Evidence map›Paper›PMID 31562805›Full record

ReviewInternational journal of medical education2019

Barriers to outpatient education for medical students: a narrative review.

Ricardo Luiz Oliveira Franco, José Lúcio Martins Machado, Renato Satovschi Grinbaum, Gustavo José Martiniano Porfírio

Abstract readReview
In one paragraph

Review in International journal of medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Evaluating the Efficacy of Case-Based Learning for Medical Oncology Trainees: A Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Restrategizing health human resources for India's Public Health System.Journal of family medicine and primary care · 2026
    Article
  7. Article
  8. Hemato-oncological outpatient care in medical education: a German pilot-project.Journal of cancer research and clinical oncology · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Exploring the educational value of the general surgical outpatient clinic: a systematic review.Global surgical education : journal of the Association for Surgical Education · 2023
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ricardo Luiz Oliveira FrancoInstituto de Assistência Médica ao Servidor Público Estadual (IAMSPE), Pós Graduação em Ciências da Saúde, Brazil.
José Lúcio Martins MachadoInstituto de Assistência Médica ao Servidor Público Estadual (IAMSPE), Pós Graduação em Ciências da Saúde, Brazil.
Renato Satovschi GrinbaumInstituto de Assistência Médica ao Servidor Público Estadual (IAMSPE), Pós Graduação em Ciências da Saúde, Brazil.
Gustavo José Martiniano PorfírioUniversidade Municipal de São Caetano do Sul USCS, Curso de Medicina, Campus Bela Vista, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study surveys medical education literature published over the last 25 years (1993-2018) to identify the factors scholars consider deleterious to outpatient teaching for medical students.

methodsThis study conducts a review of medical education literature published between 1993 and 2018 using Medline, Lilacs, Ibecs, Cochrane Library, and Scielo databases. The following search terms were utilized: "Education, Medical, Undergraduate" AND "Ambulatory Care" AND "Teaching/methods" OR "Clinical Clerkship" OR "Preceptorship." This study focuses on papers describing deleterious factors for outpatient teaching with medical students and analyzes their results, discussions, and conclusions sections.

resultsOf the 363 articles obtained, this study selected 33 for analysis. These papers identify numerous factors as barriers to outpatient education. For didactic purposes, these factors are categorized into four barrier groups: environment-institution, academic staff, students, and patients. Academic staff-related teaching barrier was the most frequently mentioned obstacle. Intense care schedule with little teaching time was considered the most common and relevant barrier to outpatient medical education, followed by inappropriate teaching environment and inadequate supervision model.

conclusionsThere is a lack of recent literature on studies focusing on barriers to effective outpatient medical education. Factors identified as harmful to outpatient education have been pointed out by course directors, academic staff, and students in the literature. However, many of these factors remain overlooked by educators, who can use these factors to modify their academic activities for more effective results.

Indexed as

Ambulatory CareStudents, MedicalEducation, MedicalHumansTeachingambulatory careclinical clerkshipeducationmedicalpreceptorshipteaching methodsundergraduate

Identifiers

PMID31562805
PMCPMC6773369

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.