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      <Title language="en">Students&#8217; expectations of clinical work before the internal medicine with propaedeutics course &#8211; a qualitative study</Title>
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          <Affiliation>University of Maribor, Faculty of Medicine, Maribor, Slovenia</Affiliation>
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          <Affiliation>University of Maribor, Faculty of Medicine, Maribor, Slovenia</Affiliation>
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          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
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        <Address>D&#252;sseldorf</Address>
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      <SubjectheadingDDB>610</SubjectheadingDDB>
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      <DatePublished>20250604</DatePublished>
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    <Language>engl</Language>
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        <MeetingId>M0618</MeetingId>
        <MeetingSequence>35</MeetingSequence>
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        <MeetingTitle>19. Internationales SkillsLab Symposium 2025</MeetingTitle>
        <MeetingSession>Vortr&#228;ge 9 &#8211; Training von Basisfertigkeiten</MeetingSession>
        <MeetingCity>M&#252;nchen</MeetingCity>
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          <DateFrom>20250319</DateFrom>
          <DateTo>20250321</DateTo>
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      <MainHeadline>Text</MainHeadline><Pgraph><Mark1>Introduction:</Mark1> Clinical work represents an essential component of medical education, as it bridges theoretical knowledge with real-world healthcare settings. Students&#8217; motivation, learning, and clinical skill acquisition are greatly impacted by their expectations about the format of clinical exercises. The aim of this research was to investigate the expectations of medical students with regard to hands-on training in a hospital environment and find possible room for improvement in future clinical education. </Pgraph><Pgraph><Mark1>Methods:</Mark1> We included 64 students of year 3 from Faculty of Medicine Maribor in academic year 2024&#47;2025. Data were collected through structured, face-to-face interviews. The structured interview guide among others consisted of three questions:</Pgraph><Pgraph><OrderedList><ListItem level="1" levelPosition="1" numString="1.">What are students&#8217; expectations from clinical work in the Internal Medicine course&#63; </ListItem><ListItem level="1" levelPosition="2" numString="2.">What do students expect to learn from this course&#63; </ListItem><ListItem level="1" levelPosition="3" numString="3.">What knowledge do students expect to have at the end of the academic year&#63; </ListItem></OrderedList></Pgraph><Pgraph>The data were analyzed using content analysis, which involved systematically coding the responses and identifying recurring themes and patterns related to the students&#8217; expectations. </Pgraph><Pgraph><Mark1>Results &#8211; categories and codes: </Mark1></Pgraph><Pgraph>Knowledge </Pgraph><Pgraph><UnorderedList><ListItem level="1">recognise the pathologies (n&#61;15); </ListItem><ListItem level="1">familiarise with physiologic mechanisms (n&#61;10); </ListItem><ListItem level="1">notice emergencies (n&#61;10); </ListItem><ListItem level="1">understand clinical significance of pathologies (n&#61;10); </ListItem><ListItem level="1">get acquainted with different pathologies (n&#61;10); </ListItem><ListItem level="1">to know as much as possible (n&#61;10); </ListItem><ListItem level="1">get to know some exceptions to the rule (n&#61;10); </ListItem><ListItem level="1">management of the patient (n&#61;2); </ListItem><ListItem level="1">creating differential diagnoses (n&#61;1). </ListItem></UnorderedList></Pgraph><Pgraph>Soft skills</Pgraph><Pgraph><UnorderedList><ListItem level="1">establish communication principles (n&#61;7); </ListItem><ListItem level="1">learning to behave in patients&#8217; proximity (n&#61;4); </ListItem><ListItem level="1">know how to work with patients (n&#61;2); </ListItem><ListItem level="1">to set priorities (n&#61;13); </ListItem><ListItem level="1">approach to patients (n&#61;13); </ListItem><ListItem level="1">extracting core information (n&#61;2); </ListItem><ListItem level="1">perform focused assessments (n&#61;2); </ListItem><ListItem level="1">handling the patient (n&#61;2); </ListItem><ListItem level="1">to build a sovereign approach (n&#61;2); </ListItem><ListItem level="1">management of more demanding patients (n&#61;1). </ListItem></UnorderedList></Pgraph><Pgraph>Skills </Pgraph><Pgraph><UnorderedList><ListItem level="1">to perfect examination protocols (n&#61;2); </ListItem><ListItem level="1">strengthen the knowledge of performing examinations (n&#61;4); </ListItem><ListItem level="1">to perfrom basic exam (n&#61;10); </ListItem><ListItem level="1">to determine what to ask the patients (n&#61;10); </ListItem><ListItem level="1">to be able to take patient&#39;s history (n&#61;2); </ListItem><ListItem level="1">take patient&#8217;s history and perform the exam independently (n&#61;9); </ListItem><ListItem level="1">practicing exams on patients (n&#61;3); </ListItem><ListItem level="1">to develop optimal technique of taking patient&#8217;s history and performing exam (n&#61;4); </ListItem><ListItem level="1">to learn practical skills (n&#61;5); </ListItem><ListItem level="1">to be able to correctly take patient&#8217;s history and perform the exam (n&#61;5); </ListItem><ListItem level="1">to be able to report findings; to correctly write down the findings (n&#61;5); </ListItem><ListItem level="1">to practice auscultation; </ListItem><ListItem level="1">to learn mentor&#8217;s way of performing exam (n&#61;2). </ListItem></UnorderedList></Pgraph><Pgraph>Propedeutics </Pgraph><Pgraph><UnorderedList><ListItem level="1">to see everyday&#8217;s work (n&#61;4); </ListItem><ListItem level="1">get exposed to the patients (n&#61;4); </ListItem><ListItem level="1">get experience with management of the patients (n&#61;4); </ListItem><ListItem level="1">contact with practical tings (n&#61;4); </ListItem><ListItem level="1">applicate knowledge into real-life situations (n&#61;3); </ListItem><ListItem level="1">see differences between theory and real life (n&#61;2); </ListItem><ListItem level="1">gain a good overview of internal medicine (n&#61;5); </ListItem><ListItem level="1">experience pace of internal medicine ward (n&#61;2). </ListItem></UnorderedList></Pgraph><Pgraph>Personality </Pgraph><Pgraph><UnorderedList><ListItem level="1">gain confidence (n&#61;9); </ListItem><ListItem level="1">to become sovereign (n&#61;6); </ListItem><ListItem level="1">encouragement (n&#61;1). </ListItem></UnorderedList></Pgraph><Pgraph><Mark1>Discussion:</Mark1> The analysis shows that clinical work in internal medicine is expected to provide a multifaceted learning experience, with students anticipating a bridge between theoretical knowledge and clinical practice. While many students prioritize recognizing different pathologies, there is a notable emphasis on developing soft skills and gaining confidence with patient interactions. Though students are generally satisfied with the structure of clinical practice, there is still potential for improvement.</Pgraph></TextBlock>
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