在校医学本科生对《全科医学概论》课程的评价和全科医学认知状况的调查研究  

Survey on Introduction to General Practice course taking and knowledge of General Practice among medical students in Fudan University

作　　者：王健 赵琦[2] 祝墡珠 潘志刚 Wang Jian;Zhao Qi;Zhu Shanzhu;Pan Zhigang(Department of General Practice,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Epidemiolagy,School of Public Health,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院全科医学科,200032 [2]复旦大学公共卫生学院,上海200032

出　　处：《中华全科医师杂志》2018年第11期901-904,共4页Chinese Journal of General Practitioners

基　　金：上海市卫生和计划生育委员会重要薄弱学科建设全科医学项目(2015zB0601);复旦大学上海医学院2017年医学教育研究课题。

摘　　要：目的调查在校医学本科生对《全科医学概论》课程的评价和对全科医学的认知以及择业意愿,为医学院校完善全科医学本科教育提供参考。方法于2017年6月16-30日采用自行设计的评价问卷对复旦大学上海医学院2017年所有参加《全科医学概论》课程的在校本科生进行调查。结果发放问卷197份,回收有效问卷186份,有效回收率94.42%。95.16%(177/186)的学生表示,通过社区实践课,对全科医生的岗位有了很多和较多了解;97-31%(181/186)认为有必要开展社区实践课;92.47%(172/186)对社区实践课很满意和较满意。94.09%(175/186)的学生表示,通过《全科医学概论》的学习,清楚了解了全科医生的工作职责;87.63%(163/186)完全了解了全科医生需要具备的能力;学习该课程后,认为开阔了思维、转变观念、增加知识的学生分别为74.19%(138/186)、64.52%(120/186)和63.44%(118/186)。96.24%(179/186)的学生认为全科医生有职业发展前景,但是未来选择当全科医生的只有7人(3.76%),选择当专科医生的为161人(86.56%)。毕业后不愿意做全科医生的前3位理由分别是更喜欢做专科医生(82.61%,133/186)、社区全科医生工作元挑战性(45.34%,73/186)、全科医生待遇低(45.34%,73/186)。结论全科医生重要性及职业发展前景得到大家认可,但有意从事全科岗位的人员比例太低。如何吸引更多医学生加人全科医师行列,需要教育部门和卫生行政部门共同的重视。Objective To survey Introduction to General Practice course taking and knowledge of general practice among medical students in Fudan University.Methods A survey with self-designed questionnaire was conducted in June 2017among medical students of 5year program in Fudan University who had taken the course of Introduction to General Practice.Results One hundred and ninety seven questionnaires were distributed and 186valid ones returned with a recovery rate of 94.42%.The survey showed that 95.16%of participants (177/186)gained knowledge about the post of general practitioners (GPs) through community practice;97.31%(181/186)thought community practice as necessary;92.47%(172/185) were very satisfied or fairly satisfied with the community practice course;94.09%(175/186)gained clear understanding of the duty of GPs through the course study;87.63%(163/186)completely understood the required capabilities of a GP;74.19%(138/186)said that the course had opened their mind;64.52%(120/ 186)said that they had changed their views about general practice;63.44%(118/186)said that they had acquired new knowledge.The participants also gave some suggestions regarding the content of community practice.Although 96.24%of the students (179/186)thought that general practitioner had a bright career prospect,only 7of them (3.76%)were willing to be GPs after graduation;meanwhile 161of them (86.56%) were willing to be specialists.The main reasons of not willing to be a GP were "wish to be a specialists (82.61%,133/186)","the job was not challenging or difficult for career development (45.34%,73/186)"and "not paid well for GPs (45.34%,73/186)".Conclusion Although many students thought GP would have good career prospect,only few of them are willing to be a GP.How to attract more medical students to chose GP as their career should be paid high attention by education and health authorities.

关 键 词：全科医学 教育 医学生 

分 类 号：R-4[医药卫生]