Clinical experience of medical students in a developing country.
OBJECTIVE
This paper compares the clinical experience in acute conditions of the undergraduate students of a medical school from a developing country (Malaysia) with those from a developed country (UK).


METHODS
This study was conducted at the School of Medical Sciences, Universiti Sains Malaysia (USM). Through questionnaire survey enquiry was made about 27 acute medical conditions (i.e. conditions related to internal medicine, paediatrics, and psychiatry), 15 acute surgical conditions (i.e. conditions related to general surgery, orthopaedics, ophthalmology, otorhinolaryngology, gynaecology and obstetrics), 15 surgical operations and 26 practical procedures. The results obtained were compared with published data from the UK.


RESULTS
Acute medical conditions were seen by higher number of the USM students but with less frequency than the British students. The USM students saw practical procedures more frequently than the British students did, but almost an equal number performed these procedures independently. The British students attended surgical operations more frequently than the USM students did.


CONCLUSIONS
Given the limitations of comparison (epidemiological, cultural and geographical differences, conventional curriculum (in the British medical schools) vs. problem based learning curriculum (in the Malaysian medical school)) the overall clinical experience of the medical students in the USM and the UK was comparable. The USM students had more opportunities to observe cases and procedures but "hands on" experience was similar to that of the British students.
Malik
Alam Sher
AS
Core Group of Paediatrics in Faculty of Medicine and Health Sciences, University of Malaysia Sarawak, Sarawak, Malaysia. asmalik@fmhs.unimas.my
Seng
Quah Ban
QB
D000208:Acute Disease / Q000628:therapy; D002982:Clinical Clerkship / Q000592:standards* / Q000706:statistics & numerical data; D003479:Curriculum; D019049:Developed Countries; D003906:Developing Countries; D004501:Education, Medical; D004504:Education, Medical, Undergraduate / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D008296:Malaysia; D018794:Problem-Based Learning; D013038:Specialization; D013337:Students, Medical / Q000523:psychology*; D013514:Surgical Procedures, Operative / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D006113:United Kingdom