农村订单定向医学生对全科医学教育认知及态度的调查与分析  

Investigation on recognition status and attitudes of general practice education for rural-oriented medical students

作　　者：刘颖[1] 熊晶[2] 郭怀兰[1] 刘锐[1] 刘长俊[1] 郑弘[1] 陈晋[1] 张苗[1] 甘亚楠 

机构地区：[1]湖北医药学院公共卫生与管理学院预防医学教研室,十堰442000 [2]湖北医药学院附属太和医院泌尿男科,十堰442000

出　　处：《中华医学教育探索杂志》2016年第11期1180-1184,共5页Chinese Journal of Medical Education Research

基　　金：湖北省高等学校省级教学研究重大项目（2013331）

摘　　要：目的了解农村订单定向医学生对全科医学教育的认知及态度，为教学改革提供有效依据。方法采用整群抽样方法，对湖北医药学院四个年级305名农村订单定向临床医学专业（全科医学方向）学生开展问卷调查；问卷有效回收率98．07％。运用SPSS17．0，对调查数据以构成比（％）描述，并行r检验、非参数检验。结果16．0％（49人）的学生认为地方高等医学院校没必要开设全科医学专业，了解全科医学专业培养目标、就业渠道、毕业后主要从事工作和专业发展状况的学生比例分别为82．3％（251人）、64．5％（197人）、69．2％（211人）和66．9％（204人）。27．5％（84人）的学生不了解全科医学专业课程设置，且对公共卫生课程认同度不高。仅34．4％（105人）的学生对当前全科医学教育满意，52．5％（160人）的学生认为专业课程体系存在问题，主要为课程内容重叠及开设时间不当。不同年级学生在专业开设必要性认知、全科医学专业学习态度、教学安排满意度方面，差异有统计学意义（P〈0．05）。结论应尽早加强农村订单定向医学生全科医学专业思想教育，强化学生对全科医学专业的认知；整合优化课程体系，调整重叠教学内容，合理设置课程开设时间。Objective To investigate the recognition status and attitudes of general practice medical professional for rural-oriented clinical medical （general practice direction） students, and provide effective basis for teaching reform. Methods Using cluster sampling method, a questionnaire survey was conducted among 305 rural-oriented medical students in Hubei Medical University who belonged to four different grades. The questionnaire effective recovery was 98.07%, SPSS 17.0 software was used to analyze data, pro- portion （%） were used for statistical descriptive, chi-square test and nonparametric test were used for statis- tical inference. Results 16% （49） students believed that it was not necessary for local medical colleges and universities to set up general practice professional, The rates of students who understood this professional training objectives, employment channel, the future work and professional developments were 82.3% （251 students ）, 64.5% （197 students ）, 69.2% （211 students） and 66.9% （204 students ）, respectively. 27.5% （84） of the students still didn＇t understand this professional curricultlm, and lower cognitive learning public health curriculum. Only 31.1% （105） of students were satisfied with the current general medicine education.52.5% （160） students thought that the professional curriculum system had problems, mainly for the course content overlap and course setting time being not reasonable. Different grades of students bad different de- gree of satisfaction in the professional knowledge, the general practice of professional learning attitude, teaching arrangement. Conclusion We should strengthen rural-oriented medical students＇ professional education thought and their cognition of general medicine as soon as possible and integrate and optimize the curriculum system, adjust the teaching content and set up reasonable curriculum opening time.

关 键 词：定向医学生 全科医学 认知 态度 定量研究 

分 类 号：R-05[医药卫生]