE | Effectiveness depends on supervisor’s support | 16 | 28 |
Hospital attachments are needed to observe advanced clinical procedures | 13 | 2 | |
Students’ comments on comparing PT and NPT groups | |||
PT students feel better prepared than NPT students in first clerkships | PT students demonstrate to be better prepared in their first clerkships | 10 | 34 |