Importance of Inclusive Education in General Medicine Through the Perception of Medical Trainees: A Thematic Analysis.

community-based medical education educator-learner relationship family medicine general medicine inclusivity medical pedagogy psychological safety rural japan thematic analysis

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Oct 2023
Historique:
accepted: 24 10 2023
medline: 29 11 2023
pubmed: 29 11 2023
entrez: 29 11 2023
Statut: epublish

Résumé

Background General medical education plays a pivotal role in ensuring holistic care in the context of rapidly aging populations. Japan's demographic trends underscore the significance of general medicine in elevating community care standards. Understanding and catering to the aspirations, perceptions, and ideals of medical students and residents can significantly augment the effectiveness of general medicine education. This research aimed to explore the perspectives of medical students on the ideal tenets of general medicine education in rural Japan. Method A qualitative approach was employed, focusing on medical students and residents with a keen interest in general medicine, all of whom underwent training at a rural-based Japanese hospital. Through semi-structured interviews, insightful data were garnered and subsequently subjected to a comprehensive thematic analysis. Results The thematic analysis unearthed three core themes: commitment of educators in valuing learner diversity, promotion and understanding of general medicine, and inclusivity and diversity in educational institutions. The first highlighted the centrality of educators' sincerity, emphasizing the importance of genuine, sustained interactions that foster mutual respect and collaborative learning. The second theme underscored the need to elucidate the intrinsic value and modern-day relevance of general medicine, emphasizing its deep roots in community-based practices and its continuity with long-standing medical traditions. The third theme spotlighted the crucial role of comprehensive medical education in fostering enriching dialogues, embracing varied learning experiences, and capitalizing on the distinctive strengths of educational institutions. Conclusion These findings underscore the pivotal shift required in pedagogical approaches to comprehensive medical education. A genuine collaborative educator-learner relationship, the reframing of general medicine's significance rooted in community welfare, and a strong emphasis on inclusivity and dialogue form the cornerstones of these insights. This study provides a touchstone for restructuring educational strategies, aiming for a more integrated, genuine, and encompassing framework that is particularly vital for the effective propagation of general medicine in regions such as Japan.

Identifiants

pubmed: 38021937
doi: 10.7759/cureus.47585
pmc: PMC10666900
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e47585

Informations de copyright

Copyright © 2023, Ohta et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Int J Environ Res Public Health. 2022 Apr 22;19(9):
pubmed: 35564495
Med Teach. 2023 Nov;45(11):1290-1299
pubmed: 37266963
Int J Environ Res Public Health. 2021 Jun 06;18(11):
pubmed: 34204070
GMS J Med Educ. 2020 Mar 16;37(2):Doc18
pubmed: 32328520
Clin Rheumatol. 2020 Mar;39(3):667-671
pubmed: 31902031
Anthropol Med. 2022 Sep;29(3):338-344
pubmed: 34523375
Ann Fam Med. 2004 Mar-Apr;2 Suppl 1:S3-32
pubmed: 15080220
J Gen Fam Med. 2019 Sep 08;20(6):236-243
pubmed: 31788401
J Gen Intern Med. 2023 Jan;38(1):213-215
pubmed: 36163532
Int J Environ Res Public Health. 2022 Apr 23;19(9):
pubmed: 35564531
BMC Med Educ. 2015 Apr 18;15:79
pubmed: 25903055
Cureus. 2023 Aug 18;15(8):e43709
pubmed: 37724209
Aten Primaria. 2022 Oct;54(10):102468
pubmed: 36137443
Acad Med. 2020 May;95(5):803-813
pubmed: 31567169
Fukushima J Med Sci. 2023 Aug 10;69(2):133-141
pubmed: 37164763
Ann Fam Med. 2015 May-Jun;13(3):206-13
pubmed: 25964397
Healthcare (Basel). 2023 Jan 15;11(2):
pubmed: 36673637
Int J Environ Res Public Health. 2022 Jun 02;19(11):
pubmed: 35682389
J Ambul Care Manage. 2008 Jul-Sep;31(3):269-75
pubmed: 18574385
Med J Aust. 2011 Jun 6;194(11):S53-4
pubmed: 21644852
Nurs Health Sci. 2013 Sep;15(3):398-405
pubmed: 23480423
Educ Prim Care. 2021 Mar;32(2):78-84
pubmed: 33375887
Med Teach. 2009 Feb;31(2):96-100
pubmed: 19330667
Healthcare (Basel). 2021 Sep 24;9(10):
pubmed: 34682936
J Grad Med Educ. 2022 Feb;14(1):115-116
pubmed: 35222830
Cureus. 2022 Oct 28;14(10):e30811
pubmed: 36451643
Geriatr Gerontol Int. 2016 Mar;16 Suppl 1:87-97
pubmed: 27018287
Int J Environ Res Public Health. 2021 Nov 25;18(23):
pubmed: 34886136

Auteurs

Ryuichi Ohta (R)

Community Care, Unnan City Hospital, Unnan, JPN.

Takuji Katsube (T)

Family Medicine, Unnan City Hospital, Unnan, JPN.

Chiaki Sano (C)

Community Medicine Management, Faculty of Medicine, Shimane University, Izumo, JPN.

Classifications MeSH