# Strategies for supporting senior medical students with difficulties: a qualitative study of tutors at the Department of general practice in Clermont-Ferrand

Maxence Pithon, Bastien Brel, Pierre Bernard, Philippe Vorilhon, Gilles

Tanguy, Benoit Cambon

► To cite this version:

Maxence Pithon, Bastien Brel, Pierre Bernard, Philippe Vorilhon, Gilles Tanguy, et al. Strategies for supporting senior medical students with difficulties: a qualitative study of tutors at the Department of general practice in Clermont-Ferrand. Congrès de l'AMEE, Association for Medical Education in Europe (AMEE), Aug 2022, Lyon, France. **hal-04396841**

HAL Id: hal-04396841

https://hal.science/hal-04396841v1

Submitted on 16 Jan 2024

**HAL** is a multi-disciplinary open access
archive for the deposit and dissemination of sci-
entific research documents, whether they are pub-
lished or not. The documents may come from
teaching and research institutions in France or
abroad, or from public or private research centers.

L'archive ouverte pluridisciplinaire HAL, est
destinée au dépôt et à la diffusion de documents
scientifiques de niveau recherche, publiés ou non,
émanant des établissements d'enseignement et de
recherche français ou étrangers, des laboratoires
publics ou privés.

<figure><img src="image_1.png" /></figure>
<figure><img src="image_2.png" /></figure>

STRATEGIES FOR SUPPORTING SENIOR
MEDICAL STUDENTS IN DIFFICULTIES

Qualitative study of
mentors at the
department of general
practice in Clermont-
Ferrand
# DISCLOSURE STATEMENT

There are no conflicts of interest to declare

- Former president ISNAR-IMG

- Former president of SARHA

- Former member of the national center for supporting health students' quality of life (2019-2020)

<figure><img src="image_3.png" /></figure>

<figure><img src="image_4.png" /></figure>

<figure><img src="image_5.png" /></figure>

CENTRE NATIONAL D'APPUI
à la qualité de vie des étudiants en santé
DIFFICULTIES ENCOUNTERED BY SENIOR MEDICAL
STUDENTS

Multiple difficulties

* Affectives

* Cognitives

- Structural / organisational

• Interpersonnal

Psycho-social risks

- 28,8 % of depression symptoms

* 35,1 % of burn out

Vaughn et al. 1998;10(4):217622
Mata et al. JAMA 2015;331(22):2373-83
Rodrigues et al. PLOS ONE. 2018;13(11):e0206840
# GENERAL PRACTICE TRAINING IN FRANCE

<figure><img src="image_6.png" /></figure>

## Third cycle reform

- 2017

- 3 years

<figure><img src="image_7.png" /></figure>

## Tutorship in general practice

- Individual and / or group

- Facilitation and evaluation

## Tutorship in Clermont-Ferrand

- Practice sharing group: 7 meetings / year

- Individual meetings: >2 meetings / year
# OBJECTIVES

## Analyze

Strategies of mentors who support general practice senior students in difficulties at the department of general practice in Clermont-Ferrand

## Create

An efficient tool for mentors to help them to identify and support medical students in difficulties
GROUNDED THEORY

<figure><img src="image_8.png" /></figure>
¹ Identify

Pedagogical tools

Practice sharing group
evaluations

Internship evaluations

Discussion with internship
supervisors

Written records of
learning

<< RSCA >>

Internship report

Tutorship

individual

Warning signal

No participation or
production

Lack of reflexivity

Lack of autonomy

Behavior modification

Internship problem

No validation of
internship

Difficulty with French

language

RESULTS
3-STEPS STRATEGY

³ Support

<figure><img src="image_9.png" /></figure>
# CONCLUSION

¹ Identify

**Pedagogical tools**

**Practice sharing group evaluations**

Internship evaluations

Discussion with internship supervisors

**Written records of learning**

<< RSCA >>

Internship report

**Tutorship**

individual

**Warning signal**

No participation or production

Lack of reflexivity

Lack of autonomy

Behavior modification

Internship problem

No validation of internship

Difficulty with French language

³ Support

<figure><img src="image_10.png" /></figure>

Become aware

Explore 2

Ensure the follow-up

Remediation

Solution

**Mobilise external resources**

**Student's peers**

PSG, Syndicate

**Tutor's peers**

Tutor changing, expert, pedagogical referent, peer learning, exchanges

**Département of general practice**

Coordination, administration, pedagogical authority, pedagogical commission, internship evaluations

**Health professional**

Health at work, psychologist, referent doctor, other carer

**University**

Internship, speciality changing, commission << students in difficulties >>, << BAPU >>, UHS

## Tutors strategies report

### Tool useful for tutors

* Probably useful for other tutorship?

* Validation?

### Opening

* Student's expectations?

* Organisation of other tutorships?

* In other specialities? Other countries?
<figure><img src="image_11.png" /></figure>

Éducation | Tutorat

Maxence Pithon¹, Bastien Brel¹,

Pierre Bernard¹,², Philippe Vorilhon¹,²,³,
Gilles Tanguy¹,², Benoît Cambon¹,²

1. Département de médecine générale,
Clermont-Ferrand, France

2. Université Clermont-Auvergne,
UR ACCTP, AutomédiCation aCcompagne-
ment Pluriprofessionnel Patient, Clermont-
Ferrand, France

3. Direction de recherche clinique et de
l'innovation, CHU Clermont-Ferrand, France

maxence.pithon@uca.fr

exercer 2022;182:184-90.

Stratégies d'accompagnement
des étudiants de 3e cycle
de médecine générale
en difficulté

Étude qualitative auprès de leurs tuteurs

Strategies for supporting senior medical students
in difficulties. Qualitative study of mentors
at the Department of general practice in
Clermont-Ferrand
THANKS FOR
YOUR
ATTENTION

<figure><img src="image_12.png" /></figure>

<figure><img src="image_13.png" /></figure>