Evaluation on community internship of clinical medicine undergraduates from general practitioner trainers' perspectives
-
摘要: 目的 从社区师资角度了解临床医学本科生全科医学社区实习的开展现状和存在的问题,为进一步完善社区实习提供参考建议。 方法 2016年6—11月期间,对参与首都医科大学2011级临床医学本科生社区实习带教的社区师资进行现场问卷调查和个人深入访谈。问卷调查内容包括师资对《社区卫生实践大纲》的了解、社区实习中的带教计划、带教内容及教学方法等,结果采用描述性统计分析。个人深入访谈内容包括本科生社区实习存在的问题、带教过程中遇到的困难和对社区实习的建议,访谈资料根据录音和笔记整理并采用内容分析法归纳主题。 结果 问卷发放79份,回收有效问卷72份,参与问卷调查的师资中70.8%表示了解《社区卫生实践大纲》,84.7%的师资有带教计划,54.2%的师资认为实习时间安排合理,师资最常安排的带教内容是慢病管理、建立健康档案以及病史采集和书写病历,应用最多的教学方法为演示教学法,最少为角色扮演教学法,带教过程中最突出的问题为缺乏细化的社区实习带教手册。参与个人深入访谈的12位师资认为社区实习存在的主要问题有社区实习时间安排不合理,社区带教工作缺乏考核机制,缺乏细化的社区实习带教手册,以及缺乏充裕的带教时间。 结论 高校要重视临床医学本科生社区实习,将社区实习时间提前并适当延长,积极开展社区师资培训,制定细化的社区实习带教手册;同时社区卫生服务机构应建立带教工作培训考核和激励机制,以保证师资的带教水平和社区实习质量。Abstract: Objective To investigate the status quo and problems in community internship of clinical medicine undergraduates and to provide suggestions for the internship. Methods From June to November, 2016, a questionnaire survey and personal in-depth interview were conducted among the general practitioner (GP) trainers who undertook community internship teaching of clinical medical undergraduates entered Capital Medical University in 2011. Understanding of community internship syllabus, teaching plan formulating, teaching contents, teaching methods and the difficulties in teaching were investigated by questionnaire. The results were analyzed by descriptive statistics. The personal in-depth interviews focused on the problems in community internship, the difficulties of teaching and the suggestions for community internship. Content analysis was used to analyze the interview materials. Results A total of 79 questionnaires were sent out and 72 valid questionnaires were returned. It showed that 70.8% of the GP trainers who participated in the survey understood the syllabus of community internship, 84.7% of them had a teaching plan, and 54.2% of them considered that the time arrangement of the internship was reasonable. The most common teaching contents were chronic disease management, health records establishment, medical history taking and filling medical records. The most frequently used teaching method was demonstrating method while role-playing was the least. The most serious problem in the teaching process was the lack of detailed community internship teaching manual. The 12 GP trainers who participated in the personal in-depth interview thought the time arrangement for community internship was inappropriate, the community teaching work was lack of training and evaluation system, the GP trainers needed a detailed teaching manual for community internship, and incentive mechanism for the GP trainers participated in teaching needed to be established. Conclusion Colleges should attach importance to the community internship of clinical medical undergraduates, put the time of entering community forward and extend the length of the internship, and carry out teaching ability training for GP trainers with community institutions. At the same time, community health institution can reward and assess GP trainers' teaching work through appropriate forms to ensure the teaching level of GP trainers.
点击查看大图
计量
- 文章访问数: 207
- HTML全文浏览量: 49
- PDF下载量: 3
- 被引次数: 0