Chinese General Practice ›› 2021, Vol. 24 ›› Issue (34): 4372-4377.DOI: 10.12114/j.issn.1007-9572.2021.00.246

• Monographic Research • Previous Articles     Next Articles

Evaluation of the Effectiveness of a General Practice Clinical Skills Workshop Program 

  

  1. 1.Department of Health Management,School of Management,Hainan Medical University,Haikou 571199,China
    2.International Primary Care Clinic,Haikou Affiliated Hospital of Central South University Xiangya School of Medicine,Haikou 570208,China
    *Corresponding author:Timothy Noel Stephens,Chief physician;E-mail:drtim2013@163.com
  • Published:2021-12-05 Online:2021-12-05

全科医学临床技能工作坊培训效果评价研究

  

  1. 1.571199海南省海口市,海南医学院管理学院卫生管理教研室 2.570208海南省海口市,中南大学湘雅医学院附属海口医院全科国际门诊
    *通信作者:Timothy Noel Stephens,主任医师;E-mail:drtim2013@163.com
  • 基金资助:
    2018年海南医学院教务部“第二课堂”项目

Abstract: Background The standardization of general practitioner(GP) training in China has been basically established,but medical students' understanding of GP and their willingness to pursue a career as a GP needs to be improved. Objective To conduct training for medical school students using a general practice clinical skills workshop program,and evaluate the effectiveness of the program. Methods Research subjects included 120 undergraduate students who voluntarily selected a general practice clinical skills workshop course at Hainan Medical University,including students from clinical medicine,pharmacy,and non-clinical majors. A self-designed questionnaire was used to conduct a pre- post- self-controlled comparative study of the included students in June 2018(before training) and December 2018(after training) to investigate their knowledge,attitudes,and career intentions related to general practice before and after training and feedback on general practice teaching.  Results 73 of the students completed the questionnaire. Survey results showed that of the 73 respondents,29(39.7%) majored in medicine and pharmacy,and 44(60.3%) majored in non-clinical,but only 18(24.7%) had taken the course Introduction to General Practice. After training,72(98.6%) believed that it is necessary to offer a general practice course for clinical majors. After training,participants' mastery of the definition of general practice,the character of general practice,the role of GPs,and the role of general practice in the healthcare system improved significantly(P<0.05). The percentage of participants who scored "above average" for the knowledge test section of the questionnaire before and after training was 9.6%(7/73) and 50.7%(37/73),respectively. The proportion of medical and pharmacy students willing to engage in a career in general practice increased from 69.0%(20/29) before training to 96.6%(28/29) after training. Conclusion This general practice clinical skills workshop group facilitated improvement in undergraduate medical students' understanding of general practice and their willingness to work in general practice. These results may provide a reference for innovative general practice education models.

Key words: General practice;Education, medical, undergraduate;Workshop;Effectiveness evaluation

摘要: 背景 目前,我国已基本建立起规范的全科医生培养模式,但医学生对全科医学的认识及从业意愿有待提高。目的 对医学院校学生开展全科医学临床技能工作坊培训,并评价工作坊的培训效果。方法 以海南医学院自主选择了全科医学临床技能工作坊课程的120例在校本科生为研究对象,包括医药类专业学生和非医药类专业学生。采用自行设计的问卷,分别于2018年6月(培训前)和2018年12月(培训后)对纳入学生开展自身前后对照研究,调查其在培训前和培训后的全科医学相关知识、态度、从业意愿及对全科医学教学的反馈意见。结果 共73例(60.8%)学生完成了培训,医药类专业学生29例(39.7%)、非医药类专业学生44 例(60.3%)。培训前,73例学生中有18例(24.7%)学习过《全科医学概论》。培训后,72例(98.6%)学生认为临床专业有必要开设全科医学课程。培训后,学生对全科医学定义、全科医学性质、全科医生角色、全科医生在卫生服务体系中作用的认知较培训前有明显提升(P<0.05)。培训前和培训后,分别有7例(9.6%)和37例(50.7%)学生的全科医学知识和技能测试评分为良好。医药类专业学生愿意从事全科医学工作者占比,从培训前的69.0%(20/29)上升到培训后的96.6%(28/29)。结论 全科医学临床技能工作坊培训有助于提高医学院校本科生对全科医学的认识,可提高医药类专业学生的全科医学从业意愿,可以为国内外开展全科医学教育模式创新提供借鉴。

关键词: 全科医学;教育, 医学, 本科;工作坊;效果评价