| Barriers related to educational environments and institutions |
Failure to recognize the need for excellence in teaching.10,14,27,39
|
| A lack of institutional support.10,14,27,39
|
| Conflicts between medical education and healthcare.10,14,27,28,39
|
| No contact/lengthy distances between the outpatient clinic and university.7,10,14,29,31
|
| Outpatientand university curricula not being integrated.7,10,14,29,31
|
| Academic costs/insufficient funding for academic outpatient clinics.8,14,27,28,29,32,37
|
| Inadequate financial incentives for academic staff.10,14,27,28,30,32,37 |
|
Difficulties in the hiring of qualified academic staff.10,14,27,28,29,30,32,37,38
Inadequate criteria for the hiring of academic staff.10
|
| Absence of a professional dedicated to teaching at the institution.32
|
| Poor distribution of doctors.7,8,11,17,28,29
|
| Inappropriate or small care rooms.2,5,6,10,11,14,17,18,21,23,24,27,28,31,32,34,40
|
| Insufficient technological and audiovisual resources suitable for teaching.32,35,36
|
| Academic staff-related |
Intense and inadequate care schedule for teaching/insufficient time for teaching.2,5,6,10,11,15,18,19,20,23,25,27,28,29,31,32,34,37,38,39,42
|
| A lack of professional training and retraining.31
|
| Fear of losing private patients.10,14,29,30
|
| Fear of losing professional autonomy.10,30
|
| Inadequate supervision model/teaching method.5,11,14,16,17,23,22,29,34,40
|
| Inadequate service model for students.11,20
|
| Inappropriate or absence of feedback.5,11,15,17,20,21,22,23,24,25,29,34
|
| Patient-related |
The lack of suitable patients for teaching.5,19,31,32
|
| Failure to obtain patient consent for academic activities.7,17
|
| No follow-up/continuity of cases attended.7,17
|
| Absenteeism.32
|
| Student-related |
A lack of commitment to and interest in learning.32
|
| Increasing numbers of students in the internship group.32,35,36
|