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[家庭医学:本科学习中的灰姑娘?医学生对家庭与社区医学专业看法的研究]

[Family medicine: the Cinderella of undergraduate studies? Study of the views of medical students about the speciality of family and community medicine].

作者信息

Santos Suárez J, Santiago Alvarez M, Alonso Hernández P, Alonso Llamas M, Merladet Artiacha E, Corrales Fernández E

机构信息

Centro de Salud Mieres Sur y Ambulatorio Central. Area Sanitaria VII. Mieres (Asturias). Médico Interno Residente de tercer año de MFyC. Centro de Salud Mieres Sur. Mieres (Asturias).

出版信息

Aten Primaria. 2001 Mar 31;27(5):324-30. doi: 10.1016/s0212-6567(01)79375-4.

DOI:10.1016/s0212-6567(01)79375-4
PMID:11333552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7681383/
Abstract

OBJECTIVE

To find the views of students doing the last year of medicine on the specialty of family and community medicine (FCM).

DESIGN

Cross-sectional study through self-administered questionnaire.

SETTING

Medical faculties of the Universities of Oviedo and Cantabria.

PARTICIPANTS

Sixth-year medical students with possibilities of completing their degrees in the year 2000.Interventions. 22-question multiple-choice questionnaire, including assessment of undergraduate FCM training and view of its inclusion as a subject, choice of specialty in the next residents (MIR) exam, status of FCM, choice of professional to treat common pathologies in primary care, and knowledge of an activity (management of short-term time off) of GPs.

MAIN RESULTS

73% of the 94 medical students polled had no theoretical training in FCM, but 89% were in favour of including it in the degree programme. 6% wanted to work as GPs. 77% thought that the status of FCM was comparable to that of other specialties. The rest thought it was inferior, although its status would rise for half of these if the FCM residency lasted 4 years. 50% would not choose FM to treat common pathologies in primary care. 55% identified the GP as the person empowered to issue sick notes for common illness.

CONCLUSIONS

Lack of undergraduate training in FCM is the cause of lack of interest in this specialty among medical students, its lack of status and students' lack of knowledge.

摘要

目的

了解即将完成医学学业最后一年的学生对家庭与社区医学(FCM)专业的看法。

设计

通过自填问卷进行横断面研究。

地点

奥维耶多大学和坎塔布里亚大学的医学院。

参与者

有在2000年完成学业可能性的六年级医学生。干预措施。一份包含22个问题的多项选择题问卷,内容包括对本科FCM培训的评估及其作为一门课程纳入的看法、在下一年住院医师(MIR)考试中的专业选择、FCM的地位、在初级保健中治疗常见病症的专业人员选择以及对全科医生一项活动(短期休假管理)的了解。

主要结果

在接受调查的94名医学生中,73%没有接受过FCM的理论培训,但89%赞成将其纳入学位课程。6%想成为全科医生。77%认为FCM的地位与其他专业相当。其余人认为其地位较低,不过如果FCM住院医师培训为期4年,其中一半人的看法会改变,认为其地位会提高。50%不会选择FCM来治疗初级保健中的常见病症。55%认为全科医生是有权为常见疾病开具病假条的人员。

结论

本科阶段缺乏FCM培训是医学生对该专业缺乏兴趣、其地位不高以及学生缺乏了解的原因。

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引用本文的文献

1
Medical student attitudes towards family medicine in Spain: a statewide analysis.西班牙医学生对家庭医学的态度:全州分析。
BMC Fam Pract. 2012 May 29;13:47. doi: 10.1186/1471-2296-13-47.
2
[Family Medicine and university in Spain: initial reflections from a national research project].[西班牙的家庭医学与大学:一项国家研究项目的初步思考]
Aten Primaria. 2011 Apr;43(4):203-8. doi: 10.1016/j.aprim.2010.06.004. Epub 2011 Jan 12.
3
The reputation and professional identity of family medicine practice according to medical students: a Spanish case study.根据医学生的观点看家庭医学实践的声誉和专业认同:西班牙的案例研究。
Aten Primaria. 2010 Dec;42(12):591-601. doi: 10.1016/j.aprim.2010.05.005. Epub 2010 Sep 15.
4
[Students, graduates and family medicine: elements for an imperfect relationship].[学生、毕业生与家庭医学:一段不完美关系的构成要素]
Aten Primaria. 2009 Aug;41(8):436-8. doi: 10.1016/j.aprim.2009.06.002. Epub 2009 Jun 25.
5
[Ongoing active tutoring: a way to try to be a tutor during the 3 years of the course].[持续的主动辅导:一种在课程三年期间尝试成为辅导者的方式]
Aten Primaria. 2005 Sep 15;36(4):214-20. doi: 10.1157/13078598.
6
Cinderology: the Cinderella of academic medicine.灰姑娘医学:学术医学中的灰姑娘。
CMAJ. 2004 Dec 7;171(12):1495-6. doi: 10.1503/cmaj.1041466.

本文引用的文献

1
[Introduction of family medicine in the university field. Dream or reality?].[大学领域中的家庭医学导论。梦想还是现实?]
Aten Primaria. 2000 Feb 15;25(2):71-2. doi: 10.1016/s0212-6567(00)78465-4.
2
[Affection-based medicine, family medicine, and university].
Med Clin (Barc). 1999 Dec 4;113(19):757-8.
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Motivation for medical school: the relationship to gender and specialty preferences in a nationwide sample.
Med Educ. 1999 Apr;33(4):236-42. doi: 10.1046/j.1365-2923.1999.00293.x.
4
Promoting institutional change to encourage primary care: experiences at New York Medical College and East Carolina University School of Medicine.
Acad Med. 1999 Jan;74(1 Suppl):S9-15. doi: 10.1097/00001888-199901001-00025.
5
Influence of medical school on medical students' opinions about primary care practice.医学院校对医学生关于基层医疗实践看法的影响。
Acad Med. 1998 Apr;73(4):433-5. doi: 10.1097/00001888-199804000-00019.
6
A study of medical students' specialty-choice pathways: trying on possible selves.一项关于医学生专业选择路径的研究:尝试不同的理想自我。
Acad Med. 1997 Jun;72(6):534-41. doi: 10.1097/00001888-199706000-00021.
7
Career preferences of medical students: influence of a new four-week attachment in general practice.医学生的职业偏好:四周全科医学实习新安排的影响
Br J Gen Pract. 1996 Dec;46(413):721-5.
8
Characteristics of medical students by level of interest in family practice.按对家庭医疗兴趣程度划分的医学生特征
Fam Med. 1996 Nov-Dec;28(10):713-9.
9
Academia's chilly climate for primary care.学术界对初级保健的冷淡态度。
JAMA. 1996 Sep 4;276(9):677-82.
10
[Undergraduate training in primary health care: 6 years' experience at the University of Alicante].
Aten Primaria. 1993 Apr;11(6):281-5.